**** MEDICAL PAID

TARIFF CODES 4001,4009,4010,4026,4134 RELATING TO QUERY 291018Q2RX0T. ARE ALL LISTED ON THE MANAGED CARE PROTOCOL YET IT WAS REJECTED THE RESPONSE THST I RECEIVED FROM C TSEKA WAS ******* AND INCONCLUSIVE AS REASONS WHERE NOT GIVEN. THESE ARE RELATING TO CHRONIC AS SUCH THIS CANNOT CONTINUE LIKE THIS *****ING FROM MEMBERS.

LIKE WAS THE DEPENDENT WENT FOR BLOOD TEST ON THE 18 AND THE MAIN MEMBER WENT FOR XRAYS THAT WERE SUPPOSE TO BE FUNDED ON THE CHRONIC SIDE YET THE CLIAM FOR THE XRAYS WAS PAID FROM SAVING AND THE DEPENDENTS BLOODS REJECTED WITH CODE 514 YET THE TREATMENT ON THE DEPENDENT WAS BEFORE THE MAINMEMBER AND BENEFITS WAS CONFIRMED THAT IS WHY WE PROCEEDED