PG
Pr G

1 reviews | Active since Jul 2011

22 Dec 2015, 11:12

*********** claims department

Firstly my hospital bill was not paid. I sorted that out as discovery had put incorrect codes. Then my xray account was incorrect. I paid a copayment to service provider and discovery thereafter paid the full amount to the service provider knowing that a copayment is required from patient but their excuse was the service provider billed them for the full amount so they paid it. According to service provider correct documents were submitted.I needed that rectified as I had to submit correct documents to my gap payment insurance. Discovery sorted this out and the money now came from above threshold. I now have another bill for xray unrelated and have to pay this amount. My query here is that my threshold would have been reached much sooner and more of my bills would have been covered but discovery is not rectifying this. Further to this my son visited emergency room and it was suppose to be covered under the insured network benefit and this has not happened!I'm extremely frustrated with the claims department!Please sort all out urgently! <br>

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Replies (1)
Discovery Health
Discovery Health's reply24 Dec 2015, 13:19
Official
Hello ***ZZZJJJ,

Thank you for your comment.

Please accept my sincere apologies on behalf of the Scheme for the inconvenience caused by the delay in getting your claim processed correctly.

I have sent you communication advising how your claims have been processed. I have also requested a refund from the healthcare professional for the amount which you have paid.

Regards
Kevin