Medihelp
PAYMENT REFUSAL

I WAS REFERRED TO A HEART SPECIALIST BY MY GP. THE HEART SPECIALIST WROTE A LETTER AND SENT ME TO THE PATHOLOGISTS FOR TESTS AND ALSO WANTED BLOOD TESTS FOR MY INR DONE ONCE A WEEK FOR A MONTH BEFORE I WENT INTO THEATRE.
NOW MY MEDICAL AID REFUSES TO PAY THE PATHOLOGISTS AS I " DID NOT GET THE CORRECT AUTHORITY FROM MY GP".
I FAIL TO UNDERSTAND WHY MY GP MUST GET AUTHORITY FOR TESTS REQUESTED BY A HEART SPECIALIST.
I HAVE FORWARDED A LETTER FROM THE HEART SPECIALST AND ALSO REQUESTED THAT THE TESTS THEN FALL UNDER THE AUTHORITY OBTAINED FOR THE HEART SPECIALIST. IF I HAD ASKED FOR MY AUTHORITY FOR THE HEART SPECIALST TO COVER FROM 4/11/2012 TO 4/12/2012 THEN THEY WOULD HAVE PAID!!!
PLEASE EXPLAIN WHERE I HAVE DONE ANYTHING ILLEGAL AND WHY THEY WILL NOT JUST CHANGE THE AUTHORITY DATES SO THAT THE "COMPUTER" WILL ACCEPT AND PAY.
I DO NOT HAVE A LAW DEGREE AND ALSO DO NOT ABUSE MY MEDICAL AID SO HOW AM I TO KNOW THE "EXACT" PROCEDURE REQUIRED.

Company: Medihelp
Country: South Africa
City: EAST LONDON

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