SM
Sumaya M

1 reviews | Active since Feb 2013

26 Oct 2015, 10:55

Pre Authorised and not paid

My mum is a stroke patient and required botox injections which was motivated for & feedback received on the 4/9 authorizing this from hospital plan as her savings is depleted(ref ***).I did contact discovery & advise them of the date of the procedure as requested, 22/09.On the day that we arrived at Dr Staub's rooms we were given a script and told to purchase the injections as he does not purchase the injections as he had an experience with a medical aid that didn't pay.We then contacted discovery and advised them of what happened & asked if they will pay the pharmacy if they give us the injections & were told that they would.The pharmacist then spoke to discovery & they advised him on the details & he will get payed.On the 13/10,I received a call from the pharmacist telling me that discovery had not paid & he did liaise with them & was not successful. We called discovery & sent docs through & was told by both Reshmee & Zakia that the pharmacy WILL receive payment as a block that was on the system needed to be removed. On the 23/10 we received a call to say that it will not be paid.This is not on.How can a preauthorized procedure not be paid. I await a favourable response.

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Replies (1)
Discovery Health
Discovery Health's reply29 Oct 2015, 11:25
Official
Hello miasu,

Thank you for your comment.

The team is currently investigating your concerns raised and will be in contact to discuss the details.

We will keep in touch until the matter is finalised.

Regards
Rishana