CC
Corne C
1 reviews | Active since Oct 2011
04 Feb 2015, 01:00
Authorisation obtained, claim not paid
I received the necessary authorisation for a Rhizotomy through Discovery. Today I received my claim summary and discovery only paid R800 as I didn't obtain the necessary approval. The copy of the doctor bill submitted to Discovery, contained exactly the same icd-10 codes on the letter of approval I've received. What is the reason for not paying this Discovery??????.
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Discovery Health's replyOfficial
05 Feb 2015, 10:22Hello cornecoertze,
Thank you for allowing me the opportunity to assist you.
As discussed, the authorisation that was initially approved was incorrectly retracted. I am investigating the cause of this and sincerely apologise for this error.
I have since corrected this and have had your claim reprocessed. The Scheme will be funding this account in full.
Please contact me directly should you have any further concerns.
Kind regards
Danita
Thank you for allowing me the opportunity to assist you.
As discussed, the authorisation that was initially approved was incorrectly retracted. I am investigating the cause of this and sincerely apologise for this error.
I have since corrected this and have had your claim reprocessed. The Scheme will be funding this account in full.
Please contact me directly should you have any further concerns.
Kind regards
Danita
Discovery Health's reply05 Feb 2015, 10:22
Official
Hello cornecoertze,
Thank you for allowing me the opportunity to assist you.
As discussed, the authorisation that was initially approved was incorrectly retracted. I am investigating the cause of this and sincerely apologise for this error.
I have since corrected this and have had your claim reprocessed. The Scheme will be funding this account in full.
Please contact me directly should you have any further concerns.
Kind regards
Danita
Thank you for allowing me the opportunity to assist you.
As discussed, the authorisation that was initially approved was incorrectly retracted. I am investigating the cause of this and sincerely apologise for this error.
I have since corrected this and have had your claim reprocessed. The Scheme will be funding this account in full.
Please contact me directly should you have any further concerns.
Kind regards
Danita