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Elize Scheepers-Starbuck

1 reviews | Active since Mar 2019

11 Oct 2023, 11:11

Battling with Discovery Health Agents to understand that modifier 0005 can't be app****

Practice Number *** Membership Number ***

Account was paid in full originally and then Discovery Health reversed the amount of R7692.12 with the following reason :

Reason for short- or non-payment304 | We have app**** modifier 0005 when we calculated the claim - according to industry standards.

Month after month I'm trying to explain to Discovery Health Agents that there is no 0005 to be app**** as we only billed 1 procedure code.

Month after month I must hear that my query was closed or that they escalate it again.

So now I'm escalating the query to HelloPeter as it do not even help to email the Principal Officer of Discovery Health.

Please sort this account out ASAP.

0
Replies (2)
Discovery Health
Discovery Health's reply11 Oct 2023, 11:56
Official
Dear Elize Scheepers-Starbuck

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 reply12 Oct 2023, 12:53
Official
Dear Elize Scheepers-Starbuck

We’ve contacted you regarding your complaint. 
   
Regards 
Discovery Health Servicing Team