MM
Mlungisi M

1 reviews | Active since May 2020

12 Sept 2022, 09:13

**** service to Health Care providers by Medshield

We find it difficult to give service to Medshield Medical Aid Patients due to the fact that it is a struggle to get paid for the services rendered.

It is the third time this year they are giving us a hustle with submitted claims, you get lame excuses like there is no ICD 10 codes etc when you call the EDI provider ICD 10 codes are there. You then send paper claims, they will be telling you its not captured etc!!!

You request for authorisation they grant the authorisation then they will tell you your practise number is not linked to the Authorisation.

The **** service we get at Medshield, i’m just writting out of fustration and i know they will not even respond to this complain like the previous ones

This is the **** service we getting at Medshield

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Replies (2)
MM
Mlungisi M's update12 Sept 2022, 14:45
Reviewer Update
This is a **** reply !!! As im typing Medshield is sending me remittances stating i must submit claims to Medscheme!!! The patient was treated at Hospital in ICU!!!

Medshield is taking us for fools or is it because we are black service providers?

Such *********** Medical aid!!!!!
MM
Mlungisi M's update14 Sept 2022, 14:53
Reviewer Update
This is the incompetency i was sharing about, since i complained on the 12th of September 2022. Medshield contacted me and all they asked for was for patient details and our practice number.

The response i get is that we must send the claims to Medscheme, after they gave me an email to send claims to… since they apparently did’nt receive our claims via EDI.

I still continue saying Medshield is taking people for fools and don’t pay claims!!!!