1 reviews | Active since Nov 2015
authorisation given and then they don't pay
On January 18 we took my daughter to her Paediatrician Dr PR Fourie at Cape Gate Mediclinic as she was complaining of symptoms such related to reflux stomach aches, Dr PR Fourie then decided to have her admitted for test that would be done the following day.<br> <br> At 21h10 on the evening of the 18th of January she was admitted via the emergency entrance and taken to a room.<br> <br> According to the Doctors rooms a booking was made for an procedure to be done first thing the next morning the 19th of January, the procedure in questions being a Gastroscope,<br> <br> She spent the night at Cape Gate Mediclinic and the following morning they found that she was not booked for the procedure and eventually it was only done after 12h00 noon on the 19th of January,<br> <br> On the morning of the 19th of January at 08h32 I received an sms and my spouse received an e mail to her work e mail address (she was in hospital with my daughter since the evening of the 18th) confirming that Discovery has approved the procedure with authorisation number ***4 for the 18th, thus a day before the procedure was to be done.<br> <br> My daughter was discharged the 19th at 18h40, Discovery has declined to pay.
Thank you for your comment and for taking my call.
As discussed, feedback has been sent to you which you have received. I confirmed that the funding decision remains as communicated to you.
I am sorry that I could not provide you with a different outcome to your query.
Regards
Fazeela
Thank you for your comment and for taking my call.
As discussed, feedback has been sent to you which you have received. I confirmed that the funding decision remains as communicated to you.
I am sorry that I could not provide you with a different outcome to your query.
Regards
Fazeela
