MM
Motlalepula M

1 reviews | Active since Mar 2013

30 Oct 2015, 11:18

Authorasition approved,declined,approved,declined

This is the follow on the previous report, I had a an authorisation granted, then after a week declined and approved again. And declined again after the patient was discharge in the past two weeks now. And no feedback no communication to that regard until I got the statements. When I called the lady by the name of Vembai ( Risk department) said she knows it was approved together with the supervisor. She asked I hold the line after a long hold I was told the case manager has declined. Because we didn't declare the patient had heart problem. The patient is 82 years and when she's upset of bp or coughing the doctor said it causes her chest congestion. That then affects the heart to function or bit correctly.<br> How am I suppose to cover such huge hospital bills. If we were told while she was in hospital we could have removed the old lady from that hospital.<br> Medshiled doesn't care about the well being of its clients, they don't give feedback no respond to queries send.<br> CMS hope they assist with this but I have also wrote to the medial appeal committee. <br> Mobilisation picketing at their offices and social media platform can know how they treat people.# MEDSHILED MUST FALL

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Replies (1)
Medshield
Medshield's reply02 Nov 2015, 09:40
Official
Hello Oratilemonja,

Medshield Medical Scheme has acknowledged your complaint and is currently investigating. Kindly note due to a technical error, the Scheme did not receive notification of your complaint hence it was not responded to.
Kindly note that your concerns have been prioritised and feedback will be provided as soonest.

We do sincerely apologise for any inconvenience.

Yours sincerely,
Medshield