AR
Antoinette R

1 reviews | Active since Dec 2011

18 Apr 2018, 14:20

Medscheme's pathetic IT department

I am a healthcare provider and find it absolutely pathetic that a medical aid cannot sort out their IT problems since the beginning of January 2018. Time after time I have to send the same claims in and no response/processing/payment. Apparently medscheme's system cannot find the ICD-10 code on our electronic claims. I even received an email from Medscheme via Switch informing me the problem is on Medscheme's side. I spoke to several call centre agents but clearly they are not trained to resolve any problems. The IT department was going to call me back on the 12/04/2018. I am still waiting and can assume that they will not phone me. I just had to email another 15 claims knowing that I will not get feedback. And there is no way that I will speak to a call centre agent again. My telephone bill is getting ridiculous high due to their in capabilities to resubmit claims.

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Replies (3)
Medscheme
Medscheme's reply20 Apr 2018, 12:51
Official

Good day Antionette

Thank you for submitting a comment to us through Hello Peter.

This email serves to confirm that we have received your comment.

We, however, need further information, such as:

Medical aid number
Ref number
Agent you spoke to
ID number


We trust that we will hear from you soon so that your complaint can be dealt with promptly.

Kind regards
Medscheme Team

AR
Antoinette R's update24 Apr 2018, 15:28
Reviewer Update
Due to patient confidentiality I really feel that it is inappropriate to post all of my patients personal information on a public website and you shouldn’t even ask for it.Please supply me with an email address or contact number and person and I will forward the relevant documents. And please not the general telephone number /email address for medscheme since the call centre agents are not able to do their jobs and no one reply on emails since january.
Medscheme
Medscheme's reply25 Apr 2018, 09:03
Official

Good day Antionette

Thank you for submitting a comment to us through Hello Peter.

This is to confirm that we have received your comment and that we are currently investigating this matter.

Our representative will be in touch with you shortly to discuss this matter and ensure that it is speedily resolved.

Kind regards
Medscheme Team