1 reviews | Active since Sept 2014
My claim is not settled 2 months after surgery
I am so livid in the manner with which I am made a fool by Discovery health.<br> <br> Background story on an operation to remove hardware on my ankle :<br> <br> I am on Keycare plus plan<br> <br> I consulted a GP > got an auth, then went to specialist who advise me that I need to remove plates and my ankle was giving me trouble.<br> Because the Orth Surgeon was not on the network, I consulted Disc which eventualy approved the authorisation for an operation. Got the ref number which was also sent to the Orth Surgeon. I had prepared myselft to cover the shortfall, but first i asked the Doc to give me all the codes to be used and called Disc which and they were happy with the codes, and the amounts and gave me what the rate they would cover.<br> <br> Went to their network hospital (Casternhof) on the 12th Feb, operation done.<br> <br> They refuse to pay, constantly declining the the claim with code 6 even though they approved the operation. Spoke to more than 15 consultants, their supervisors/managers. Logged quiries online and via email. The last call I got was that i would be paid on the 18th March but few days later I got a notification that once more the claim was declined.<br> <br> I am so fed up ...
Thank you for your comment and for speaking to me.
We've confirmed that you have been contacted and your query is being attended to. The claim in question has been processed and the proof of payment will be sent to the provider. We will send final feedback directly to you.
Kind regards
Sirgree
Thank you for your comment and for speaking to me.
We've confirmed that you have been contacted and your query is being attended to. The claim in question has been processed and the proof of payment will be sent to the provider. We will send final feedback directly to you.
Kind regards
Sirgree
