1 reviews | Active since Mar 2019
After Paying account scheme refuse to pay account as a PMB
Membership Number - *** Practice Number - *** Service dates - 08/03/2022 - 09/03/2022 Contact Number -*** / ***
Account was submitted the first time. Account got paid at scheme rates. No codes got rejected all codes got paid up to the maximum scheme rate.
Please take note NO CODES was rejected or is stating that it get paid out of the MSA. We refer the account back for PMB now all of the sudden the scheme turn around and stating that code 1639 was never approved on the auth.
Please take note that the scheme accepted and paid at PMB rates but only skipped service date 08/03/2022 & 09/03/2022.
Please take note how did the scheme first paid for code 1639 and now all of the sudden keep on saying that it is not on the authorization ? Please process this account ASAP at PMB rates as well as code 1639 as you have paid it originally and never ever reversed the payment on code 1639.
Please processed this account for the service date 08/03/2022 - 09/03/2022 as well as PMB
Also month after month battling with Discovery Health
Membership Number ***
Practice Number ***
Service date 11/01/2023
Contact Number *** / ***
Email - ***
Account was paid in full originally and then Discovery Health reversed the amount of R7692.12 with the following reason Reason for short- or non-payment304 | We have app**** modifier 5 when we calculated the claim - according to industry standards.
Month after month I'm trying to explain to Discovery Health Agents that there is no 0005 to be app**** as we only billed 1 procedure code.
Month after month I must hear that my query was closed or that they escalate it again. So now I'm escalating the query to HelloPeter as it do not even help to email the Principal Officer of Discovery Health.
Please sort this account out ASAP.
Also month after month battling with Discovery Health
Membership Number ***
Practice Number ***
Service date 11/01/2023
Contact Number *** / ***
Email - ***
Account was paid in full originally and then Discovery Health reversed the amount of R7692.12 with the following reason Reason for short- or non-payment304 | We have app**** modifier 5 when we calculated the claim - according to industry standards.
Month after month I'm trying to explain to Discovery Health Agents that there is no 0005 to be app**** as we only billed 1 procedure code.
Month after month I must hear that my query was closed or that they escalate it again. So now I'm escalating the query to HelloPeter as it do not even help to email the Principal Officer of Discovery Health.
Please sort this account out ASAP.
Discovery Health Servicing Team
Discovery Health Servicing Team
