AR
Andrea R

1 reviews | Active since Feb 2013

10 Mar 2023, 09:22

Not paying claims

I am truly upset with Discovery - phone call after phone call being pushed from one department to the next then finally talking to someone that seems to know what they are doing only to find out that they also told you something incorrectly is just mind blowing if I have to do that to one of my clients i would probably loose my job!! Sent a mail on 16/02 after speaking to your chronic division who told me what I needed to complete on the email only receive another account from the the drs office this after the type of medical aid that my mom was on should have paid for the consultation!!!! that is the PLAN she was on that is what we followed - I need this to be resolved she is not responsible for the account - We had a YEAR of hell health wise the last thing you need is that your medical aid is not doing what they are supposed to do

Dear Claims specialist

Please can you be so kind and assist me with this claim.

Service was rendered on 20/12/2022, please find invoice attached, my mom June Conradie saw Dr Snyman for her condition COPD - ICD10 Code J44.9. Mom was diagnosed and loaded for chronic COPD on the date of service 20/12/2022.

Please can you process the claim.

I did what you wanted and still I am being ignored - what else do you want me to do - is there another place where I can lay a complaint? What is your complaints process?

Just before you say you can not deal with my I am authorised to act on behalf of my mom!!

0
Replies (4)
Discovery Health
Discovery Health's reply10 Mar 2023, 09:38
Official
Dear Andrea

 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 reply14 Mar 2023, 14:25
Official
Dear Andrea R

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

Regards
Discovery Health Servicing Team

AR
Andrea R's update30 Mar 2023, 10:59
Reviewer Update
Good day

after our discussion you said that this was taken care off I just received another account from Intercare and it still has not been resolved. I now received the same account but they have removed the R540.00 but they are now charging us for completing the chronic form R486.09 I need this account to be resolved my mom is not responsible for any of the amounts
Discovery Health
Discovery Health's reply05 Apr 2023, 15:02
Official
Dear Andrea

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

Regards
Discovery Health Servicing Team