VF
Vernon F
1 reviews | Active since Sept 2012
11 Aug 2015, 17:00
Does not pay as per Authorization
I have phoned discovery for authorization for my sons drip at Eugene Marais hospital. I gave them the icd 10 codes and the procedure coded I was told that its has been approved and all will be paid from my hospital benefit.<br> As my surprise none of it has been paid for and I need to pay it. I phoned discovery and they told me that unfortunately they don't pay for that procedure and I will need to pay the hospital from my own pocket. So what did they actually authorise and why do I have the authorisation number. This is not the first time this happens with me with Discovery and after a long battle the previous time they paid as it was a problem on their side
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Replies (1)Discovery Health's replyOfficial
20 Aug 2015, 17:45Hello fawell01,
Thank you for your comment.
We investigated your query and confirmed that the hospital admission details needed to be updated in order for the claims to be funded correctly. Once the hospital admission was updated we processed the claims to be funded from the correct benefit. We confirmed the details telephonically. Please accept our sincerest apologies for any inconvenience this may have caused.
Thank you for allowing us to assist with your query.
Regards
Annelize
Thank you for your comment.
We investigated your query and confirmed that the hospital admission details needed to be updated in order for the claims to be funded correctly. Once the hospital admission was updated we processed the claims to be funded from the correct benefit. We confirmed the details telephonically. Please accept our sincerest apologies for any inconvenience this may have caused.
Thank you for allowing us to assist with your query.
Regards
Annelize
Discovery Health's reply20 Aug 2015, 17:45
Official
Hello fawell01,
Thank you for your comment.
We investigated your query and confirmed that the hospital admission details needed to be updated in order for the claims to be funded correctly. Once the hospital admission was updated we processed the claims to be funded from the correct benefit. We confirmed the details telephonically. Please accept our sincerest apologies for any inconvenience this may have caused.
Thank you for allowing us to assist with your query.
Regards
Annelize
Thank you for your comment.
We investigated your query and confirmed that the hospital admission details needed to be updated in order for the claims to be funded correctly. Once the hospital admission was updated we processed the claims to be funded from the correct benefit. We confirmed the details telephonically. Please accept our sincerest apologies for any inconvenience this may have caused.
Thank you for allowing us to assist with your query.
Regards
Annelize
