SM
Sibusiso M

1 reviews | Active since Mar 2009

13 Feb 2017, 09:04

Failure To Honor Claims

<p>My mothetr obtained an auth ( ********** 4) to visit a specialist in July 2016 and was not informed of any exclusions. She had an x-ray relating to her visit to the specialist done/ rejected and member not even notified. She now has been handed over for bad debt... why was this not paid (when the auth issued by the scheme was relating to the issue at hand)?</p> <p> </p> <p>I called your call centre (useless as ever) and can someone who knows what is happening call me to resolve this !sh.</p> <p> </p> <p>Annoyed</p> <p>SM</p>

0
Replies (4)
Discovery Health
Discovery Health's reply13 Feb 2017, 12:20
Official

Dear mrman

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 reply14 Feb 2017, 09:49
Official

Dear mrman

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

Regards
Discovery Health Servicing Team

SM
Sibusiso M's update17 Feb 2017, 06:28
Reviewer Update

Dear Discovery

please be advised tht thia matter is still NOT resolved, I queried a radiology account and you go and reverse the health practitioner account - what on hell is happening there???

I demand that the radiology account is resolve as telephonically discussed

Annoyed

Discovery Health
Discovery Health's reply21 Feb 2017, 12:33
Official

Dear mrman

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

Regards

Discovery Health Servicing Team