Confusing and Contradictory Feedback from Medshield – Full Radiology Bill Unpaid Despite Two Approved Authorisations

I am deeply frustrated with the ongoing confusion and lack of communication from Medshield regarding my hospital stay and radiology claim.

I was admitted to hospital on 22 September 2025, and on 25 September 2025, the Neurologist provided a written motivation explaining why a brain scan was medically necessary. I submitted her motivation letter to Medshield as requested, and subsequently received two authorisations, both of which were confirmed as approved.

However, the hospital is now informing me that I am liable for payment, claiming it is a “shortfall.” This is misleading — it is not a shortfall, but the entire amount of R18,005, because only one authorisation code was processed for payment.

Adding to my frustration, I have received conflicting information from various Medshield consultants. One consultant, Sandra, allegedly informed the hospital that I remain liable, while other consultants confirmed to me that the claim was approved and even provided a reference number.

Meanwhile, I am receiving daily calls from Milpark Radiology demanding payment, which is incredibly stressful while I am still recovering from my hospital admission.

I urgently request a written explanation that clearly outlines: 1. The status of both authorisations, and why only one was paid; 2. The communication between Medshield and Milpark Radiology; and 3. Why different consultants are providing conflicting information to both me and the hospital.

This situation has caused unnecessary stress and confusion.