1 reviews | Active since Sept 2016
Claims Adjustment Requests are Ignored
Bankmed (actually Discovery!!) provide an email specifically to send any claims which require re-processing called ********** However all claims that I send to this email get ignored. The next problem is that the claims are only recorded on the application AFTER it has been settled so I don't know that Bankmed (Discovery) are just ignoring the claim until I get rude calls and emails from the service providers. PLEASE BANKMED CHANGE ADMINISTRATORS BACK TO MOMENTUM. DISCOVERY ARE USELESS !!!!!!!!!!!!!
Hi Rosalie, we apologise for the frustration, we will investigate your concerns and be in touch. Regards
Hi Rosalie, we apologise for the frustration, we will investigate your concerns and be in touch. Regards
Hi Rosalie, we have confirmed that your concerns were addressed adequately and promptly. The claim for Dr. van der Linden has been reviewed however the decision remains the same, as the discount has been taken into account. The Scheme is obligated to pay amount billed but no more than the Scheme rate. If the provider billed less, the lesser value is funded. You as a member cannot benefit from a discount by being paid more than what is due by the Scheme. Please note that the discount is an amount that has reduced the total being billed for (services rendered) therefore we have processed according to new total being billed. We are not insensitive to your plight in dealing with the situation, but hope that we have gained your understanding why the claim was process in this way. Regards
Hi Rosalie, we have confirmed that your concerns were addressed adequately and promptly. The claim for Dr. van der Linden has been reviewed however the decision remains the same, as the discount has been taken into account. The Scheme is obligated to pay amount billed but no more than the Scheme rate. If the provider billed less, the lesser value is funded. You as a member cannot benefit from a discount by being paid more than what is due by the Scheme. Please note that the discount is an amount that has reduced the total being billed for (services rendered) therefore we have processed according to new total being billed. We are not insensitive to your plight in dealing with the situation, but hope that we have gained your understanding why the claim was process in this way. Regards