BO
Brandon O

1 reviews | Active since Sept 2012

24 May 2017, 11:24

Discovery Classic Core hospital plan not paying for hospital account

<p>I was addmitted to the Flora clinic Life hospital via the emergency room from the 8-18March after experincing chest paints and struggling with breathing. After being discharged from hospital I would see the doctors and hospital claims come through and most of them being rejected including my hospital bill. During receiving 3 different reference numbers and following up on regular intervals with Discovery (which means having to wait between 10-20 minutes each time before actually getting through to speak to a consultant on the phone) and being bounced around departments in Discovery multiple times (which means a 3 to 4 work day wait period each time before any progress is made) I was told at a point that the issue was that the hospital had not submitted the correct codes through. During this process my doctor supp**** information which thankfully allowed all my doctors bills to be settled. My hospital bill of approximately R33k is as far as I know still outstanding and the last feedback I received from Discovery was that the hospital needs to resubmit the codes in a different order. I contacted the hospital and they said that the account can not be changed due to legal reasons and Discovery had authorised the codes sent by them. I am therefore at a stale mate and no closer to getting this matter resolved. I am tired by this whole process and contacting the Discovery call center which appears to be helpless at most times as they are inbound call centres only and do not seem to have the access to contact the hospital themseleves to resolve the issue if it is not on their side. This whole process of trying to get my bills paid has been very stressful and draining.</p>

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Replies (5)
Discovery Health
Discovery Health's reply24 May 2017, 14:18
Official

Dear borchard

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 reply26 May 2017, 15:01
Official

Dear borchard

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

Regards
Discovery Health Servicing Team

BO
Brandon O's update26 May 2017, 16:55
Reviewer Update

Hi,

As discussed over the phone this item is still not resolved after following up with hospital case manager.

Regards

Discovery Health
Discovery Health's reply29 May 2017, 09:16
Official

Dear borchard

We received your message and we’re looking into the matter.

Regards
Discovery Health Servicing Team

BO
Brandon O's update03 Jul 2017, 12:40
Reviewer Update

This turned out to not be an issue on Discovery's side but rather an issue on Flora Life Hospital's side which were sending an incorrect code through to Discovery. Flora Life's staff were very *********** and reluctant to get this issue sorted out. If it was not for Discovery assistance, I would probably still be trying to sort this issue out. I would therefore like to send a big thank you to Discovery for helping me with this issue!