WV
Wikus V

1 reviews | Active since May 2012

23 Feb 2017, 19:40

Going in circles

<p>I submitted a claim on 13/02/2017. Got a response that the ICD-10 code is incorrect, we need to get the correct code from the doctor. We contacted the doctor and they insisted it is the correct code. I resubmitted the claim and got a new response, 'We have not paid for this amount as no item code (Nappi code) was submitted. Please ask your provider to submit an amended account'. This is not even related to the claim, my wife only went for a scan and x-rays. On 20/02 Discovery phoned with a new excuse, they can't read the claim. Discovery said they will contact the doctor and a clear copy. Today (23/02) I submitted the claim again, new response, "More information needed. We are unable to locate your membership with the information provided." In the same email all my details are there. All Discovery need to do is scroll down in the same email. I am with Discovery since 1999 and I never experienced such bad customer support in my life. Nobody knows what is going on with our claim.</p>

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Replies (4)
Discovery Health
Discovery Health's reply24 Feb 2017, 07:45
Official

Dear wikusvorster

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 reply27 Feb 2017, 13:39
Official

Dear wikusvorster

We have been in touch to answer your comments.

Regards
Discovery Health Servicing Team

WV
Wikus V's update01 Mar 2017, 14:45
Reviewer Update

Hi. Discovery phoned me on 27/02/2017 and said they can't get hold of the doctor since 24/02/2017 to a clearer copy. I sent a mail on 27/02/2017 with better copy of the claim to claim and health email address. I still haven't heard anything. C'mon Discovery please communicate.

Discovery Health
Discovery Health's reply03 Mar 2017, 13:21
Official

Dear wikusvorster

We have contacted you with a resolution to your issues.

Regards
Discovery Health Servicing Team