1 reviews | Active since May 2016
Can you please pay me my money!
<p>In the month of April, I visited a gynae and paid R700 for consultation fee and again in May, I submitted both claims to discovery and they responded by saying will not be paid as they require the code. On my second email I noted that the doctor could not provide the procedure code as this is a consultation fee for antenatal care, guess what I still get the same response from discovery dispite my response. I am not too sure whether they are playing dump or they feel patient claiming for what its rightfully theirs is such a big issue but they don't have an issue to deduct the monthly amount without fail or questions. </p> <p>can someone with brains sort this out as I need this money for my next visit. </p>
Dear Nkuli79
Thank you for bringing this matter to our attention.
We did try to contact you to discuss this matter, however you were unable to take our calls at the time. We can confirm we did email you with responding to your query.
According to the law, claims need to include certain information in order to be processed by a medical scheme. This includes the relevant procedure codes and ICD 10 codes. Without the valid codes, claims cannot be processed.
We have received the amended accounts for the healthcare provider and processed the claims accordingly. The refund will reflect in your account within five to seven working days.
You are welcome to respond us directly if you require any more assistance regarding this matter.
Regards
Annelize
Dear Nkuli79
Thank you for bringing this matter to our attention.
We did try to contact you to discuss this matter, however you were unable to take our calls at the time. We can confirm we did email you with responding to your query.
According to the law, claims need to include certain information in order to be processed by a medical scheme. This includes the relevant procedure codes and ICD 10 codes. Without the valid codes, claims cannot be processed.
We have received the amended accounts for the healthcare provider and processed the claims accordingly. The refund will reflect in your account within five to seven working days.
You are welcome to respond us directly if you require any more assistance regarding this matter.
Regards
Annelize