PE
Paul E

1 reviews | Active since Mar 2010

14 Apr 2016, 13:06

Inconsequential handling of medical claims

My wife received pathological tests from Lancet laboratories on several occasions during the past months. All were paid by the medical aid directly to the supplier except suddenly someone decided that they are not going to pay them directly but pay me first so that I can pay the supplier. According to the medical aid I was paid on the 4th April. NO PAYMENT HAD BEEN RECEIVED BY ME UP TILL NOW!!!<br> The supplier contacted the medical aid and were told they already paid the money to me. So the supplier is now demanding the money from me. <br> The medical aid keep on dodging the question of why suddenly the supplier is not being paid directly AS HAVE ALL THE OTHER CLAIMS THAT WERE HANDED IN A FEW DAYS BEFORE THE LAST ONE. If the supplier is not a preferred supplier why were all the other claims paid directly to them?<br> Secondly why do the medical lie to the supplier about the payment they supposedly made directly into my bank account when NO PAYMENT WAS EVER DONE INTO MY ACCOUNT!!!<br> It looks like a lot of b*** i***** are working for the Medical aid.<br> Never will I ever recommend anyone joining this medical aid!

0
Replies (1)
Discovery Health
Discovery Health's reply18 Apr 2016, 15:11
Official
Hello Paul Ellis,

Thank you for contacting us.

We have processed the claim according to the codes submitted by the healthcare provider.
These were not the correct codes and we have made contact with them to correct this. They have confirmed that they will be resubmitting the codes in order for the claim to be paid correctly.

Please feel free to contact us if you require any further assistance.

Regards
Sirgree