Hellopeter
Share Your Experience
AB
Alexia B

1 reviews | Active since Sept 2012

28 Feb 2024, 11:36

Sies man Medshield!!!

I submit a claim to be refunded to me and you pay this to the SP????

Pop was sent to Johan@Isoleso, yet you still load claim as pay to Provider, even though I am the one claiming and sent you the invoice which states account balance is zero & paid by member c/card? Why then when a member loads a claim would you go and pay this to the Service Provider? How does that make sense, as clearly you can see I am the one loading the claim so it should be refunded to me? Why would I load a claim on behalf of a SP, they would obviously submit their own claims directly to you?

1st it took me 3 weeks for you to finally acknowledge receipt of my claim, and then you stuff it up by paying the Provider, instead of the member, regardless of my countless emails and calls for you to fix this?

This makes no sense, correct this nonsense please, this is pathetic service!!!

0
Replies (4)
Medshield
Medshield's reply28 Feb 2024, 14:07
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

Best regards,

AB
Alexia B's update28 Feb 2024, 14:12
Reviewer Update
It's these generic responses that don't do it for me, like that Palesa Nhlapo that sent me the same email for 3 weeks "Nothing Attachment" (not "Nothing attached", thus I knew this is a copy & paste response) - is Palesa even a real person, or is she merely employed to send "Nothing Attachment"?
Medshield
Medshield's reply29 Feb 2024, 13:06
Official
Good day 
 
 Medshield Medical Scheme has acknowledged your hello peter complaint and would like to thank you for bringing your concerns to our attention. Kindly be advised, your complaint has been reviewed and detailed response has been emailed to *** We trust you find the above in order. Yours sincerely Medshield Medical Scheme 

Best regards,

AB
Alexia B's update29 Feb 2024, 15:30
Reviewer Update
As per my initial complaint above, I am clearly stating that I had already sent Proof of Payment to Johan@Isoleso with the claims, so why was the claim still processed as "Pay to Provider" even though I had sent you my bank statement with the payment highlighted? I have sent this once again. Please ensure that my claim is paid to me and not to the provider, because why must I go through the admin nightmare of now having to get this refund from the provider whom you are now duplicate paying!!!!!???????