YM
Yandisa M

1 reviews | Active since Jun 2016

06 Dec 2024, 15:29

Incompetence and Lack of Service in Handling Medical Claim

The rating should be zero as I am not receiving any service at this stage!***** the past few weeks, I have been attempting to submit a claim on behalf of my father for medical expenses incurred, but I am frustrated on how the process has been handled.

Each time I receive feedback from Fedhealth claims department, I am advised that additional information is required. This information, however, was not specified in the previous correspondence, leading to repeated delays and unnecessary frustration.

As the medical aid scheme managing these claims, your department should have the capability to review all documents and submissions from the doctor or lab associated with this claim. How is it possible that that a department in the same company is not able to view all the claims that were submitted from their side? Why do I have to include details that are readily available under this members profile? If this information was required from the initial submission, why was it not included? why does the information change every time the claim is submitted? Highly unhappy client.

0
Replies (2)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply06 Dec 2024, 16:21
Official
Dear Member,
 
Thank you for submitting your feedback to us, we are sorry to hear about your experience. One of our consultants is already attending to your request and will respond to you shortly. 
 
Best wishes,
Fedhealth  
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply06 Dec 2024, 16:39
Official
Dear Member 

A consultant has provided detailed feedback to you via email. 

Best wishes,
Fedhealth