1 reviews | Active since Feb 2014
PMB Legislated claim repeatedly refused
I received approval for an extension on my chronic benefits on 4 August 2015, yet a claim put through for 28 September has now repeatedly been refused.<br> The practice itself queried this to the claims adjustments department, I emailed the same department again at the practice's request, as well as the health partner info department that the practice was required to contact with further queries. These emails very clearly explained the situation, with the supporting document showing approval for the extension included. The ONLY way in which these emails would return a negative response would be if they were not read or investigated properly. <br> I then spent a significant amount of time on the phone to query this yesterday. The gentleman explained that it would be sorted out and was an error on the part of Discovery, and yet, I received an email through the night showing AGAIN that it had been denied. I sincerely hope that if someone responds to this they will have READ THE DOCUMENTS REFERRED TO!<br> Claims adjustment email reference number: ***<br> Approval for extended benefits: 2015/08/04<br> Rejected claim from 2015/09/28 <br> I have now exhausted the channels available to me!
Thank you for your comment.
Please accept our sincerest apologies for the inconvenience this matter may have caused you. We confirmed that you have been contacted and the claim has been processed correctly. The approval for your PMB condition has been corrected and you should experience no problems going forward as long as you still have sessions available.
Regards
Annelize
Thank you for your comment.
Please accept our sincerest apologies for the inconvenience this matter may have caused you. We confirmed that you have been contacted and the claim has been processed correctly. The approval for your PMB condition has been corrected and you should experience no problems going forward as long as you still have sessions available.
Regards
Annelize
