Discovery Health Regular Short Payments on Legitimate Claims which are within Discovery Rates

Discovery Health is short paying on claims we are submitting to delay reimbur*****t to the member. This has happened on a number of claims we have submitted this year alone and results in being "errors" on Discovery's end. This is happening very frequently according to one of our health care providers, and in the experiences we have had with recent claims with Discovery Health.

The above is coupled with the very slow claim notification process, delays reimbur*****t to the member for up to weeks on end. It would almost lead one to believe that Discovery Health is doing this intentionally and playing a numbers game - where a certain percentage of members would accept it when Discovery rejects certain portions of their claim, and others just couldn't be bothered to spend hours on the phone trying to get Discovery to pay the claim correctly as they should have done in the first place.

We get quotes before we visit a specialist and confirm if they are partnered with Discovery (an ever-diminishing number of specialists who are still prepared to partner with Discovery) before we see the specialist to have clarity on what is and what is not covered. This is what makes it even more frustrating when our claims are not processed correctly and makes the previous paragraph more plausible.

Discovery - stop cheating your members and start to do the job you are being paid to do or lose us as members!! Disgusting Service to say the least!!!