1 reviews | Active since Mar 2009
Why is claim not paid in full??
Auth Number: NEO***A
I was at my GP Dr TP Taute (Practice Number ***) on 1 July 2019. According to the claims statement I received only tariff code 0191 was paid on 15 July 2019. On the claim that the GP submitted for service date 1 July 2019 there was 2 tariff codes that was rejected 1232 and 1186.
I lodged a query on why the above 2 codes was not paid and Joyce Zakwe then loaded the above authorization so that the account that the GP submitted for payment for service date 01 July 2019 could be resubmitted for payment in full with the 2 tariff codes 1232 and 1186 as only part of the account was paid on 15 July 2019
But today I received an update on above authorization and I saw that Essence Pololo loaded a note that tariff code 1186 was not approved for payment because I am not registered for J44 and J45.
Can someone just phone me and explain to me in simple terms why tariff code 1186 will not be paid.
Will tariff code 1232 be paid or not?
PLEASE JUST EXPLAIN WHAT ALL THE CODES MEAN??
Thank you
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,
The HEALTH SQUARED team
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,
The HEALTH SQUARED team
Yours in health
The HEALTH SQUARED team
Yours in health
The HEALTH SQUARED team
