AS
Andre S

1 reviews | Active since Jan 2011

10 Jan 2024, 09:19

ER DOCTORS SAYS ADMIT TO HOSPITAL , BUT DISCOVERY SAIS NO!!!

I have not slept in two days, I'm in pain, so I went to Arwyp hospital, the ER Doctor and the Surgeon both agreed to have me admitted for pain control and further scans and as per the CT scan , there is something in my chest that they will have to take a look at. BUT DISCOVERY SAIS NO!!! They declined the hospital auth. So I went to ask why, the Case Manager advised that there is not enough proof and the diagnoses is being questioned for me to be admitted. (now I'm lying there, sweating from he pain), so i was discharged and in pain the whole night, still cant sleep. The rejection letter states the following "In reaching this decision we have not questioned the diagnosis or the treatment recommended by the Healthcare Professional." This contradicts the decline reason given by the Case Manager"

0
Replies (6)
Discovery Health
Discovery Health's reply10 Jan 2024, 10:08
Official
Dear Andre

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
AS
Andre S's update10 Jan 2024, 14:29
Reviewer Update
Did a follow up call. They did try to call me.... I dont have any voice mails or missed calls on my phone.
Discovery Health
Discovery Health's reply10 Jan 2024, 15:33
Official
Dear Andre

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

Regards 
Discovery Health Servicing Team
AS
Andre S's update10 Jan 2024, 16:49
Reviewer Update
Please do inform me about the answer of my concern as i dont recall this?
AS
Andre S's update10 Jan 2024, 18:37
Reviewer Update
2nd request for a reply
Discovery Health
Discovery Health's reply06 Dec 2024, 12:03
Official
Dear  Andre

We have been in contact with you.
   
Regards 
Discovery Health Servicing Team