1 reviews | Active since Jan 2011
Claims - *** & ***
I have cancelled my medical aid from Momentum to apparently join a no. 1 medical aid company DISCOVERY HEALTH, this is however is far from the truth. It is frustrating me that for the high contribution I am paying I EXPECT more professionalism. I have originally sent through 2 claims which I have paid myself and now claiming from discovery. Mauff A C And Partners has been paid and I called in to tell them that this is incorrect and I needed to be paid not the supplier till now not done. 2nd claim for PD M Govender amt R2550 not paid the website reflects R1550 today a lady told me that the claim for PD was rejected due to authorisation how is this possible when she was a new born. NO 1 has called me saying that there is a problem with the claim - PROBLEM NO1. I have called in the spent over R250 airtime having to call in to the call centre everyday explaining myself over and over again PROBLEM 2. Also rather ridiculous that I have resend and resend paperwork as there is no one person handling this from start to finish, then call in again having to explain myself again. Claims have a turn around time of 2 to 3 working days well today its 13 DAYS! WANT TO PAID
Thank you for taking my call.
As discussed, I have requested that the claim for Chloe for 22/01/2016 be reprocessed as per the authorisation that we have updated. This will take two to three working days. We require an amended account for the 23/01/2016 with the correct procedure code. This may be sent to ***
We also require the proof of payment for Mauff A C and Partners so that we may request that the claim be reprocessed and paid to you.
I trust that our discussion has provided you with clarity regarding your query.
Should you have any further queries that you may require assistance with, please do not hesitate to contact us directly.
Regards
Megan
Thank you for taking my call.
As discussed, I have requested that the claim for Chloe for 22/01/2016 be reprocessed as per the authorisation that we have updated. This will take two to three working days. We require an amended account for the 23/01/2016 with the correct procedure code. This may be sent to ***
We also require the proof of payment for Mauff A C and Partners so that we may request that the claim be reprocessed and paid to you.
I trust that our discussion has provided you with clarity regarding your query.
Should you have any further queries that you may require assistance with, please do not hesitate to contact us directly.
Regards
Megan
