bR
boitumelo R

1 reviews | Active since Jun 2013

11 Apr 2023, 13:53

INCORRECT INFORMATION PROVIDED

I CALLED ON THE 02/03/2023 AND SPOKE TO MAZI *** AND SHE HAS ADVISED THAT THE AUTH IS FLAGGED AS PMB AND SHE HAS SENT THE ACOUNT FOR PMB REVIEW. I CALLED AGAIN TODAIY AND SPOKE TO LINDO *** AND SH TELS ME AUTH IS NOT FLAGGED AS PMB THEREFORE THE PMB HAS BEEN DECLINED AND PATIENT IS NOT REGISTERED ON CHRONIC I WANT SOMEONE WHO KNOWS THEIR STORY TO INVESTIGATE THIS AND PROVIDE FEEDBACK DR PRACTICE NO:*** MEDICAL AID NO: ***, DOS: 12/01/2023 - 17/01/2023

0
Replies (9)
Key Health Medical Aid
Key Health Medical Aid's reply11 Apr 2023, 14:09
Official
 
Dear Boitumelo, 

We regret to hear about your negative experience, and we appreciate you bringing this matter to our attention. 

We will investigate your comment and we will respond to you soon.
 
Sincerely, 

The KeyHealth team 

Key Health Medical Aid
Key Health Medical Aid's reply11 Apr 2023, 14:21
Official
 Dear Boitumelo, 

Could you kindly confirm your relation to this membership. 
 
Sincerely, 

The KeyHealth team 
Key Health Medical Aid
Key Health Medical Aid's reply11 Apr 2023, 14:27
Official
 
Dear Boitumelo, 

I called and obtained the relevant information; you do not need to respond on the above request. 
 
Sincerely, 

The KeyHealth team 

 
Key Health Medical Aid
Key Health Medical Aid's reply11 Apr 2023, 14:53
Official
Dear Boitumelo, 

Thank you for allowing us to investigate the matter for you.

It should be noted that our Clinical Case manager sent you the communication on the outstanding requirements, which were sent to the doctor on 03/03/2023.  The information requested will allow the Case Manger to review the case for PMB benefits. 
 
Sincerely, 

The KeyHealth team 
Key Health Medical Aid
Key Health Medical Aid's reply11 Apr 2023, 15:11
Official
Dear Boitumelo, 

Kindly note, we will provide you with a response via e-mail as well.

For any other enquiries regarding this matter, you may call the Clinical department on Tel ***, or you may log onto the online chats on www.keyhealthmedical.co.za and choose the preauth chatline option. 

For any other enquiries you may contact our Call center on *** or use the chatline option.
 
Sincerely, 

The KeyHealth team 
bR
boitumelo R's update13 Apr 2023, 12:04
Reviewer Update
I CALLED TODAY AND SPOKE TO KANYISA FROM THE PRE AUTH DEPARTMENT AND SHE PLACED ME ON HOLD FOR MORE THAT 15MINUTES AND SHE JUST PUT THE PHONE ON MUTE UNTIL I DROPPED THE PHONE I WAS DOING A FOLLOW-UP ON A CLAIM FOR DR Z MNGAZA PRACTICE NO:***, MEDICAL AID: *** DOS:24/11/2022 - 25/11/2022 I WANT FEEDBACK ON THIS ACOUNT AS SOON AS POSSIBLE PLEASE
Key Health Medical Aid
Key Health Medical Aid's reply13 Apr 2023, 15:34
Official
Dear Boitumelo, 

I refer to your new comment posted today,

The matter has been referred to the Clinical department's leadership, they will trace/listen to the call.

They confirmed they will respond to the doctor's rooms regarding the concerns on the account.

Sincerely, 

The KeyHealth team 




Key Health Medical Aid
Key Health Medical Aid's reply26 Apr 2023, 17:04
Official
Boitumelo,

Your enquiries were both resolved by our clinical department, who called the practices directly to discuss the review requests. 

 Sincerely, 

The KeyHealth team 


Key Health Medical Aid
Key Health Medical Aid's reply26 Apr 2023, 17:07
Official
 Boitumelo,

For any further enquiries you are welcome to call the Client services on ***050 the clinical side ***060.  You are also welcome to make use of our chat facility you need to log into www.keyhealthmedical.co.za and choose the relevant department 1. Client services 2. Preauth for any clinical enquiries 3. Membership for any membership enquiries. 

Sincerely, 

The KeyHealth team