SK
Steven K

1 reviews | Active since Mar 2012

29 Feb 2016, 12:38

No response from EX-GRATIA or Claims Adjustments

I had a kidney transplant last year December, and Discovery incorrectly processed my claim after myself and the donor saw the surgeon.<br> <br> They processed it as me visiting the surgeon twice, instead of processing it as myself and the donor. Thats my first complaint.<br> <br> What leaves me even more livid is that I have sent the claim back to ex-gratia and claims adjustments 13 days ago with ABSOLUTELY NO RESPONSE!! even though both automated mails promised a response in 2-3 working days.<br> <br> I have absolutely zero tolerance for Discovery anymore, as you made my entire transplant workup process a nightmare (I have the precious hellopeter tickets to prove it), and here it continues to be one. This is a R1900 claim, which might not seem a lot to your multi million rand organisation, but to me its a lot of money.<br> <br> References below:<br> Ex-gratia mail reference is MailRef#***#- -MailRef#***#<br> Claims adjustments reference is *** and ***.<br> <br> I expect a response by COB today, and I expect a phone call explaining to me why its so difficult for Discovery to provide a basic level of customer service.

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Replies (1)
Discovery Health
Discovery Health's reply02 Mar 2016, 12:20
Official
Hello stevenkhoury,

Thank you for taking my call.


As discussed, I have escalated the claim to Ex Gratia for their urgent processing as it was processed incorrectly. As soon as I have received feedback from them I will be in touch to confirm the relevant details.

Should you have any further queries that you may require assistance with, please do not hesitate to contact us directly.

Regards

Megan