SU
Sharon U

1 reviews | Active since Nov 2017

17 Apr 2018, 10:17

No service whatsoever - repeated failures!

If I could give a less than zero rating I would. I have been dealing with FedHealth for the past 8 months now on numerous inquiries related to my mothers PMB admission in August last year. Eventually in January the majority after many months of follow up and escalations the accounts were paid. Now in April for whatever reason part of the claim for Dr Diesel for R9 600 has been reversed with no reason given and no one can tell me why. I called last week and was told Id get feedback Friday, I called this morning and am told the inquiry is still within TAT and it can take 7 to 10 days for feedback. Do they really call this service? Team Leaders Managers are never available to take escalations. Was promised a call back within half an hour this morning and still I wait...... How do you expect Providers to wait for their money indefinitely without providing explanations, I was told pay the account and send the receipt - Why? this is what members pay a fortune for. Not many in this day and age can just pull out R10 000 and pay the dr. This is not the first time a claim has been reversed without any valid reason being given. In January a radiology account that was paid in November was suddenly reversed. Reason given - system error and they don't know when it will be fixed - It took til the beginning of April to sort this out. Systems only do what they are programmed to do, sort your stuff out Fedhealth, stop messing us around! Don't let them kid you that you are joining a family and that they care - they really dont ;-(

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Replies (1)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply17 Apr 2018, 10:25
Official

Thank you for your comment, we will do some investigating and revert back soonest.

Kind Regards
The Fedhealth Online Team