TN
Tyrone N

1 reviews | Active since Oct 2009

06 Mar 2015, 07:12

Straight Forward Claim being rejected!

Hi Medshield,<br> <br> I have just seen you have rejected the most expensive part of my anesthetists claim for Dr BlackBurn due to the time exceeding some service code for a FESS. I remind you that this was a authorized operation. In addition, the very nature of surgery means that the anesthetic time will vary amongst patients going for a FESS. In my case the operation was fairly complicated and this required a longer anesthetic time. It greatly irritates me that I have to try resolve this issue now when this should have been approved in the first place which is a simple claim from the anesthetist. Get in touch with the Doctor if needed. I had ZERO control of the time the operation took!!<br> <br> Please can you ensure that this claim is now approved and processed quickly.<br> <br> Please stop complicating the simple claims process looking for any little reason you can to reject a claim! <br>

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Replies (1)
Medshield
Medshield's reply06 Mar 2015, 08:05
Official
Hello tyronenel,

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