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Clive H

1 reviews | Active since Mar 2014

06 Apr 2016, 20:14

BASKET OF CARE PMB

Two years ago I had a kidney transplant. Discovery had approved a basket of care for out of hospital tests etc.<br> Yet every single claim submitted has been an issue. At the moment, I am struggling to get them to settle pathology claims for January and February 2016, where the pathologists are threatening to blacklist me for outstanding amounts.<br> <br> After numerous telephone calls and emails, it is obvious that Discovery Health's administration is not competent enough to handle this basket of care and the claims associated with it. <br> <br> Whether I have spoken to consultants, supervisors or managers, no-one is able to assist, and the issue of claim rejection is maintained.<br> <br> After two years of frustrations and the negative effect this has on my health, I have handed these issue over to my wife to handle. Even she is totally frustrated and aggravated with this type of unacceptable service.<br> <br> As treatment/tests are ongoing for transplanted patients, I would appreciate it if this matter could be sorted out and outstanding claims settled and that all future treatment/test claims be processed correctly according to the approved basket of care.

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Replies (1)
Discovery Health
Discovery Health's reply13 Apr 2016, 10:04
Official
Hello Clive Hayward,

Thank you for your comments and for taking my call to assist with your query.

Please accept our apologies for the frustration caused.

As discussed, your wife has been in contact with one of our Relationship Managers who is assisting her with your claim submissions.

Should you require any further assistance, please feel free to contact us.

Regards
Fazeela