JM
Junaid M

1 reviews | Active since Nov 2015

01 Sept 2016, 08:49

Discovery paying out from MSA instead of Hospital Benefit

<p>I took my 5year old daughter to a day clinic for dental treatment which is supposed to be covered by the hospital benefit. However the dentist bill was paid in full from my Medical Savings.</p> <p>When I queried this I was advised that the code on the claim was incorrect. I asked for proof of the incorrect code so that I may take back to the dentist to resubmit the claim with the correct detail. At all times I was told that it is not possible for Discovery to show me the the claim with the alleged incorrect code. How are we supposed to rectify a claim if there is no proof of an error.</p> <p>Nonetheless after 6 weeks of going back and forth I managed to get a revised claim reflecting the correct code that Discovery wanted, I submitted this to the claims adjustment department and was advised of a 2-3 day processing timeline.</p> <p>It is almost 2 weeks later and I still do not have a re-imbur*****t or any feedback. Discovery is unhelpful and is probably trying to find another excuse to not re-imburse.</p> <p> </p>

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Replies (2)
Discovery Health
Discovery Health's reply01 Sept 2016, 09:16
Official

Good day jm1078

Thank you for your comment. We’re investigating your query and we’ll contact you shortly.

Regards
Discovery Health Servicing Team

Discovery Health
Discovery Health's reply02 Sept 2016, 14:26
Official

Dear jm1078

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

Regards
Heelan