CB
Charles B

1 reviews | Active since Nov 2015

12 Nov 2015, 17:33

Non refund of service providers account

On the 9thSept I visited an Orthopedic Surgeon . I was invoiced R 750 for consultation and then R 300 for two injections I paid the Doctor and submitted the two invoices to Discovery for the refund . They paid the R300 in full.and nothing for R750'consultation . I queried this and after numerous emails I was told that the Doctor cannot use two invoices with the same code . I then found a help on the net and I was told to go and get a consolidated invoice and resend it to claims adjustments . This was done . Response was the account had been paid previously . Now some 10 or 20 emails later I get an email asking if I was satisfied with the way my problem was solved . I rep**** no as it was not refunded my money . I then get a call from a lady who said it was a code problem but she would contact the Doctor and sort the problem out . About a week and a half later I phoned the Doctor who confirmed that Discovery had not contacted them at all . By now I want to pull my hair out . Two emails to Mujeeb have not generated a reply so I have given up . This has happened to me on numerous occasions so I recon Discovery Health to me are the most frustrating organization I have to deal with.

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Replies (1)
Discovery Health
Discovery Health's reply25 Nov 2015, 12:08
Official
Hello Charliebacklund ,

Thank you for your comment.

I investigated your query and confirmed the claim in question is now processed. When we process claims we require certain information to reflect on this claim. We contacted the provider and requested the amended claim. This was received and the claim reprocessed. We confirmed via email the details of the claim.

Regards
Jashvir