ZB
Ziyaad B

1 reviews | Active since Mar 2009

18 Apr 2019, 13:20

Incorrect claims processing, no follow-up, staff do not know own procedures.

Terrible service again from Discovery Health! Claims are processed incorrectly and when engaging their client service staff, they do not seem to know their own policies and claim codes themselves, giving myself and the practitioners the run around in processing claims that should come off the PMB scheme, but instead they claim from my savings. I can't help but think, Discovery Health will use any opportunity to get out of paying for what they are responsible for. Consumer advice- when looking for a medical aid; steer well clear of Discovery Health.

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Replies (5)
Discovery Health
Discovery Health's reply18 Apr 2019, 13:42
Official
Dear zballim

Your concerns are important to us and we will be in touch soon with an answer to your comments.

Kind regards
Discovery Health Servicing Team 


ZB
Ziyaad B's update24 Apr 2019, 11:29
Reviewer Update
Despite the generic reply posted here that my query is receiving attention, it has still not been resolved, 3 business days later, this is also testament to the bad follow-up of client queries from Discovery.
Discovery Health
Discovery Health's reply24 Apr 2019, 12:41
Official
Dear zballim

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

Kind regards
Discovery Health Servicing Team 
 
ZB
Ziyaad B's update29 Apr 2019, 14:25
Reviewer Update
Discovery have indeed been in touch, but issue still not resolved. It seems claims department do not fully understand their own procedures still. Graciously provided more info., but let's see..
ZB
Ziyaad B's update10 May 2019, 10:38
Reviewer Update
To be fair, Discovery have corrected the incorrect claims processing, and apologized for their own confusion and not understanding their own procedures. This only after a month of continually disputing it with them. My review and ratings remain the same though, for the initial bungling of the claim, and terrible client relations.