1 reviews | Active since Sept 2011
Unpaid claim and given the run around by different call agents
I requested authorisation from the medical aid and I wad given the 31st of October however the lady who was assisting me asked me when will I go in for the procedure and I advised that I am not sure because I will have to wait for my p... she then said the 31st herself. I went in to parklane on the 24th of October. I then received an sms saying my claim has been rejected by the medical aid therefore I will have to pay myself. 12 November I phoned the medical aid and spoke to robaine gilbert who said medical aid cant pay because my authorisation dates are not the same as the treatment date therefore she will send through the claim and change the dates. I waited for an update but she never phoned back, I phoned on the 20th of November and spoke to Gugu Bango who then advised me that I will have to call parklane myself and tell them to change the dates. I did that and the case manager at parklane advised that she already sent an email on the 30th of October at 13:33 to fedhealth but has not received any response. I called fed health again and spoke to Faldielah who said she will attend to the matter and will call me back the next day as they turn around which is 8 hours. I never received that call from her. I phoned fed health again and spoke to Liso on the 27th of November who said the codes are different and they need to be updated and the dates as well. My question is why am I being told different things by your different agents. Are they not given enough training to be able to assist us from the first go.
I then phoned again today and spoke to Mandy who told me that the dates have been updated but the codes have not been updated. it looks like I am the fool here because she says I have to call parklane and parklane says the codes were amended and sent to fed health on the 4th of December and before then they were sent on the 30th of November.
So I am the one who is being taken for a ride here because its clear that you guys do not want to pay parklane whereas I was given the authorisation after being made to pay co-payment that I was not even aware of.
This is very disappointing because it looks like non of my claims are being paid by you because I am forever getting rejected claims from doctors whereas I have not even once missed a payment for medical aid and you sure are still debiting my account after refusing to pay my hospital bills, why am I paying the medical aid for then?????????????
Please settle the parklane bill or else I will take this further to the ombudsman because clearly you are running away from paying this bill.
Kind Regards
The Fedhealth Team
Kind Regards
The Fedhealth Team
Kind Regards
The Fedhealth Team
Kind Regards
The Fedhealth Team
