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Zayne G
1 reviews | Active since Feb 2016
06 Jun 2024, 17:51
Claims rejected due to system faults and communication problems
2 things:
1. Despite available day to day benefits, my baby's 3rd pediatric visit in his first year was rejected due to it automatically being linked to the birth authorization, which includes 2 pediatric visits. Any additional claim should automatically come off Day to day and not an expired benefit. Please fix.
2. I obtained hospital authorization through Denis for a dental procedure in a day hospital and one of the provider claims were rejected due to Keyhealth not authorizing it, but Denis did... surely if keyhealth use Denis for dental procedures there should be communication between the two organizations when authorization is arranged. Please fix.. the procedure was authorized.
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Replies (5)0
Replies (5)
Key Health Medical Aid's replyOfficial
07 Jun 2024, 11:58Dear member, you are welcome to post your comment on https://www.keyhealthmedical.co.za/comments/
Key Health Medical Aid's reply07 Jun 2024, 11:58
Official
Dear member, you are welcome to post your comment on https://www.keyhealthmedical.co.za/comments/
ZG
Zayne G's updateReviewer Update
07 Jun 2024, 12:03I already wrote a comment on the website yesterday I'm guessing you didn't read it yet...
ZG
Zayne G's update07 Jun 2024, 12:03
Reviewer Update
I already wrote a comment on the website yesterday I'm guessing you didn't read it yet...
Key Health Medical Aid's replyOfficial
07 Jun 2024, 12:04Dear Zayne
We regret to hear about your negative experience.
The comment will be investigated, and we will respond back to you.
Sincerely,
The KeyHealth team
Key Health Medical Aid's reply07 Jun 2024, 12:04
Official
Dear Zayne
We regret to hear about your negative experience.
The comment will be investigated, and we will respond back to you.
Sincerely,
The KeyHealth team
Key Health Medical Aid's replyOfficial
07 Jun 2024, 15:44Dear Zayne
We confirm your pediatric claim was referred to the Claims department for review and feedback.
Further to your comment and dental query, we confirm we have contacted the service provider involved, and have received a copy of the invoice. The invoice was already escalated to Denis, our 3rd party, who is responsible for the administration of our dental benefit and accounts.
Please note that more detailed feedback will be provided to you via your e-mail address available to KeyHealth.
Your reference number is: wf_***
Sincerely,
We confirm your pediatric claim was referred to the Claims department for review and feedback.
Further to your comment and dental query, we confirm we have contacted the service provider involved, and have received a copy of the invoice. The invoice was already escalated to Denis, our 3rd party, who is responsible for the administration of our dental benefit and accounts.
Please note that more detailed feedback will be provided to you via your e-mail address available to KeyHealth.
Your reference number is: wf_***
Sincerely,
The KeyHealth team
Key Health Medical Aid's reply07 Jun 2024, 15:44
Official
Dear Zayne
We confirm your pediatric claim was referred to the Claims department for review and feedback.
Further to your comment and dental query, we confirm we have contacted the service provider involved, and have received a copy of the invoice. The invoice was already escalated to Denis, our 3rd party, who is responsible for the administration of our dental benefit and accounts.
Please note that more detailed feedback will be provided to you via your e-mail address available to KeyHealth.
Your reference number is: wf_***
Sincerely,
We confirm your pediatric claim was referred to the Claims department for review and feedback.
Further to your comment and dental query, we confirm we have contacted the service provider involved, and have received a copy of the invoice. The invoice was already escalated to Denis, our 3rd party, who is responsible for the administration of our dental benefit and accounts.
Please note that more detailed feedback will be provided to you via your e-mail address available to KeyHealth.
Your reference number is: wf_***
Sincerely,
The KeyHealth team
Key Health Medical Aid's replyOfficial
07 Jun 2024, 15:45Dear Zayne
KeyHealth will no longer be engaging on the issue on Hellopeter.
For any other enquiries kindly refer your e-mails to *** or log into the chatlines on www.keyhealthmedical.co.za and choose between the options you require client services/preauth/membership or call Client Services on Tel: ***
KeyHealth will no longer be engaging on the issue on Hellopeter.
For any other enquiries kindly refer your e-mails to *** or log into the chatlines on www.keyhealthmedical.co.za and choose between the options you require client services/preauth/membership or call Client Services on Tel: ***
Sincerely,
The KeyHealth team
Key Health Medical Aid's reply07 Jun 2024, 15:45
Official
Dear Zayne
KeyHealth will no longer be engaging on the issue on Hellopeter.
For any other enquiries kindly refer your e-mails to *** or log into the chatlines on www.keyhealthmedical.co.za and choose between the options you require client services/preauth/membership or call Client Services on Tel: ***
KeyHealth will no longer be engaging on the issue on Hellopeter.
For any other enquiries kindly refer your e-mails to *** or log into the chatlines on www.keyhealthmedical.co.za and choose between the options you require client services/preauth/membership or call Client Services on Tel: ***
Sincerely,
The KeyHealth team