LE
Lynne E
1 reviews | Active since Jun 2016
30 Aug 2018, 16:04
Authorisation Denied
We have been members of this scheme since 2007 and have hardly tapped into the scheme and the benefits.
Today, when I need a procedure to be done for my 10 year old daughter, I get the email AUTHORISATION DENIED.
My daughter has a growth on her palette behind her two front teeth which needs to be removed. She has other medical conditions which does not make having it done in the rooms a possibility from a clinical perspective.
I tried calling Virginia Tshuma to discuss the matter with her to no avail.
I am exceptionally disappointed in the manner in which this request has been treated and I am forced to consider my options with regards changing medical aids after all this time.
Very unhappy
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Replies (2)
Medihelp's replyOfficial
04 Sept 2018, 08:33Dear LEllis
Thank you for your enquiry.
In order for the Scheme to attend to your complaint, you are kindly requested to furnish Medihelp with the membership number or identity number of the principal member.
Upon receipt of the relevant information your enquiry will be investigated.
Kind regards
Medihelp Customer Care
Best regards,
Medihelp's reply04 Sept 2018, 08:33
Official
Dear LEllis
Thank you for your enquiry.
In order for the Scheme to attend to your complaint, you are kindly requested to furnish Medihelp with the membership number or identity number of the principal member.
Upon receipt of the relevant information your enquiry will be investigated.
Kind regards
Medihelp Customer Care
Best regards,
LE
Lynne E's updateReviewer Update
04 Sept 2018, 09:11Good day
Membership Number MH*** from when we changed the main member to my husband.
Jemma is dependent 03.
The CPT (procedure codes) are 42106 and 8201 and ICD (diagnosis codes) D37.0.
Jemma suffers from ADHD, Anxiety and Executive Function Defect. She was diagnosed by Professor Fourie last year and we have been treating this with medication which is not paid for by the scheme.
Regards
Lynne
LE
Lynne E's update04 Sept 2018, 09:11
Reviewer Update
Good day
Membership Number MH*** from when we changed the main member to my husband.
Jemma is dependent 03.
The CPT (procedure codes) are 42106 and 8201 and ICD (diagnosis codes) D37.0.
Jemma suffers from ADHD, Anxiety and Executive Function Defect. She was diagnosed by Professor Fourie last year and we have been treating this with medication which is not paid for by the scheme.
Regards
Lynne