TP
Tamiyoka P

1 reviews | Active since May 2016

28 Jun 2016, 11:56

Recovering and dealing with unpaid hospital bills due to lack of administration

<p>I was hospitalised from the 20/05/2016 until the 28/05/2016-I followed all procedures to obtain authorisations pertaining to my hospital stay-forms and documents have been submitted to the scheme as per the hospital but I am receiving claims that are not being paid from day one when I was admitted.I called Medshield thye call centre kept rerouting my call and eventually put me through to the provider line then cut off,I called back spoke to a lady who advised that they dont administer Mediphila and gave me a number for medscheme,spoke to a gentleman there who advised he cant assist.ThenI call back and another person tells me the system is down-pathetic service to say the least and time is running out for my claims to be paid.No words-what a medical aid!!!!</p>

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Replies (2)
Medshield
Medshield's reply28 Jun 2016, 11:57
Official

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

Medshield
Medshield's reply07 Jul 2016, 09:29
Official

Good day Mr Tladi,

Medshield Medical Scheme has acknowledged your complaint and would like to thank you for bringing your concerns to our attention.

My apologies for the delay in responding to your complaint. The Scheme has reviewed the information at hand and can confirm the following:

The hospital authorization for admission date 20/05/2016 to 28/05/2016 has been updated and all related claims have been reprocessed and will be funded within the Scheme’s next payment run.

A detailed e-mail with a full claims breakdown has been forwarded to your registered e-mail with the Scheme.

Kindly note I tried contacting yourself on your registered contact details with the Scheme however with no avail.

On behalf of the Scheme, we would like to unreservedly convey our apologies to you for any frustration and inconvenience that you might have experienced as a result of the poor handling of your enquiry. We would further like to provide you with the assurance of Medshield’s commitment to improved service delivery as you as the member is an important partner to our Scheme.