I have Gap Cover through my broker, to assist with shortfalls on medical payments. When submitting a claim to Fedhealth previously an automated system advised that Fedhealth makes little allowance for GAP covers - firstly taking the monies from ones savings, and then requesting a motivation ...
I have repeatedly submitted an account from my GP. Fedhealth paid the consultation fee but said there was no ICD10 code for the procedure that I had done. I got an amended statement from my GP with the ICD 10 code on but it was handwritten, they would not accept it. I got an amended statement from ...
In December I needed a hysterectomy. I requested pre-authorisation & Fedhealth said they would not pay the laparoscopic portion of the procedure but would pay the value of the open procedure "up to average hospital cost of R29 437 for abdominal hysterectomy." Unfortunately my surgeon ...
I've submitted my claims on 08 February. I received an email back stating that some of my claims' account details was not legible so I resent to [Email Removed] with ref number 080213QPYZSK. To date I still haven't received acknowledgement that the claims were received or captured. Fedhealth is ...
On 6/2/13 I had an optometrist appointment at Mellins in Bethlehem. Just before I left the receptionist told me that I only have R 495 available for my spectacles. I told her it can't be. I told her not to proceed let me first phone Fedhealth. I phoned Fedhealth on the 6/02, I spoke to a bloke ...
My monther that is a dependant on my medical aid was scheduled for an operation on 14 November 2012. I got an Auth Nr from the medical aid for the procedure (Auth Nr 70275809). When I now submitted the account to the medical aid, the claim was rejected with the folloowing remark codes - 7 Treatment ...