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Yogan N

1 reviews | Active since Mar 2013

21 Feb 2018, 12:29

Poor Service Delivery for CLAIMS

Discovery claims process is not efficient and breaks without any notice!!!

We have recently had another in hostpital claim unpaid by discovery claims department yet again.

1. No explaination of what the issue is to us 2. Service provider not aware of the issue is 3. No courtesy call anymore to check on the patient and if all is ok with the claim 4. Valuable time spent and airtime calling discovery but no resolution only promises that something will

be done only more undelivered promises from agents

This needs to be addressed as a matter of urgency as the *service provider* has already been waiting 3

months for the claim to be processed.....

0
Replies (3)
Discovery Health
Discovery Health's reply21 Feb 2018, 15:10
Official

Dear yogan123

Your concerns are important to us and we will be in touch soon with an answer to your comments.

Regards
Discovery Health Servicing Team

Discovery Health
Discovery Health's reply23 Feb 2018, 15:22
Official

Dear yogan123

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

Regards
Discovery Health Servicing Team

YN
Yogan N's update24 Feb 2018, 08:11
Reviewer Update
A 'client service manager' has been in contact with me and he helped make a bad situation worse!!!!!! EVEN AFTER PRE-AUTORISATION PROCESSES WERE FOLLOWED BY US...... I am DISGUSTED after all the years of supporting discovery he advised I should cancel my health insurance as a way forward. The huge sum of money I have been paying them only allows them to pay one service provider at a time (although it take more that 1 person to save a life). Their processes only allow them to pay '1' at a time <<<>>>>(on a first come first serve basis) every one else who provided a service FLY A KITE , you will not be paid according to discovery's PROCEDURES!!!! eA 'client service manager' has been in contact with me he helped make a bad situation worse!!!!!! A bunch of ****** medical aid insurance is !!!!!!!