1 reviews | Active since Aug 2015
DISCOVERY ADMINISTRATIVE BUNGLES COST CLIENT THOUS
I have been with Discovery since 2004 and was satisfied with their service until this year. They have untrained customer customer care agents who give us clients incorrect information which adversely affects our benefits (this happened in March 2015 and I had to struggle to get their mistake corrected), and recently they approved a claim for my autistic daughter's in-hospital MRI scan, and now after having paid one of the service providers out of my pocket(who they have an agreement with), they turn around and 'revoke' authorization resulting in a huge shortfall in my claim for re-imbur*****t. This is clearly *********. I have been on the phone with their customer care and pre-authorization staff for half an hour or so, and I am nowhere near getting clarity for their administrative bungle.
Thank you for your comment.
I investigated your query and confirmed the hospital admission was approved initially. When the hospital admission was updated with new information it was pended as we required further information. We received this information and updated the hospital admission. The hospital admission is approved and claims related to the hospital admission is now paid from the correct benefit.
Thank you for allowing me to assist with your query.
Regards
Jashvir
Thank you for your comment.
I investigated your query and confirmed the hospital admission was approved initially. When the hospital admission was updated with new information it was pended as we required further information. We received this information and updated the hospital admission. The hospital admission is approved and claims related to the hospital admission is now paid from the correct benefit.
Thank you for allowing me to assist with your query.
Regards
Jashvir