CD
Carol D

1 reviews | Active since Nov 2021

16 Nov 2021, 16:56

NOT A DUPLICATED CLAIM!!!!!!!!!!!!!!!!!!!!!!!!

I have been trying to get a blood test account paid now for over 2 months. this was from a hospital stay for my son. I am so disappointed I have been a member for years and never had such an issue the claims are paid quickly with no fuss, I always recommend Medshield to people who are looking for medical aid now you guys are proving me wrong. I am not even going to go through the whole story again instead I am going to give you the email reference number for you to go read the last email I sent which put my query in very easy to understand plain English and yet again you have rejected the claim saying it has been duplicated. HOW can it be duplicated if you have not paid it because you 1st wanted a pathology note which I sent that which was also a mission as people don't read there. Then you rejected the claim saying now you want a motivation letter. I have sent the motivation letter and now you rejecting it saying the claim has been duplicated OMW its not rocket science. I am just waiting for you to say after making me do all this running around and emailing you not going to pay it at all for some nonsense reason.

0
Replies (3)
Medshield
Medshield's reply17 Nov 2021, 08:11
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 urgently.
 
 Yours sincerely,
 Medshield
CD
Carol D's update24 Nov 2021, 06:49
Reviewer Update
A week after acknowledging my ongoing issue and no still no response. I honestly cannot see how hard it can be to go onto your system and see that the six line items have not been processed for payment following the motivation letter sent.
instead i get a claims status email now saying that the account sent for payment is now invalid or unclear for payment to be made yet it is the same document/ statement which you have already made payment on. I don't think the people capturing the claims are reading or know what they are doing????
can someone sort this out as it is now going on 2 months of fighting and the laboratory is phoning me for payment
Medshield
Medshield's reply01 Dec 2021, 15:52
Official
Good day, 
 
 Medshield Medical Scheme has acknowledged your complaint . As discussed telephonically the pathology claims inquiring has been reviewed and approved for payment .
 
  Yours sincerely,
 Medshield