YM
Yumnah M

1 reviews | Active since May 2014

19 May 2015, 10:02

Still no feedback

So i still did not get a call from a representative from netcare and Musa Zwane sent me an email :<br> <br> Good day Yumnah,<br> <br> As promised I have kept an extra eye with regards to your below query, also as promised feedback will fallow after the claims department personally get back to me.<br> <br> Your enquiry was escalated to the claims manager for a close view of these accounts, <br> <br> Initially these accounts were either escalated by yourself or the practise in question using the icd10 G93.9(disorder of brain, unspecified) which is not PMB related,<br> <br> An account was later sent with the amended icd10 T17/R04.0 which is PMB but patient is registered on chronic body ear.<br> <br> The icd10 code t17/r04.0 is for foreign body in nasal sinus which the patient is not registered for, these accounts will remain rejected by the schemes<br> <br> <br> i rep****: Hi Musa <br> <br> Thank you. I would like to know how was he registered for the ear when he injured his nose and who registered him on chronic ear???that does not make sense? it's like every time it's something new so that my claim won't be processed.<br> <br> Please can someone assist me with my claim,i am getting very impatient and upset with this situation.

0
Replies (1)
Netcare Medical Scheme
Netcare Medical Scheme's reply19 May 2015, 12:22
Official
Hello Ycassim,

Dear Yumnah

With reference to our telephonic conversation earlier today - kindly refer to the mail that was sent to your work email address.

My apologies for the inconvenience.

Kind regards
PrimeMed Administrators (on behalf of Netcare Medical Scheme)