sS
samantha S

1 reviews | Active since Sept 2013

23 Nov 2015, 12:18

2 weeks and auth not correct. Codes still not done

I requested an authorisation on the 12th of November for a procedure that would be done in hospital on the 27th of November. My first authorisation was done incorrectly. I called to get it amended and it was done incorrectly again. I have been calling to get this corrected and no one can correct it. I am now 4 days away from my hospital procedure and still no authorisation. Code 1870 was also omitted as they said it was not in the conclusion even though it was in the findings. I then got Sandton Radiology to send an updated report so that it reflected in the conclusion. I sent this on the 18th and still there is still no authorisation. On the 19th i spoke to a consultant and they said it was received and would be sent for review. Still no feedback. I have taken down the names of the people i have spoken to as no one can get this resolved. <br> I would like management to contact me please as this is now rather urgent as i go into hospital on Friday.

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Replies (1)
Health Squared Medical Scheme
Health Squared Medical Scheme's reply23 Nov 2015, 12:38
Official
Hello samannsmit,

We acknowledge receipt of your concerns and thank you for bringing them to our attention. Resolution Health is committed to providing an unsurpassed level of service excellence to our valued members and would like to extend our sincere apologies if you feel that we have fallen short of this promise. We are assigning a dedicated consultant to your query and he/she will be in touch soonest to discuss your concern in further detail.

Please rest assured that your query will be dealt with as a matter of urgency and that we are fully committed to resolving this as soon as possible.

Yours in health and wellness,

The Resolution Health team.