BM
Bontle M

1 reviews | Active since Jul 2014

18 Apr 2019, 08:27

My claim not being processed

I took my daughter to a network doctor on the 2nd of February and the doctor asked me to pay cash and claim from my medical aid since it was the first time consulting with them. I took the slip and submitted a claim with Fedhealth on the 8th of March, I called them 3 days later to find out if they received the claim and the advised me that it takes 7-10 working days for my claim to be processed. I waited 12 days later and I called again, they told me my claim could not be processed because the claim codes were not on the invoice. No one called or email me to tell me this information, I had to call them! I told the guy I was speaking to that the amount I'm claiming for was for consultation fee, and he said he amended the claim and resubmitted it. Its the 18th of April and I still haven't received my refund, I get charged every month for the Vault but I have to pay every time I go to the doctor, what is the point of all of that?? Fedhealth must just let us know if they don't want members because their service is appalling and disgusting!

0
Replies (4)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply18 Apr 2019, 08:42
Official
Thank you so much for your review we will be in touch shortly.
Kind Regards
The Fedhealth Online Team 
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply23 Apr 2019, 11:41
Official
A consultant has been in contact with you and detailed feedback has been provided. 

Kind Regards The Fedhealth Online Team
BM
Bontle M's update23 Apr 2019, 17:08
Reviewer Update
No detailed feedback was given! The agent just told me there is a note on why the claim was not processed, when I asked him who did they sent that comunnicatio to he said nothing was sent to me. So how was I supposed to know why it was not processed? I've resent the invoice that I received from my health care provider with all the details they wanted, please treat this as a matter of urgency!
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply26 Apr 2019, 10:56
Official
A consultant has been in contact with you and detailed feedback has been provided. 
Kind Regards The Fedhealth Online Team