SM
Sandra M

1 reviews | Active since Nov 2014

13 Mar 2019, 13:23

How many Dental claims not paid.

Hi Another Dental claim not paid: Provider going to hand me over. Date of service 24/11/2018 for Patient Sandra Mcnamee- authorization for the crown was approved still account was not paid: member: I cannot understand why it was never sorted. ********** 84457 Code 8019 / code 8110 / 8145/ 9563 was not paid Code 9563 is a valid code.

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Replies (2)
Medshield
Medshield's reply13 Mar 2019, 13:41
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 reply22 Mar 2019, 13:40
Official
Good day 
With reference to your Hello Peter Complaint received on the 13/***. Please be advised that the below account has been processed and paid correctly as per scheme rules and benefits available .
Doctor Naidu *** ,treatment date 24/11/2018, dependent Sandra , amount charged 1,111.38 , amount paid R 157.76.Please note that tariff code 9563 ( Temporary Acrylic/Composite Cr ),amount charged R 940.18 has been rejected as is a scheme exclusion .  We trust you find the above in order.

Yours sincerely, Medshield