Medshield is not paying the Clinic, so I can't continue with my chemo treatment. The treatments were pre-authorised, yet they refuse to pay.

Medshield is not paying the Clinic, so I can't continue with my chemo treatment. Medshield authorised 18 chemo treatments, but none has been paid, so no more treatment for me due Medshield Admin / Auth problem. I have been trying to resolve this for the past two weeks. Just a standard reply and response message is sent. Nothing happens. So no payment, no more Chemo treatment.

Please note that the IV Chemo treatments by ICON Service provider are administered and registered, as per the guidelines of Medshield / ICON as below:

ICON Network Approved with Medshield Mesical Aid. ICON Approved Service provider used. Oncology Doctor: Medshield / ICON Designated and approved service and medical provider. SAPHRA Approval for Section 21. Following ICON Guidelines, Annexure F, to which Medshield allocates Icon Enhanced Treatment for Oncology. ICON Protocol type: Icon Enhanced. Medshield Mediplus Prime: Subject to the Oncology Limit / Icon Standard Protocols. Adherence to the Medical Scheme Act 131, Sections 15G / 15H / 15I Medical Aid Patient has been a member of Medshield since 2017. Patient is registered under the Oncology Program and treatments are authorised. The wrong treatment code has been loaded on the current authorisation form sent through. ( Medshield Accounts Department error logged: 100223QJ3904)

Specific and rare Oncology Condition identified: on 21 July 2021: TPLL T Cell Prolymphocytic Leukemia.

I have the 3 written Medshield Medical Aid pre-authorisation forms, yet, no attention is given to adhere to and comply with them.