NB
Nicolette B

1 reviews | Active since Jun 2018

30 Jul 2021, 12:29

********** claims - Discovery Health

Medical practitioner that did not provide me with any service, but had my membership details submitted a claim. Upon notification I informed Discovery that this claim is invalid and this practitioner was not consulted. After tons of paperwork, phone calls and emails, the claim was reversed and amount was returned to my MSA. The following month same practitioner submitted claim again, different amount. Another couple of hours had to be spent again to refute this ********** claim. How is this possible and condoned by Discovery? Why did I have to spent so many hours to fight this *****? Discovery staff shrugs it off as "loophole" Am I the only one? Surely not Queried authorization for small procedure, was told not necessary, pay practitioner, submit claim and will be refunded. Once my claim was submitted, Discovery decided not to refund claim Cancelling - cannot and will not condone *****

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Replies (2)
Discovery Health
Discovery Health's reply02 Aug 2021, 09:35
Official
Dear Nicolette B
 
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 reply04 Aug 2021, 14:59
Official
Dear Nicolette B
 
We have been in touch with you to answer your comments.
 
Regards
Discovery Health Servicing Team