GW
Graham W

1 reviews | Active since Jul 2011

07 Feb 2021, 11:14

No response to incorrect processing of claim

Claim incorrectly captured in December. I sent an email asking for it to be reprocessed on January 24. No reply. I sent another follow-up email on 31 January - again no reply or feedback. Incorrect patient was captured on two line items resulting in those items being paid from MSA not scheme.

How hard is it to (a) fix the claim and (b) actually send a reply to the member?

References: MailRef#***# *** MailRef#***# *** Claims ***

0
Replies (5)
Discovery Health
Discovery Health's reply08 Feb 2021, 07:56
Official
Dear Graham We’ve noted your concerns and we’re investigating the matter. We’ll contact you with feedback as soon as possible.  Regards Discovery Health Servicing Team
Discovery Health
Discovery Health's reply09 Feb 2021, 12:44
Official
Dear Graham We’ve contacted you regarding your complaint.  Regards Discovery Health Servicing Team
GW
Graham W's update09 Feb 2021, 18:06
Reviewer Update
No, I have not had contact from you. Please explain?
GW
Graham W's update11 Feb 2021, 18:47
Reviewer Update
This is classic Discovery! They say they have contacted me - no they haven't. Then I get an email saying they have dealt with my query and I must rate the service - when they have given me no feedback and haven't fixed the problem. So, I send them a reply to that and unsurprising there is no follow-up from them. If you have a choice, stay away from them - the moment there is a problem, they are a disaster...
GW
Graham W's update13 Feb 2021, 11:45
Reviewer Update
Still no contact, how hard can it be to reprocess a claim...