TS
Tamsyn S

1 reviews | Active since May 2014

03 Mar 2018, 10:29

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Yet again, Discovery has ****** me of a payment thanks to lazy and inefficient claims processing on their side. On Thursday 1st March I submitted a claim for a hospital patient to be paid directly to my practice. Discovery has paid the member with no reasonable explanation. Their tariffs were charged to the cent and their was no proof of payment from the member. This is the THIRD time this year alone that I have to deal with this incompetency and be out of pocket until someone at Discovery can resolve the mistake.

To add insult to injury, I am a Discovery member myself. I submitted a claim WITH proof of payment thereof only for Discovery to promptly pay the service provider.

Clearly I am being ****** on all fronts and I am tired of it.

0
Replies (3)
TS
Tamsyn S's update04 Mar 2018, 12:09
Reviewer Update
To add further insult to injury, Discovery has yet AGAIN erroneously processed a claim and paid the member instead of the practice. This time, the person processing the claim was too inefficient and lazy to notice that 1 code differed from the others, thus processing the claim as if I had overcharged the member. Again, this is the 2nd or 3rd time this year alone that this has happened.
Discovery Health
Discovery Health's reply05 Mar 2018, 08:44
Official

Dear TS7

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 reply07 Mar 2018, 13:28
Official

Dear TS7

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

Regards
Discovery Health Servicing Team