1 reviews | Active since Sept 2016

25 Feb 2018, 12:23

Incorrect Claims Capturing and Processing - NO Attention to Detail

Incorrect Capturing of Claims and Lack of Attention to Detail!!!!

This is the THIRD claim for this year that I have submitted that has been captured incorrectly!!!

It is absolutely DISGUSTING that the agents capturing these claims cannot READ correctly in order to process the correct information.

I pay an absolute fortune on medical aid only to have to query every single claim submitted and processed.

My daughter went to the Neurologist on 13/02/2018 I submitted the PMB claim with proof of payment. The claim has been approved but paid to the doctor!!! I PAID THIS ACCOUNT. I NEED TO BE REIMBURSED!!!

Two weeks ago they captured my daughters physio claims under the wrong member again I had to call and have this corrected

I am shocked at the lack of attention to detail that is being paid when capturing claims, this is only for this year of which we are only two months into??? Last year I had to query and correct every single claim processed - I request that we be given a specific case manager for my daughters medical claims and requirements I cannot keep dealing with *********** agents who couldn't care less.

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Replies (2)
Discovery Health
Discovery Health's reply26 Feb 2018, 09:37
Official

Dear bianca-hanekom

We are sorry to hear about your frustrations. We are investigating your case and will get back to you as soon as possible.

Regards
Discovery health Servicing Team

Discovery Health
Discovery Health's reply27 Feb 2018, 11:54
Official

Dear bianca-hanekom

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

Regards
Discovery Health Servicing Team