JA
Johnny A

1 reviews | Active since Dec 2017

04 Apr 2019, 07:23

Massive delays in payment of claims.

I have been trying to get discovery to pay a simple maternity benefit claim since late last year.

I have lodged several complaints with no joy. The first few times I got responses stating there was a system error causing a delay, now they are just ignoring my follow ups.

I am astonished that a mighty company like discovery can have a system error causing a delay in payment of a claim for more than 5 months. Luckily the claim is only R600 payable to myself. Imagine it was a large amount owed to a service provider, they would have been really negative by now.

I believe an appropriate statement would be to say that the tail is swinging the dog instead of the dog is swinging its tail...I believe that this is applicable since THE SYSTEM is preventing them from paying the claim, so in other words their system is overriding Human intervention, but it was created by Humans. I would be nervous if it was my business and the own system I created dictates how I can run my business without me having the capability to override it.

I have so many refferance numbers that I don't even know which one to quote, but here are two, since there are two cases outstanding

********** ********** 362776

Maybe I will get some attention now, but let us wait an see.

0
Replies (4)
Discovery Health
Discovery Health's reply04 Apr 2019, 09:15
Official
Dear  *** 

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

Regards
Discovery Health Servicing Team 
Discovery Health
Discovery Health's reply09 Apr 2019, 07:32
Official
 
Dear  *** 

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

Regards
Discovery Health Servicing Team 


JA
Johnny A's update09 Apr 2019, 08:28
Reviewer Update
I received a call from an agent stating that they will process the claim manually. Unfortunately I did not take down her name. She said that she will send me an email so that I can get in touch with her, however I have not received an email yet. Please check on your system who the person is that called me yesterday and ask het to send the email as discussed with me on the phone.
JA
Johnny A's update02 May 2019, 12:54
Reviewer Update
I Received the below email on 9 April after the above post. But again, nothing further has happened. Dear Mr Alford Thank you for your recent contact with us. Contact Details As telephonically discussed, you can email me at ********** and allow 2 to 3 working days for feedback. Please quote the above reference number if you need more information about this query. We look forward to hearing from you.