1 reviews | Active since Jul 2019
Elixi Health
I phoned Elixi Health on 3 July to report that my daughter got hurt and that I need to take her to hospital. I even asked whether there was a specific hospital I needed to go to. I requested authorization for an MRI as I thought that she might need one because she hurt her knee. The case manager I spoke to said that I should phone from the hospital to get authorization for the MRI. When I claimed for the casualty visit afterward (The casualty doctor did not want an MRI to be done straight away), I was told that I did not get authorization for the casualty visit and the claim will not be honored. The same case manager is now saying that I should have phoned from the hospital for authorization for the casualty visit, but this was not what I was told. Why on earth would I phone them to tell them I am going to the hospital and then not phone them from the hospital if it meant that I could not claim if I didn't? They now refuse to honor any claim that relates to that accident on that day. I think people should be warned. It seems they are trying everything not to honor claims. They said that the conversation was recorded and they could get the recording. I asked them to please do so because they never told me to phone for the authorization for the casualty visit. After that the above-mentioned case manager stopped responding to my e-mails.
Thank you for reaching out to us,
We would like to extend our sincere apology for the negative experience you have had with our claims division Unity Health. We have referred your query to them for urgent attention on the matter. We, as well as Unity Health will investigate the matter and we will be in contact with you to update you same.
Regards
Talksure team
Thank you for reaching out to us,
We would like to extend our sincere apology for the negative experience you have had with our claims division Unity Health. We have referred your query to them for urgent attention on the matter. We, as well as Unity Health will investigate the matter and we will be in contact with you to update you same.
Regards
Talksure team
Thank you for allowing us the opportunity to conduct an investigation on the matter.
The call records have been reviewed between yourself and the claims department and as per the findings, you were advised that you would need to contact the claims department once you have arrived at the hospital and provide the practice number and details of the hospital personnel in order for authorization to be provided; regrettably you had not called the claims department for authorization prior to consulting upon you reaching the hospital thus the claim cannot be granted due to the rules defined in the policy document not being followed.
We trust that you will find the above mentioned in order and regret that we were unable to assist you with a favorable response.
Regards
Talksure team
Thank you for allowing us the opportunity to conduct an investigation on the matter.
The call records have been reviewed between yourself and the claims department and as per the findings, you were advised that you would need to contact the claims department once you have arrived at the hospital and provide the practice number and details of the hospital personnel in order for authorization to be provided; regrettably you had not called the claims department for authorization prior to consulting upon you reaching the hospital thus the claim cannot be granted due to the rules defined in the policy document not being followed.
We trust that you will find the above mentioned in order and regret that we were unable to assist you with a favorable response.
Regards
Talksure team