sS
shuaib S

1 reviews | Active since Dec 2016

14 Dec 2016, 08:47

Graft material claim not paid for by Discovery

<p>I contacted Discovery about 2 weeks ago regarding my claim for graft material being rejected. I was advised that the hosipital had submitted the incorrect code and was urged to contact the hospital to rectify the codes and resubmit the claim. After serversl phone calls to the BHF, CMS and NHD it was established that no code exists for preservation and harvesting of donor material.</p> <p> </p> <p>I contacted Discovery to advise of the finding and was told that i would now have to apply for an ex-gratia request to have the claim paid. Throughout the authorisation and confirmation process the technicallaty of a nappi was not conveyed to either the hospital or myself.</p> <p> </p> <p>I find it unfair that i am now required to submit my bank statements, oayslip etc. for a benefit previously indicated as payable by Discovery. This is unaceeptable service from Discovery.</p> <p> </p>

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Replies (4)
Discovery Health
Discovery Health's reply14 Dec 2016, 10:06
Official

Dear xtacy786

We saw your comment and understand your frustration.

We are investigating your query and we will contact you shortly.

Regards
Discovery Health Servicing Team

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shuaib S's update20 Dec 2016, 09:47
Reviewer Update

It has been 3 working days from the last update and i still havent received any feedback. I still await a phone call or any other form of communication from Discovery regaring this matter.

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shuaib S's update10 Jan 2017, 10:58
Reviewer Update

I have submitted the information as per your request and still await some feedback. It seems like the query is just being pushed from department to department with no actual resolution be relayed.

Discovery Health
Discovery Health's reply17 Jan 2017, 13:57
Official

Dear xtacy786

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

Regards
Discovery Health Servicing Team