SG
Sindi G

1 reviews | Active since Mar 2009

24 Nov 2015, 13:01

Being handed over to Lawyers for non payment

There is a claim of R646 (VLD52911) that was rejected by my medical aid. When i call Discovery a lady by the name of Benneline advised me that the reason for rejection was that the referral was by a hospital and not a DR. I was referred by Dr Qhiba and she still advised that even if Lancet were to re-submit the claim i will still be liable for it. When i called Lancet, they are saying the reason for the rejection of the claim from Discover is that there was no funds. <br> <br> I cant be paying R2100 every month for medical and still be taken to lawyers for non payment of a claim. My name and reputation is at stake..Im not happy with this at all (im really dissapointed with Discovery at the moment and disgusted by the response i got) what is the point of paying for a medical aid??????<br>

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Replies (1)
Discovery Health
Discovery Health's reply27 Nov 2015, 11:03
Official
Hello sylvi,

Thank you for your comment.

We've confirmed that the claim is currently rejecting due to the fact that the hospital is loaded as the referring provider. We have contacted Lancet and await the amended account in order to reprocess the claim. We will be in contact with feedback once resolved.

Regards
Annelize