PS
Petrus S

1 reviews | Active since Jun 2015

22 Jan 2025, 18:56

AVOID AT ALL COST

Either the most dishonest, ******* and morally bankrupt organization I have ever dealt with, or the most *********** idiots. I think it is both, but the non payment of valid claims suggest they are just common *******. Please read my reviews on Hello Peter dated 30 Oct and 28 Nov 2024. After all that frustration I eventually got a letter of authorisation for treatment of injury. Obviously the first authorisation was incorrect and had to be amended after I complained. The letter stated a very specific ICD 10 code to be used. I provided the quote for the procedure with request for autherisation. All procedure numbers, tooth numbers and amounts were on the quote. The authorisation did not state any exclusions or limits. I had the first procedure, correct ICD 10 code on prescription for medication rejected by Discovery by 2 pharmacies. I had to pay +- R 40 000 a month in advance to service provider (due to inter alia the December holidays) I then claimed for the procedure. I included the authorisation letterLess than 10 % was paid by Discovery. The reason: no ICD 10 codes, no teeth numbers, exclusions and limits all excuses not to pay. The claim had the ICD 10 codes more than 10 times on one page and all teeth numbers. DISCOVERY IS PATHETIC. AVOID AT ALL COST.

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Replies (2)
Discovery Health
Discovery Health's reply23 Jan 2025, 07:00
Official
Dear Petrus S

We’ve noted your concerns and we’re investigating the matter. We’ll contact you with feedback as soon as possible. 

Regards Discovery Health Servicing Team
Discovery Health
Discovery Health's reply23 Jan 2025, 17:25
Official
Dear Petrus S

We have been in touch with you to answer your comments.

Regards
Discovery Health Servicing Team