Billing Errors and Claim Dispute

The Kaelo MyHealth Core plan is currently suffering from a systemic communication failure that places an unfair financial and administrative burden on its members.

Despite strictly adhering to all protocols—including a formal referral from Network GP Dr. Shaheena Mahomedy to contracted specialists Milpark Radiology and Lancet—claims are being erroneously rejected.

This disconnect is highlighted by contradictory information, where telephonic assurances of full coverage given at the point of care are now being retracted, and a single visit is being incorrectly flagged as a "duplicate claim."

As a member who acted in good faith, I am being penalised for Kaelo’s inability to integrate with its own partners. To rectify this, Kaelo must immediately reconcile these claims in full, resolve the clerical errors internally, and provide a formal apology for the significant stress caused by this administrative chaos.