Inadequate reason for rejecting claims

DISCOVERY does not provide an adequate reason for rejecting claims, only stating code 727 and that the medical aid does not cover it. I believe that the Classic Smart Plan does cover "sports-related injuries " and i was refered by a GP. This is not the first time Discovery has blindly rejected a similar claim, without basis and assistance with making use of this benefit.

It appears to be such a complicated benefit to use, where the patient is required to run around requesting the correct ICD10 codes from the Doctors. This is not the responsibility of a patient, we are not Healthcare professionals.

It seems Discovery is happy with the administrative difficulties related to making claims, while still reaping the income paid by their clients. It is however a non sustainable business approach, as soon their customers will find another medical aid that serves them better. A more client focused business.