1 reviews | Active since Nov 2012
*********** claims staff yet again rejected a claim for their own incompetence
I'm 9 May I submitted a query regarding claims payment for the service date of 27 Feb by Dr Mu***i. Then J Vorster responded on the 10th to reassure me that the matter us getting the attention it deserves. I'm the 18 May he responded with a claim attach from the Dr and confirming that the claim will be finslised and paid in full on the 20th May. I'm statement no16 and 17 the clsim is rejected with code 207 meaning cause code required. for help what incompetency is this hiring people who don't even know basic icd 10 coding to process your clients claims this is sickening and beyond disgusting .
Dear PHELADI.Z
Thank you for your enquiry.
Medihelp contacted Dr Mu***i-Kanakulya to discuss the appropriate ICD-10 coding and requested an amended account. Upon receipt of the account a resubmission has been done and the account was subsequently settled as prescribed minimum benefits (PMB) to the amount of R2 576.85 as reflected on your claims statement of 18 May 2018.
This information was also communicated to you per email on 4 June 2018 at 06:59AM.
Kind regards
Medihelp Customer Care
Dear PHELADI.Z
Thank you for your enquiry.
Medihelp contacted Dr Mu***i-Kanakulya to discuss the appropriate ICD-10 coding and requested an amended account. Upon receipt of the account a resubmission has been done and the account was subsequently settled as prescribed minimum benefits (PMB) to the amount of R2 576.85 as reflected on your claims statement of 18 May 2018.
This information was also communicated to you per email on 4 June 2018 at 06:59AM.
Kind regards
Medihelp Customer Care