MM
Malefo M

1 reviews | Active since May 2011

04 Mar 2015, 16:22

authorisation number not authonticated

I sent a hello peter complaint on the 12 Feb 2015 regarding not getting feedback regarding my daughter authorization number . on the 13.02.2015 got an email from Rishana Singh and she gave me authorization number ***7 and is valid from 02/02/2015 to 04/03/2015. took my daughter to the specialist on the 21.02.2015 and the claim was declined cause i didn't of the following reason '338 We have not paid this amount because you need to get a reference number from us before you visit a specialist.'<br> <br> how is this possible ? i followed discovery rules yet my claim is not paid .

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Replies (1)
Discovery Health
Discovery Health's reply04 Mar 2015, 17:03
Official
Hello malefo0911,

Thank you for your comment.

I confirmed that the authorisation was loaded according to the practice details we were provided with. The claim you are referring to was not paid because the practice details differed from the authorisation that was approved. We have since reprocessed the claim and I discussed the details of the refund telephonically.

Thank you for allowing me to assist with your query. You are welcome to contact us should you require any further assistance.

Kind regards
Rishana