Medical Aid Claims Support

What we can help with

We assist with claim queries, missing information, administrative rejections and requests for reprocessing. Where billing or clinical information needs correction, the treating provider may need to supply it. We can help you identify what the scheme is asking for.

What to have ready

Have the claim statement, invoice, rejection reason, date of service and any authorisation reference available. Start with a brief enquiry. We will explain which supporting documents are needed and how to provide them appropriately.

How the process works

We listen to the issue, review the available scheme response, identify the next administrative step and follow up. Some cases require a provider response or the scheme’s internal review. The time needed depends on the case; we do not promise a fixed turnaround.

If the dispute remains unresolved

First use the scheme’s complaints process. The CMS explains the route for complaints that remain unresolved. Keep written correspondence and reference numbers so the history is clear.

Arrange a conversation

Tell us the type of help you need using the contact form. Ask us to explain the scope of support and any charges before agreeing to a service.