LL
Lisa L

1 reviews | Active since Jul 2010

14 Jan 2017, 15:19

Claim error

<p>On 22/12/2016 I took my son to the pediatrician and sent the claim amount for R880 (DAVIS M D)</p> <p>I then received a claim notification that the claim will not be paid due to the following reason:</p> <p>"Your health professional may not bill for this treatment under his or her practice type"</p> <p>The information you had captured was in fact incorrect, you had processed the claim for an incorrect doctors name as well as incorrect practice (instead of a pediatrician (DAVIS M D) it said optometrist with a doctors name on that we don’t even know or use (SHABANGU S T)</p> <p> </p> <p>On the 29-12-2016 I had to take my son back to the same pediatrician for an amount of R800 which was then proceed and paid but the first amount of R880 has not been paid. </p> <p> </p> <p>I have now phoned discovery twice from my cell phone about the same problem and it has still not been resolved. (over 30 minutes from my cell phone)</p> <p> </p> <p>The information captured on your side is not correct and does not reflect the claim and email I sent. </p> <p> </p> <p>i have 4 reference numbers:</p> <p>1. ********** 242</p> <p>2. ********** 023</p> <p>3. ********** 844</p> <p>4. ********** 789</p>

0
Replies (2)
Discovery Health
Discovery Health's reply16 Jan 2017, 09:39
Official

Dear Jenao

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 reply18 Jan 2017, 13:19
Official

Dear Jenao

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

Regards
Discovery Health Servicing Team