KM
Kim M

1 reviews | Active since May 2024

23 May 2024, 15:02

Discovery still messing up

It has come to my attention that the reprocessing of the claims for 30 April for Kyara Mapley has been done. HOWEVER, the claim for 6 May for Kim Mapley has been REVERSED, and thus my psychiatrist is billing me for the FULL AMOUNT of the claim. This claim is overdue and payable 31 May 2024 latest! Can Discovery Health please get your act together and correct this immediately as the latest agreement with your "senior" consultant was to reprocess the account for Kim Mapley for 6 May.

I am very tired of this circus you people have created and want someone to call me asap. Considering we pay EXORBITANT fees to be on your top but one option for Discovery to manage Healthcare, you would think somehow that this would not be a bunch of clowns just waiting to try and not pay claims

Kim Mapley

PS. I still await your response to my query of your last mess up.

0
Replies (4)
Discovery Health
Discovery Health's reply24 May 2024, 06:33
Official
Dear Kim M

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 reply24 May 2024, 13:52
Official
Dear Kim M

Please check your emails for feedback from us. 
Regards Discovery Health Servicing Team

KM
Kim M's update24 May 2024, 14:25
Reviewer Update


I am dissatisfied to be passed off back into your archaic claims systems to deal with this complaint, which has NOT BEEN RESOLVED!
The arrogance to do so is very telling of Discovery's approach to customer service. In my many years in the medical Scheme industry it has been a standard of practice to deal directly with the escalated member until resolution of the concern.
The claims codes in the attached documents contradict each other and say the balance will come from available savings, and then another code says it is out of my pocket.
It is ridiculous to expect a layman to understand what is being said and I will not sit on the call centre AGAIN to be told incorrect information nor go through an extended process as THIS is the reason why we ended up in this mess to begin with.
I want clarity on the 2 claims and when and what will be paid by Close of Business from a human being in a telephonic conversation. Just because I consented to getting an email ONCE because of clashing diaries is not consent to send me emails all the time.
Somebody call me back

Discovery Health
Discovery Health's reply03 Jun 2024, 11:27
Official
Dear Kim M
 
We have been in touch with you to answer your comments.
Regards Discovery Health Servicing Team