1 reviews | Active since Apr 2014
Pregnancy Claim refund!
<p>I send my pregnancy check up claim to Medihelp 20 Spetember 2016.</p> <p>i did not receive any feedback, after phoning them on the 23rd to follow up, they told me they are not paying out because the diagnose code is incorrect, I asked them why cant they just let me know and they couldnt answer me.</p> <p>After resending the claim to them with the correct code on the 23rd it took them 21 says to pay out, but the amount is not close to the claim.</p> <p> </p> <p>I once again phoned them and they said the same thng, the codes is incorrect, after telling them i already fixed it, they said "ohh I see now" so now, 21 says later I am still awaiting my money and feedback.</p> <p> </p> <p>this is so rediculous, struggeling with them from the beginning with poor service!</p> <p>I have to go to the Dr again for my second check up but I havent even received my first claim back??</p>
Dear renette
Thank you for taking the time to bring your complaint to our attention. The contents have been noted and we are currently investigating the matter.
The complaint will be responded to by one of our consultants.
Kind regards
Medihelp Customer Care
Best regards,
Dear renette
Thank you for taking the time to bring your complaint to our attention. The contents have been noted and we are currently investigating the matter.
The complaint will be responded to by one of our consultants.
Kind regards
Medihelp Customer Care
Best regards,
Dear renetteh22
The telephonic discussion with Ms Harding of the Scheme refers. The claim referred to in your complaint, has been resubmitted and will be paid at scheme tariff. Detail of the transaction will be reflected on your next summarized statement. The Scheme also reviewed the account for possible Prescribed Minimum Benefits (PMB), but it did not qualify according to protocol. Funding thereof will therefore remain at scheme tariff.
As the doctor charges more than scheme tariff, you will be liable for payment of the difference between the amount claimed by the doctor and the scheme tariff, as stipulated in the rules of the Scheme.
Kind regards
Medihelp Customer Care
Best regards,
Dear renetteh22
The telephonic discussion with Ms Harding of the Scheme refers. The claim referred to in your complaint, has been resubmitted and will be paid at scheme tariff. Detail of the transaction will be reflected on your next summarized statement. The Scheme also reviewed the account for possible Prescribed Minimum Benefits (PMB), but it did not qualify according to protocol. Funding thereof will therefore remain at scheme tariff.
As the doctor charges more than scheme tariff, you will be liable for payment of the difference between the amount claimed by the doctor and the scheme tariff, as stipulated in the rules of the Scheme.
Kind regards
Medihelp Customer Care
Best regards,