Claims Not Paid due to lack of follow up from Discovery

<p>To whoever takes interest in actually assisting customers sort out their queries.. </p> <p> </p> <p>Discovery has surely become to big to handle one to one customer care - hence why everything is automated and need to pull teeth in order to speak to someone. When you eventually do speak to a human being, they unfortunatley provide you with robotic policies and procedures and nothing ever resolved. </p> <p> </p> <p>Found out i am expecting a baby at the end of January. First appointment with gynae was in February 2017. This gynae only takes cash and asks patients to claim from medical aid. first appointment was on the 11th Feb and again on the 24th Feb 2017. First amount was R1400 and second was R950 - both cash payments. </p> <p>Ever since February i have been trying to submit these claims to discovery, either via email to ********** or directly from my mobile using the app. Each time, i get a response from Discovery stating it's invalid ICD-10 codes. i have asked the gynae numerous times for updated codes because discovery will not accept it. Both the doctor and i not knowing where we need to create a ICD-10 acceptable to discovery, because this is directly from Flora Clinic - i have confirmed the ICD-10 codes with them numerous times and this relates to what i was treated for... </p> <p>Discovery just sends through an email saying 'sorry we not paying' as it doesn't exist. </p> <p> </p> <p>What flippen more must i do. </p> <p> </p> <p>On the 06th July i spoke to a lady by the name of Muneera - and explained everything above, provided reference numbers for all my submissions and concerns relating to this BECAUSE I WILL NOT PAY FLIPPEN TWICE FOR A CONSULTATION!!!!!! AND IF I HAVE TO SUE DISCOVERY FOR FLIPPEN INCORRECT ADVERTISING, MARKETING, WHATEVER - I FLIPPEN WILL!!!!!</p> <p>All Muneera was able to do was log my complaint and send it on - and gave me ENQUIRY numbers saying she will submit to her manager. </p> <p> </p> <p>Today i get another REJECTION - what the reason is i dont' flippen know!!!!</p> <p> </p> <p>So could someone who damwell knows what is going on get back to me asap!!!!!</p> <p> </p>