NM
Noma M

1 reviews | Active since Jan 2011

24 Apr 2018, 15:51

Disappointed and disgusted by the service receives from customer service regarding a claim

Emotionally drained and frustrated after trying to get my query resolved but to no avail, been given a run around from pillar to post. On the 7 February 2018 I logged my complaint with Reesin Peromal regarding balance on my MSA ( medical savings acc). I discovered that they took R4200 from my MSA when settling my hospital bill and enquired why, the response I got was that because I had a scope performed therefore had to pay a co-payment of R4200. I explained to them that I did not and was told to take it up with the Dr's account department and have them amend the claim as on their system they have 1677 ( Sigmoidoscopy) which clearly state a scope was done. Spoke to the Dr and the claim was amended to 1737 ( Dilation of ano-****** stricture) and submitted the amendment but 4 days later I haven't heard anything and decided to make a follow up on the matter but guess What? Still they can't reverse, don't know why because I have done my part and got the Dr to rectify on his side and they had promised to once they got the accounts to amend at the Dr's room but to my surprise now they want I don't know what and I am not interested to this **** service. Been following this up for two months now almost three actually. Can someone please assist ?

Funny enough in December 2017 I was hospitalized and same code was used 1677 but no co payment was required and now instead of refunding me they giving me ****. For such a big company, your service and business principles are *****.

Next thing I must chase after you for feedback and still provide information on a silver platter only to receive silent treatment.

I didn't do any scope, hence the Dr amended that claim and I want my refund of R4200 back to my savings this is a reap off and pure abuse of power. Last person I spoke to is Nigel Brandon Padayachee who is a Executive Relationship Manager.

0
Replies (4)
Discovery Health
Discovery Health's reply25 Apr 2018, 07:29
Official

Dear Nomatilda

We’re sorry to hear you’re dissatisfied. Please give us a chance to look into your query and we’ll be in touch soon.

Regards
Discovery Health Servicing Team

Discovery Health
Discovery Health's reply26 Apr 2018, 09:56
Official

Dear Nomatilda

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

Regards
Discovery Health Servicing Team

NM
Noma M's update09 May 2018, 21:20
Reviewer Update
Quick to respond to my post but still failed to credit back my R4200 into my MSA, instead I am sent from South to West. I have done everything they needed from my sight to clear the mishaps but clearly I need to go sit behind the hospital desk, accounts departments and discovery and liaise with myself on both ends do everyone's job!
Discovery Health
Discovery Health's reply11 May 2018, 08:45
Official

Dear Nomatilda

We can confirm that the relevant team has been in contact with you.

Regards
Discovery Health Servicing Team