rG
rene G
1 reviews | Active since Oct 2013
02 Mar 2016, 13:13
Authorisation
Member ***. My mother was scheduled for a knee replacement today 2/32016. On 1/03/2016 I was informed that there was a problem with the auth no. Tato phoned the dr rooms a day before hospital admission, why was this left to last minute? Also now they want to dismiss her from my medical aid. Now after being transferred from the 1 to the next... Tato said it was never specified on the medical forms. My argument is..... We never knew that it was definite arthritis or knee problems. Also the pain was never bad. It's common for older people to have arthritis or some sort of pain .
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Discovery Health's replyOfficial
03 Mar 2016, 18:34Hello rgc,
Thank you for your comment.
When a member joins the Scheme, we process the application according to the information disclosed on the application. Once your membership is activated and we receive a request for either in or out of hospital authorisation within a certain period of time our system will automatically pend the request. We will then request further clinical information from your provider. This process is necessary to ascertain whether there were any pre-existing conditions of which we were not aware.
We confirmed that the Standards team has been in touch to advise on the details.
Regards
Rishana
Thank you for your comment.
When a member joins the Scheme, we process the application according to the information disclosed on the application. Once your membership is activated and we receive a request for either in or out of hospital authorisation within a certain period of time our system will automatically pend the request. We will then request further clinical information from your provider. This process is necessary to ascertain whether there were any pre-existing conditions of which we were not aware.
We confirmed that the Standards team has been in touch to advise on the details.
Regards
Rishana
Best regards,
Discovery Health's reply03 Mar 2016, 18:34
Official
Hello rgc,
Thank you for your comment.
When a member joins the Scheme, we process the application according to the information disclosed on the application. Once your membership is activated and we receive a request for either in or out of hospital authorisation within a certain period of time our system will automatically pend the request. We will then request further clinical information from your provider. This process is necessary to ascertain whether there were any pre-existing conditions of which we were not aware.
We confirmed that the Standards team has been in touch to advise on the details.
Regards
Rishana
Thank you for your comment.
When a member joins the Scheme, we process the application according to the information disclosed on the application. Once your membership is activated and we receive a request for either in or out of hospital authorisation within a certain period of time our system will automatically pend the request. We will then request further clinical information from your provider. This process is necessary to ascertain whether there were any pre-existing conditions of which we were not aware.
We confirmed that the Standards team has been in touch to advise on the details.
Regards
Rishana
Best regards,