RV
Rensche V

1 reviews | Active since May 2012

30 Nov 2020, 11:37

Bad service

Why was a pre auth nr given ***6 . I had to give every code that the Dr used. 2. I paid the Dr R2247.00 and only to find out only R805.00 was refunded for consultation . Why was I not informerd when I phoned for preauth. Only after I question the reason I was informed that I need Nappi codes. Why did the consultant who authorised it not told me when I phoned.13.11.2020

The consultant said she would get back to me on Monday 16.11 with a answer today is the 19th I am now currently on the phone waiting for answers again. Unanswered until 30.11.20

I don't understand this service. I could have done this procedure in hospital but due to Covid and it would have been thousands of rands much more for Discovery account. Is it easier to then reject a claim after the member has paid.

For safety reason we used the Dr rooms. Money wise not a good idea. At least know we know next time straigt to hospital.

I think in future the pre auth and claims dept should be more trained in which is the correct Codes/Nappi codes.

0
Replies (2)
Discovery Health
Discovery Health's reply30 Nov 2020, 12:45
Official
Dear Rensche

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 reply02 Dec 2020, 13:24
Official
Dear Rensche

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

Regards 
Discovery Health Servicing Team