RvdW
Riaan van der Walt

1 reviews | Active since Mar 2022

23 Mar 2022, 12:01

Bad service Discovery, Pathcare, Medicross

MediCross, Pathcare, Discovery 1. On 30 May 2021 I Jan Adriaan van der Walt (***, Discovery: ***) visit MediCross Potchefstroom. Dr Candice Koekemoer examines me and sends me for ʼn Covid test to Pathcare. The same day Pathcare does the Covid test (result = negative). 2. Pathcare submits the claim to Discovery. 3. Discovery rejects the claim as the practice number of MediCross on the reference is incorrect. NOTE: The error was not made by the patient. 4. Pathcare calls me and reports that Discovery did not pay the claim as the practice number is incorrect. I ask the agent of Pathcare what now? She says I should go back to MediCross and ask for a letter on their official letterhead that state the correct practice number on it. (Again now the patient must try to correct the error). 5. I go to MediCross and ask for this letter and ask that they forward it to Pathcare and Discovery. Meanwhile, time passes between all the conversations and correspondence. I receive the letterhead from MediCross and send it in advance to Pathcare and Discovery as I have no proof that MediCross did send the letter to the parties involved. 6. Several times I submitted the claim with the necessary documentation to Discovery. I suspect Pathcare did the same. 7. In between, time goes on and Discovery rejects the claim again, because the lapse of time is now too long. 8. What now? I speak telephonically with Pathcare and Discovery and explain the problem created by MediCross with a wrong practice number on the reference for the Covid test. 9. The problem does not go away. Pathcare sends bills and Discovery refuses to pay the claim. Who's in the middle? The patient!! 10. On 22 March 2022, I received another call from Pathcare and insisted that I pay now. Once again, I explain to the person that I am the victim in the situation and that the mistake was originally made by MediCross. 11. The following is that I receive an SMS indicating that the account has now been handed over for collection. Now the innocent party's name is blacklisted as a bad payer.

I'm at a loss and do not know how to handle the matter.

Riaan van der Walt

0
Replies (2)
Discovery Health
Discovery Health's reply23 Mar 2022, 12:14
Official
Dear Riaan V

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 reply25 Mar 2022, 08:50
Official
Dear Riaan V

We've responded to your query. 
   Regards Discovery Health Servicing Team