TS
Tamsyn S

1 reviews | Active since May 2014

05 Dec 2019, 14:46

Flogging a dead horse

As a service provider, I am at my wits end with Discovery Health. Every week I am dealing with errors resulting from pure incompetence. When I send email queries, I get the same generic reply from 2 or 3 different people with no thought about the problem at hand and no attempt at resolution. I am currently trying to resolve 2 errors / queries and am flogging a dead horse, wasting my time to try and get my money.

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Replies (4)
Discovery Health
Discovery Health's reply06 Dec 2019, 12:29
Official
Dear Tamsyn

Your concerns are important to us. We will contact you soon to answer your comments.

Kind regards
Discovery Health Servicing Team 




TS
Tamsyn S's update09 Dec 2019, 10:55
Reviewer Update
When will someone be contacting me? Both of my queries remain unresolved and to my knowledge nobody has contacted me.
TS
Tamsyn S's update18 Dec 2019, 12:24
Reviewer Update
My query remains unresolved. I have received 4 generic responses from Discovery agents via email. The last email from Naeem Lambat cited the incorrect practice number, so it is no wonder that my issue has not been addressed let alone resolved. I was called last week by an agent who pledged to update me by Friday 13/12 and that was the last I heard from him.
TS
Tamsyn S's update19 Dec 2019, 13:31
Reviewer Update
Today I received this:
The above-mentioned account was processed to pay to the member; this account was processed as per the patient’s plan type, at the Discovery Health Rate.This account has been sent to our claims assessors to be reprocessed from the hospital authorisation/as per the amended account received from the practice. The reference number for this inquiry is ***; please note that this process will take two to three working days.If you have any more questions, please call us on ***or email ***. Alternatively, you can access the website at www.discovery.co.zaRegards

Lee-Kyle Alexander
Discovery Health

To repeat my issue: The claim was paid to the MEMBER when it was supposed to have been paid to the PRACTICE. There is no amended claim. This kind of action amounts to theft / misappropriation of funds on the part of Discovery Health. I am still waiting for a decent and helpful response.