1 reviews | Active since May 2012
Claims process inefficient and a disaster!
I have posted a week ago about my bariatric surgery approved on 1 March and at the claim stage being rejected outright due to the claims department not incorporating in their process "exceptions" (which is really no longer exceptions if all conditions are met) that must go straight to another department for approval. Discovery has been in possession before but also collectively on 4 April 2024 of the three claims and proof of payments and Discovery BCN approval. With huge effort the one refund was processed on Friday 13 April, BUT the amount claimed reflecting much higher than the actual tax invoice on the Discovery system. Again with the surgeon's account a total mess where the incorrect amount is to be paid to the member and the total amount claimed again reflecting an incorrect amount on the Discovery system, it is much more than what the surgeon invoiced for. It is clear that Discovery's internal processes are inadequate as well as the actual processing and how claims are reflecting on the system. Even though the surgeon submitted their documents manually to avoid online submission drama, the process still failed. A super mess and nightmare, with a thousand reference numbers, instead if having one reference number for one event.
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
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
We have been in touch with you to answer your comments.
Regards Discovery Health Servicing Team
We have been in touch with you to answer your comments.
Regards Discovery Health Servicing Team
