Disputes Against Medical Schemes and Insurers

We get medical & insurance claims paid and treatments approved.

Where a Medical Scheme/Insurer has not paid a claim in full a complaint may be lodged. 

This is a complex process with specific time frames, procedures, and formats which must be adhered to. 

Failing to comply with the process and time frames may result in you losing your claim.

Claims Hound can help.

  • You appoint Claims Hound to handle the Complaint.
  • We engage with the Medical Scheme/Insurer on your behalf.
  • No need for you to get directly involved in the dispute with the Medical Scheme/Insurer.
  • We provide you with regular progress updates.
  • On confirmation by the Medical Scheme/Insurer that payment for increased benefits has been made Claims Hound will invoice you for 15% of the increased amount (our service fee).
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