TM
Takalani M

1 reviews | Active since Sept 2017

31 Jan 2018, 09:29

Claim not paid for 3 months because of their system error

I am not happy at all with Medshield service i pay every month now they have a problem with their system which they cant pay my GP claim since November 2017 i have been calling and been told the same story i cant consult as my GP say i have outstanding bill i wont use my cash to pay for GP visits while i am paying for my medical aid i am so disappointed on Medishield service i am about to cancel and look for another medical aid if my claim doesn't get paid soon

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Replies (6)
Medshield
Medshield's reply31 Jan 2018, 09:53
Official

Good day

Medshield Medical Scheme has acknowledged your complaint and is currently investigating.

Kindly note that your concerns have been prioritised and feedback will be provided within 5 working days.

Yours sincerely,

Medshield

TM
Takalani M's update07 Feb 2018, 13:09
Reviewer Update
i am still waiting for respond its been more than 5 days
Medshield
Medshield's reply08 Feb 2018, 12:13
Official

Good day

With reference to your to your complaint.

With reference to the account in question, kindly be advised, it has been received and processed by the Scheme. However please be advised, the Scheme is currently having technical difficulties releasing claims for payment. Once resolved will your claim be paid accordingly. We apologize for any inconvenience you may experience due to this delay.

We trust you find the above in order and we once again do apologise for the delay.

Yours sincerely,

Medshield Medical Scheme

Medshield
Medshield's reply22 Feb 2018, 15:19
Official

Good day

With reference to your Hello Peter Complaint.

With reference to the account in question, kindly be advised, the scheme’s technical issue has been rectified and the claim has been reprocessed and will be paid in full to the provider on 26/02/2018.

We trust you find the above in order and we once again do apologise for the delay.

Should you require any further assistance please contact the Medshield Medical Scheme Contact Centre on ***.

Yours sincerely,

Medshield Medical Scheme

TM
Takalani M's update23 Feb 2018, 08:03
Reviewer Update
How can you say the claim has been processed to be paid 26 Feb 2018 where else under my processed claims there is nothing showing processing
Medshield
Medshield's reply23 Feb 2018, 13:23
Official

Good day

With reference to your Hello Peter Complaint.

Kindly be advised, only once this payment has gone through on the 26/02/2018, will it reflect as paid under your processed claims.

Should you require any further assistance please contact the Medshield Medical Scheme Contact Centre on ***.


Yours sincerely
Rehna Perumal