BM
Bruce M

1 reviews | Active since May 2014

17 Mar 2021, 09:51

CHECK DISCOVERY HEALTH CLAIMS

People should DILIGENTLY check EVERY CLAIM they submit to Discovery. My wife and I have a constant battle with claims being rejected, and then once queried, they get rectified! My latest example - I submitted a dermatologist claim with 2 identical procedure codes for amounts of R0.00 and R742.90. Conveniently, Discovery accepts the R0,.00 claim (which was the 3rd item on the invoice) and rejected the R742.90 (1st item on the invoice) because it was a duplicate code.!!! Go figure.... Then they "incorrectly" captured a procedure code on the same invoice so it got rejected. If I had not checked, I would be R1500.00 out of pocket!! They are now addressing it but it took a complaint to get remedy... and that is a constant refrain we have!

0
Replies (3)
Discovery Health
Discovery Health's reply17 Mar 2021, 10:34
Official
Dear Bruce
 
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 reply19 Mar 2021, 13:50
Official
Dear Bruce

We have been in touch with you to answer your comments.

Regards 
Discovery Health Servicing Team
BM
Bruce M's update21 Mar 2021, 14:30
Reviewer Update
Despite your claim that my query has been addressed, I have to tell you that I still have no answer to my issue. Talking to me does not resolve issues...action does!
So please process my claim CORRECTLY before saying it has been addressed. That is false representation.....