Medshield Poor Claims Administration
<p>I am highly disappointed with Medshield. I went to City Hospital, Durban from 8-12 August 2016 and on the 20 October i recieve an sms from the hospital that my medical aid hasnt paid, Ref C ********** . I follow up with my medical aid and they say no claim was recieved. On the 26 October they finally said they recieved the claim and have sent it through for processing and gave me a reference 261016 QZXL89 and that the process should take 2 weeks. I called again on the 7th of Novemebr and i was told the process takes a month.</p> <p> </p> <p>Now on i recieve another SMS on 2 December 2016 stating the amount not paid, I call today and Medshield /Medscheme firstly denies the claim existing, when i confirm the reference No. they now say oh yes the claim was recieved and they will send it through for processing, I was not impressed as i have been told this before and when i called to follow up i was told the claim is being processed but now the lady confirms that the claim has not been processed. It is not good enough for me as this process has taken over 4 months from the 12 August to resolve. I do not expect to wait any longer, disgusted with the lack of feedback from the medical aid. I recieve an email every month reminding me of a debit order amount but absolutely nothing regarding my claim. </p>
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
Best regards,
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
Best regards,
Good day
Medshield investigated your complaint and would like to thank you for bringing your concerns to our attention.
We hereby confirm that the claim for City Hospital has been processed and will be paid within our next payment run.
The full detail of the claim payment has been e-mailed to you.
On behalf of the Scheme, I unreservedly convey our apologies to you for any frustration and inconvenience experienced . We would further like to provide you with the assurance of Medshield's commitment to improved service delivery as you are an important partner to our Scheme.
Kind Regards
Candice van Wyk
Best regards,
Good day
Medshield investigated your complaint and would like to thank you for bringing your concerns to our attention.
We hereby confirm that the claim for City Hospital has been processed and will be paid within our next payment run.
The full detail of the claim payment has been e-mailed to you.
On behalf of the Scheme, I unreservedly convey our apologies to you for any frustration and inconvenience experienced . We would further like to provide you with the assurance of Medshield's commitment to improved service delivery as you are an important partner to our Scheme.
Kind Regards
Candice van Wyk
Best regards,
