KN
Kuhle N
1 reviews | Active since Feb 2014
18 Oct 2024, 11:40
Rude Agents when you have emergency & non-payment of Primecure claim
In September I called Netcare911 and I was shocked when I had to get pre-authorization ( was transferred to Kaelo to speak to a very dismissive lady) . Your agents are rude, Kaelo Health. Then to top it all off my claims are rejected. The ambulance was unpaid and then the team that diagnosed me with appendicitis is unpaid yet it is listed as a paid condition.
Policy Number : KH81749
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Replies (3)0
Replies (3)
Kaelo's replyOfficial
18 Oct 2024, 12:07This is quite concerning and we are sorry to hear you experienced that. Please do not share sensitive information here like your ID number for security purposes.
Our team has been notified and will ensure the matter is resolved. We will provide feedback once the investigation has been completed.
Our team has been notified and will ensure the matter is resolved. We will provide feedback once the investigation has been completed.
Kaelo's reply18 Oct 2024, 12:07
Official
This is quite concerning and we are sorry to hear you experienced that. Please do not share sensitive information here like your ID number for security purposes.
Our team has been notified and will ensure the matter is resolved. We will provide feedback once the investigation has been completed.
Our team has been notified and will ensure the matter is resolved. We will provide feedback once the investigation has been completed.
KN
Kuhle N's updateReviewer Update
25 Oct 2024, 08:28Hi Kaelo, I have been receiving 1 response per day and I am extremely confused about the responses. Demi Jones advised that I must ask the hospital to load the invoice via edi and I responded asking whats that and I have no response since 23 October for Claim no: 005084 ***/***0. Netcare advised me that Kaelo approved this before I went ahead. They called for authorization. Kinldy investigate and re-assign to someone who can attend to it promptly
KN
Kuhle N's update25 Oct 2024, 08:28
Reviewer Update
Hi Kaelo, I have been receiving 1 response per day and I am extremely confused about the responses. Demi Jones advised that I must ask the hospital to load the invoice via edi and I responded asking whats that and I have no response since 23 October for Claim no: 005084 ***/***0. Netcare advised me that Kaelo approved this before I went ahead. They called for authorization. Kinldy investigate and re-assign to someone who can attend to it promptly
Kaelo's replyOfficial
25 Oct 2024, 11:38Thank you for the feedback. Our team has been notified and will be in contact soon.
Kaelo's reply25 Oct 2024, 11:38
Official
Thank you for the feedback. Our team has been notified and will be in contact soon.