1 reviews | Active since Aug 2011
Unpaid claim
Our son was born by C section in July. He was put on the medical aid like we had to do as soon as we received the paperwork from the hospital. While in hospital for the normal 3 days for a c section the paed comes and checks on the baby. We received notice from the paeds rooms to inform us that medical aid rejected the claim that was sent as it was the wrong medical aid details. They corrected it and we sent the claim in to Resolution who have now rejected the claim saying we needed to obtain authorization. At no point were we told that we had 72 hours to get authorization for anything done in hospital except if the baby had to go to NICU which was not the case. How can they now refuse to pay the claim if we were not properly advised???And it has taken them so long to come back to us regarding this claim? Over 2-3 weeks????
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.
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.