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FARHAAN B

1 reviews | Active since Jul 2016

13 Dec 2017, 21:19

DAY LIGHT ******* DEFINITELY NOT MEDICAL PAID FOR

SO MY GRAND MOTHER WENT FOR FOLLOW UP BLOOD TEST THAT WAS REQUESTED BY THE DOCTOR HER SAVING ACCOUNT HAS BEEN DEPLETED THE DOCTOR DID INCLUDE HTE ICD 10 CODED RELATING TO THE CHRONIC CONDITION THE MONTLY STATEMENT INDICATED THAT THERE ARE AVAILABLE TEST IN THE CHRONIC BASKET OF CARE I WANT THE SCHEME TO INFORM US HOW WILL THIS CLAIM BE PROCESSED CORRECTLY URGENTLY. SERVICE DATE 12/09/2017 DR KRAMER INC

TARIFF CODES 5 ********** 3 ********** 4 ********** ********** 4 4171

PLEASE ADIVISE PROPERLY DO NOT SUPPLY HALF HEARTED ANSWERS

NOT LIKE HOW MRS Rehna Rampersad ANSWERS

0
Replies (2)
Medshield
Medshield's reply14 Dec 2017, 07:16
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

Medshield
Medshield's reply27 Dec 2017, 15:55
Official

Good day

With reference to your Hello Peter Complaint received on the 13/12/2017.kindly be advised as follow:

The pathology account from Du Buisson, Bruinette, Kramer Inc ,practice number *** ,treatment date 12/09/2017 , tariff code 4171& 4528 ,amount of R 398.20 has been approved to be paid as PMB In full and account has been reversed and reprocessed to be paid on the next payment run. Tariff code 4094 ,amount of R 51.10 has been denied to be funded as PMB hence it has been rejected as benefit used up.

Yours sincerely

Medshield