NF
Nicole F

1 reviews | Active since Mar 2018

09 Jun 2026, 11:16

Medshield's endless excuses and shifting goalposts to avoid paying claims

The administrative incompetence from Medshield is absolutely shocking. I am currently dealing with an unresolved claim (***) where Medshield has given me a continuous back-and-forth of various, conflicting reasons for non-payment. Now, Medshield is claiming that the entire account needs to be amended by the provider. However, Pathcare has explicitly confirmed that the correct billing codes were used from the very beginning. Medshield is simply using bureaucratic stalling tactics, shifting the goalposts, and expecting the member to fight between the medical aid and the pathology lab just to get a valid claim settled. It is unacceptable that a member has to endure endless delays and administrative excuses for a straightforward billing matter. Stop dragging your feet, look at the correct codes Pathcare provided, and resolve this account immediately.

0
Replies (1)
Medshield
Medshield's reply10 Jun 2026, 11:02
Official
Good day,    Medshield Medical Scheme has acknowledged your hello peter complaint and is currently investigating. 
   Kindly note that your concerns have been prioritised and feedback will be provided urgently. 
   Yours sincerely,
Medshield Medical Scheme