MB
Melissa B

1 reviews | Active since Nov 2018

14 Oct 2021, 15:31

Claims not processed by Discovery

My Doctor and Dentist is contracted out. so I have to pay their invoices myself and send the claim through to Discovery. For the 3rd time this year and an invoice submitted on the 4th of October 2021 Discovery still has not processed the claim I send through - and I do send it to the correct claims address and receive a reference number each time. I have reference numbers for each of the claims I sent through. It's not loaded on my profile and if I phone the Customer help line they also cannot find the specific claims registered or captured on my profile. Sorry, this is not acceptable, I get the idea Discovery is ignoring these claims on purposes by not capturing them, and it's a mission to get it captured and paid after that. The helpline has to send through the claim to priority claims, and it's still then not handled as a priority. The reference related email received from Discovery specifically states that the claim will reflect within 2-3 days, which is not the case. I have lodged complaints with Discovery, but usually I just get another email with another Reference number.

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Replies (3)
Discovery Health
Discovery Health's reply15 Oct 2021, 07:54
Official
Dear Melissa B 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 
MB
Melissa B's update15 Oct 2021, 09:59
Reviewer Update
So Discovery Customer Services came back to me today (15th of October) to tell me the invoices I submitted on the 4th of October 2021 was not valid, seeing that on the scan the practice nr was cut off and my membership nr is not appearing on the invoices. But nobody bothered to let me know between the 4th of October and the 14th of October that that was the problem with the invoices. The invoices were not even loaded on my profile with a rejection note! So if I didn't make an inquiry, it was just thrown in the bin! After 26 years being a member of Discovery that is so disappointing. I submitted another invoice on the 14th of October from another Doctor - with a practice number and my membership nr, if it is not loaded by the 19th of October I will take matters further.
Discovery Health
Discovery Health's reply15 Oct 2021, 12:05
Official
Dear Melissa B We have been in contact with you to discuss your concerns.  Regards Discovery Health Servicing Team