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boitumelo R

1 reviews | Active since Jun 2013

11 Sept 2024, 10:33

INCORRECT CLAIM REJECTED BY SCHEME

I HAVE SEND AN EMAIL TO THE FOLLOWING EMAIL ADDRESS: ***; ***; ***; *** AS OUR CLAIMS HAS BEEN REJECTED INCORRECTLY THE SCHEME IS REJECTING OUR CLAIM SAYING IT IS A FF ACCOUNT NOT A FFS ACCOUNT I DID ADVISE THE REJECTION IS INVALID AND I CALLED AGAIN TODAY AND SPOKE TO MPHO RE: AND SHE TELLS ME CLAIM IS STILL REJECTING SAYING IT IS A FF ACCOUNT NOT FFS I WANT SOMEONE WHO KNOWS THEIR WORK TO PLEASE REVIEW THE CLAIM AND PAY CORRECTLY FAILURE TO DO I WILL MAKE THE ACCOUNT PATIENT LIABLE AND PATIENT CAN TAKE IT UP WITH MEDICAL AID ALL MY REF:

Your reference number is *** Your reference number is *** Your reference number is *** Your reference number is *** ***

0
Replies (3)
Discovery Health
Discovery Health's reply11 Sept 2024, 13:05
Official
Dear Boitumelo R

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
bR
boitumelo R's update12 Sept 2024, 15:29
Reviewer Update
DISCOVERY VERY TOXIC MEDICAL AID EVER I HAVE A PATIENT THAT DID A PROCEDURE AND THE AUTH WAS APPROVED IN AUGUST MEDICAL AID REVERSED THE CLAIM I CALL I AM TOLD AUTH HAS BEEN DECLINED WHY DID THEY IN THE FIRST PLACE APPROVE THE AUTH AND NOW THEY DECLINE THE AUTH I WANT SOMEONE TO CALL ME AND EXPLAIN THIS AND ALSO CALL THE PATIENT AS THE PATIENT WILL BE MADE LIABLE FOR THE ACCOUNT PRACTICE NO:*** , MEDICAL AID NO: ***
Discovery Health
Discovery Health's reply13 Sept 2024, 15:50
Official
Dear Boitumelo R

We’ve contacted you and addressed your concern. 
Regards Discovery Health Servicing Team