Fed Health the Medical Aid that WASTES your savings

I don't even know how to rate Fedhealth at this point or even know why I am writing this complaint.

I have even gone to whistleblowers and even they have not received feedback from fedhealth. My confusion begins when I am being harrassed by my Fiance's gynaecologists office with regards to a payment for her post partum check up last year January which she did go to.

Now the confusion is that, yes we agree that she went for a post partum check up but according to fedhealth the claim was paid. I sent this off to the Dr's office as proof and they refuted it claiming that there is another claim for the same day which was not paid...in other words they say my fiance went for 2 post partums on the same day.

When I spoke to my fiance, she remembered that when she first went in Fedhealth would not pay the claim under maternity benefit as it was claimed under the incorrect ICD Code which was for irregular menstruation which she cleared up with the Dr's office and offered them the ICD Code for POST PARTUM.

Now this was done but the Dr's office are saying that we owe R450 as FEDHEALTH PARTPAID on the post partum icd code but paid fully on the irregular mentsruation code. The full amount paid to the Dr was R1280,65 (WHICH IS THE CORRECT AMOUNT FOR POST PARTUM( although this is under the irreg menstruation code) and R781 FOR POST PARTUM.

I have told the Dr's office who tell me that it is possible for women to go for 2 pelvic scans in one day and they told me to go to FedHealth. I have attempted talking to FEDHEALTH numerous times and each time I am told to speak to the Dr's office. One consultant even sent me proof of claim processed. I emailed a maryka like I was told to but am yet to even receive an acknowledgment email

It seems that FEDHEALTH seems okay with being ******** with duplicate claims under different ICD codes and not really interested in what their client says.

I am starting to wonder whether their "PMSA" is really a savings account that is used for the correct claims or if we are blindly just trusting that the correct amounts are put against the claims we want.

I am honestly disappointed that FEDHEALTH has not even taken the time to figure out what went wrong and instead expect me to play private investigator for them without even some form of reciprocation. It worries me further, upon checking statements, the amount of times claims have been paid and reveresed sometimes even months apart. How do we even know what we are paying for or even if our vault payments are going to the correct claims???

Surely a duplicate payment made by Fedhealth should warrant some form of attention. This non-chalant attitude received by consultants and the pass the ball attitude is disconcerting. HOW DO I FIX THIS ISSUE????????