Med-CIRCUS!!!!!!!

From: Sylo Maphalala <***> Date: Thu, Oct 12, 2023 at 11:48 AM Subject: Fwd: PROOF OF PAYMENT: DR GERRIDA HERBST To: <***>

Good day,

Please find attached proof of payment for specialist appointment my daughter attended yesterday.

Kindly assist with providing the claim form in order to process the payment.

Thank you.

Kind regards, Ms. Sibonelo Maphalala

---------- Forwarded message --------- From: Receptionist Doc Herbst <***> Date: Wed, 11 Oct 2023, 10:33 Subject: Re: PROOF OF PAYMENT: DR GERRIDA HERBST To: Sylo Maphalala <***>

Good morning Sylo

Please ignore my previous email (I have added the AUTHORISATION number to this invoice)

Kind regards / Groete Theanette Leisse Reception / Ontvangs

Dr Gerrida Herbst ENT Surgeon ***

---------- Forwarded message --------- From: Sylo Maphalala <***> Date: Tue, Oct 17, 2023 at 1:04 PM Subject: Re: 121023QW2PTD - 121023QW2PTD - *** [MI***] To: <***>

Hi Hazel,

When I contacted Medshield last month, I was advised that there would be a claim form that I would need to complete to accompany the proof of payment or receipt from the Specialist.

I had forwarded the attached from the Specialist email and need assistance on the way forward. This is the receipt that was emailed to me from the practice as a physical slip was not issued.

When I emailed Medshield last week already, I asked for assistance on the way forward based on additional documentation I was advised to complete and include when requesting a refund of the claim.

This is what I need assistance with as I think my request for assistance email sent last week was quite clear. Please advise on the way forward.

Regards, Ms. Sibonelo Maphalala.

On Tue, Oct 17, 2023 at 12:49 PM <***> wrote:

Dear Member

Thank you for your query. Kindly be advised all member refunds must have a receipt attached or an eft slip to validate a refund being captured, no longer only the wording ¿ paid or refund stamp on a claim. However claim sent for capturing will be rejected awaiting proof of payment.

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

Yours sincerely

Hazel Mphuthi

---------- Forwarded message --------- From: Sylo Maphalala <***> Date: Tue, Oct 17, 2023 at 3:04 PM Subject: Re: 171023QW830W - REFUND REQUEST - *** [MI***] To: <***>

Lihle, when we spoke earlier on I had asked if I should respond to this email and I specifically asked if my response would now generate another reference number as I had already logged my query from last week and couldn't wait ANOTHER 5 working days and you confirmed that it wouldn't generate another reference...

Yet I received the attached email with now A NEW REFERENCE NUMBER AND ANOTHER 5 WORKING DAYS TO WAIT FOR A RESPONSE!

I'm perusing through HelloPeter reviews and seemingly I may just have to go through the same experience just to get an honest answer from you.

I need a response from Medshield confirming they have reached out to the respective specialist BY COB TODAY IN REFERENCE TO MY QUERY LOGGED LAST WEEK- HAYI LE YANAMHLANJE!!!

Sibonelo.

On Tue, Oct 17, 2023 at 1:40 PM <***> wrote:

Dear Member

Thank you for your query. Kindly be advised all member refunds must have a receipt attached or an eft slip to validate a refund being captured, no longer only the wording ¿ paid or refund stamp on a claim. However claim sent for capturing will be rejected awaiting proof of payment.

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

Yours sincerely

Lihle Khumalo

---------- Forwarded message --------- From: Sylo Maphalala <***> Date: Tue, Oct 17, 2023 at 2:51 PM Subject: Fwd: 171023QW830W RE-121023QW2PTD - 121023QW2PTD - *** [MI***] To: <***> Cc: <***>

Hi Lihle and Hazel (Medshield),

Please be advised of below response from the Specialist with regards to the proof of payment and kindly contact Theanette (receptionist) for further clarity on the matter with regards to the refund claim.

I have included Theanette in this email communication.

Kind regards, Ms. Sibonelo Maphalala.

---------- Forwarded message --------- From: Receptionist Doc Herbst <***> Date: Tue, Oct 17, 2023 at 2:24 PM Subject: Re: 171023QW830W RE-121023QW2PTD - 121023QW2PTD - *** [MI***] To: Sylo Maphalala <***>

Good afternoon Hazel

I am well and you?

The payment was made in cash (so I cannot add an EFT proof of payment as requested by the medical aid).

I am attaching the proof of payment (all our patients use this type of receipt to claim back from medical aid). (I have highlighted the PATIENT RECEIPT IN YELLOW)

If they refuse to refund you please ask someone at Medshield to contact me directly.

Kind regards / Groete Theanette Leisse Reception / Ontvangs

Dr Gerrida Herbst ENT Surgeon ***

Blaauwberg Netcare Hospital - Suite A2-11

On Tue, Oct 17, 2023 at 1:53 PM Sylo Maphalala <***> wrote: Good day Theanette,

I hope you are well.

Please assist with the below email received from Medshield when trying to process the claim on behalf of my daughter as the medical aid mentioned that they need a separate receipt of payment that was made in order to process the claim together with the attached statement/invoice you had forwarded to me.

If you could please be so kind as to forward me the receipt as they will not accept anything other than this in order to validate that payment was actually made.

Thank you.

Kind regards, Ms. Sibonelo Maphalala.

---------- Forwarded message --------- From: <***> Date: Tue, Oct 17, 2023 at 1:41 PM Subject: 171023QW830W RE-121023QW2PTD - 121023QW2PTD - *** [MI***] To: <***>

Dear Member

Thank you for your query. Kindly be advised all member refunds must have a receipt attached or an eft slip to validate a refund being captured, no longer only the wording ¿ paid or refund stamp on a claim. However claim sent for capturing will be rejected awaiting proof of payment.

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

Yours sincerely

Hazel Mphuthi

---------- Forwarded message --------- From: Sylo Maphalala <***> Date: Wed, Oct 18, 2023 at 12:33 PM Subject: Re: 171023QW830W RE-121023QW2PTD - 121023QW2PTD - *** [MI***] To: <***> Cc: <***>

Hi Medshield,

Have you reached out to the Specialist as requested in trail email?

I need for a manager to CALL me with an update to my query before close of business today, failing which I'm going to escalate the matter to the Ombudsman as you have in no way made attempts to assist on the ongoing matter since LAST WEEK.

Best believe should this not be met, i'd rather soon cancel membership and look elsewhere for health insurance.

Trusting the above is in order.

Regards, Ms. Sibonelo Mapahala.

*** I'm tired of calling in and following up because clearly email communication goes unread or otherwise unacknowledged/delayed. I expect a call from a senior person of authority based on my last email to Medshield yesterday as well as my follow up today to confirm whether or not my request had been honoured because seemingly and based on your already negative reviews on HelloPeter, assistance is close to zero. AND YOU BETTER MAKE SURE YOU'VE CHECKED YOUR EMAILS BEFORE CALLING ME.