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corlia M

1 reviews | Active since May 2022

11 May 2022, 14:47

PMB dispute

My mother Mrs M Maritz went for a Gastroscopy and Colonoscopy at mediclinic we had to pay a Co-payment of R 8 150,00 they said the co-payment will be uplifted if it is a PMB condition. Our Surgeon confirmed the code that was sent in to Discovery with the Scope report and the photos. The code K 57.3 is according to Discovery not classified as a PMB code. I phoned the Medical Council they sent me the PMB list and confirmed that code K 57.3 is a PMB code.

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Replies (2)
Discovery Health
Discovery Health's reply12 May 2022, 08:25
Official
Dear Corlia M

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 reply12 May 2022, 12:07
Official
Dear Corlia M

We have been in touch with you to answer your comments.
   Regards Discovery Health Servicing Team