1 reviews | Active since Jun 2013
Discovery not paying claim as communicated
I recently went for a procedure. I called Discovery to get authorisation for the procedure, gave the codes provided by the doctor for the procedure to be performed. I was told that I don't need pre-authorisation and I was transferred to another department. I gave this person all the codes again and was told that it is fine my co-payment is R2,750, the rest of the cost would be covered by my savings plan. Reference for this call is ***. When I went for my follow up I was told by the doctor Discovery is refusing the pay another R3000 on the account. I called Discovery (reference number ***) and was told it is due to the codes being used. A day thereafter I was called and told the matter was resolved and the payment will take place Reference number ***. On Tuesday I got a call saying they have still not been paid. I phoned Discovery again reference number *** and was promised feedback yesterday. I still have not received feedback and Discovery is looking for excuses not the pay the doctor. Which is not fair since I was not notified upfront that they will not pay
Thank you for your comment.
We are currently investigating and will be in contact to assist.
Regards
Arthi
Thank you for your comment.
We are currently investigating and will be in contact to assist.
Regards
Arthi
