GH
Garth H
1 reviews | Active since May 2023
05 Aug 2024, 13:29
Shocking Client Service
Following an emergency admission into hospital for my mother-in-law, I logged a query on the 04th July, regarding claims that were not processed correctly. I am still awaiting final resolution & explanation why the claims were processed incorrectly?
"What is a medical emergency? An emergency medical condition, also referred to as an emergency, is the sudden and unexpected onset of a health condition that requires immediate medical or surgical treatment. Failure to provide medical or surgical treatment would result in serious impairment to bodily functions or serious dysfunction of a bodily organ or part or would place the person’s life in serious jeopardy. An emergency does not necessarily require a hospital admission. We may ask you or your treating provider for additional information to confirm the emergency. Assistance during or after a traumatic event You have access to dedicated assistance in the event of a traumatic incident or after a traumatic event. By calling Emergency Assist you and your family have access to trauma support 24 hours a day. This service also includes access to counseling and additional benefits for trauma related to gender-based violence. What we pay for We pay for all of the following medical services that you may receive in an emergency: The ambulance (or other medical transport) The account from the hospital The accounts from the doctor who admitted you to the hospital The anaesthetist Any other healthcare provider that we approve."
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Replies (5)
Discovery Health's replyOfficial
05 Aug 2024, 14:01Dear Garth D
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
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's reply05 Aug 2024, 14:01
Official
Dear Garth D
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
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's replyOfficial
05 Aug 2024, 15:20Dear Garth D
Please check your emails for feedback from us.
Regards Discovery Health Servicing Team
Please check your emails for feedback from us.
Regards Discovery Health Servicing Team
Discovery Health's reply05 Aug 2024, 15:20
Official
Dear Garth D
Please check your emails for feedback from us.
Regards Discovery Health Servicing Team
Please check your emails for feedback from us.
Regards Discovery Health Servicing Team
GH
Garth H's updateReviewer Update
06 Aug 2024, 11:36 Morning Paurusa, As discussed on the call this morning and further to your correspondence, this was a medical emergency (accident) and must be covered. I am also very concerned that from your correspondence you are dealing with Sunninghill Nursing Home. All the procedures took place at Netcare Sunninghill Hospital and an in-hospital event as a result of the fall. Dr Papagapiou operated in hospital not at the nursing home????? Further to my email sent yesterday 05th August I am dumbfounded why I am having to advise and direct Discovery on how claims should be paid. Please can you insist that senior management understand how much time and frustration this has taken. “Thank you for your response, however it does concern me that it is taking Discovery so long to resolve the reprocessing of the claims and why am I not getting feedback why these claims were processed incorrectly in the first place. As per my response of the 29th July, see below, it is clear that as a Classic Priority member all claims related to a medical emergency Discovery will pay for all claims, see highlighted sections from the extract I took for the plan guide! “The amount of R21,800.00 rejected with the reason code 610 (The authorised procedure requires you to pay an amount to the hospital upon admission). Members on the Priority plans must pay upfront amounts to the hospital for certain procedures. The below procedures are included in the list of procedures that the member must pay an upfront amount for: Procedure Amount Joint replacements R21,800.00 The member is liable for the amount of R21,800.00 on this claim.” What is a medical emergency? An emergency medical condition, also referred to as an emergency, is the sudden and unexpected onset of a health condition that requires immediate medical or surgical treatment. Failure to provide medical or surgical treatment would result in serious impairment to bodily functions or serious dysfunction of a bodily organ or part or would place the person’s life in serious jeopardy. An emergency does not necessarily require a hospital admission. We may ask you or your treating provider for additional information to confirm the emergency. Assistance during or after a traumatic event You have access to dedicated assistance in the event of a traumatic incident or after a traumatic event. By calling Emergency Assist you and your family have access to trauma support 24 hours a day. This service also includes access to counseling and additional benefits for trauma related to gender-based violence. What we pay for We pay for all of the following medical services that you may receive in an emergency: The ambulance (or other medical transport) The account from the hospital The accounts from the doctor who admitted you to the hospital The anaesthetist Any other healthcare provider that we approve.”
GH
Garth H's update06 Aug 2024, 11:36
Reviewer Update
Morning Paurusa, As discussed on the call this morning and further to your correspondence, this was a medical emergency (accident) and must be covered. I am also very concerned that from your correspondence you are dealing with Sunninghill Nursing Home. All the procedures took place at Netcare Sunninghill Hospital and an in-hospital event as a result of the fall. Dr Papagapiou operated in hospital not at the nursing home????? Further to my email sent yesterday 05th August I am dumbfounded why I am having to advise and direct Discovery on how claims should be paid. Please can you insist that senior management understand how much time and frustration this has taken. “Thank you for your response, however it does concern me that it is taking Discovery so long to resolve the reprocessing of the claims and why am I not getting feedback why these claims were processed incorrectly in the first place. As per my response of the 29th July, see below, it is clear that as a Classic Priority member all claims related to a medical emergency Discovery will pay for all claims, see highlighted sections from the extract I took for the plan guide! “The amount of R21,800.00 rejected with the reason code 610 (The authorised procedure requires you to pay an amount to the hospital upon admission). Members on the Priority plans must pay upfront amounts to the hospital for certain procedures. The below procedures are included in the list of procedures that the member must pay an upfront amount for: Procedure Amount Joint replacements R21,800.00 The member is liable for the amount of R21,800.00 on this claim.” What is a medical emergency? An emergency medical condition, also referred to as an emergency, is the sudden and unexpected onset of a health condition that requires immediate medical or surgical treatment. Failure to provide medical or surgical treatment would result in serious impairment to bodily functions or serious dysfunction of a bodily organ or part or would place the person’s life in serious jeopardy. An emergency does not necessarily require a hospital admission. We may ask you or your treating provider for additional information to confirm the emergency. Assistance during or after a traumatic event You have access to dedicated assistance in the event of a traumatic incident or after a traumatic event. By calling Emergency Assist you and your family have access to trauma support 24 hours a day. This service also includes access to counseling and additional benefits for trauma related to gender-based violence. What we pay for We pay for all of the following medical services that you may receive in an emergency: The ambulance (or other medical transport) The account from the hospital The accounts from the doctor who admitted you to the hospital The anaesthetist Any other healthcare provider that we approve.”
GH
Garth H's updateReviewer Update
07 Aug 2024, 12:50Hi Paurusa,
Further your correspondence & our discussion yesterday morning, I am still confused with your response below. See my comments in yellow;
Thank you for taking my call earlier today.1. Claims for Jantjes S1.1. Claim reference number: BLIqNLThe claim dated 07/06/2024 was processed on 11/06/2024.The Medical Savings Account (MSA) balance was R0.00 and the cumulative expenses wereR20,933.00 before we processed this claim.As of today 07th August there is a MSA of R63.18 see screen shot below. How can you state that there was a R0 balance on the 11/06/2024?
1.2. Claim reference number: BM8Tz0The claim dated 14/06/2024 was processed on 18/06/2024.The MSA balance was R0.00 and the cumulative expenses were R22,282.48 before we processedthis claim.The Annual Threshold is R22,890.00. As such, we part-paid this claim from the limited AboveThreshold Benefit.As of today 07th August there is a MSA of R63.18 see screen shot below. How can you state that there was a R0 balance on the 18/06/2024?
1.3. Claim reference number: BNCUgWThe claim dated 21/06/2024 was processed on 23/06/2024.The MSA balance was R0.00 and the cumulative expenses were R23,127.48 before we processedthis claim.Since the member had already reached the Annual Threshold, we paid this claim in full from thelimited Above Threshold Benefit.As of today 07th August there is a MSA of R63.18 see screen shot below. How can you state that there was a R0 balance on the 23/06/2024?
2. Claims processed from MSA between 03/05/2024 and 06/06/20242.1. Claim dated 03/05/2024 for Spiro Wilson Duncan and Fourie IncorporatedClaim reference number: BENqq5We processed the claim for R2,009.80 on 03/05/2024. We are unable to confirm the time the claimwas sent as it was sent to us electronically. The claim did not link to an approved authorisation andwas paid in full from the MSA.The preauthorisation request was approved on 03/05/2024 at 13:05. The authorisation number forthis admission is ***2.We reprocessed the claim on 10/07/2024 and paid it from the Hospital Benefit.I would like an explanation why this was not picked up by the Claims Department when there was an approved authorisation number. As a result of this mistake the MSA balance was reduced which would have affected other claims being processed correctly. Does Discovery expect members to ensure that claims are linked? Feedback required from CEO of Discover Health on why your systems & processes don’t work?
2.2. Claim dated 06/05/2024 for Spiro Wilson Duncan and Fourie IncorporatedClaim reference number: BEmYgoWe processed the claim for R696.78 on 11/05/2024. The claim did not link to an approvedauthorisation and was paid in full from the MSA.The authorisation number: ***2 was pended on 09/05/2024 as we were awaiting additionalclinical information from the facility. On 14/05/2024, the hospital admission was approved for sevendays.We reprocessed this claim on 09/07/2024 and paid it in full from the Hospital Benefit.As indicated in the email we sent to you on 23/07/2024, R696.74 remains paid from the MSAbecause the out-of-hospital physiotherapy claims were paid from the limited Above ThresholdBenefit (as indicated in points 1.2 and 1.3. above).I would like an explanation why this was not picked up by the Claims Department when there was an approved authorisation number. As a result of this mistake the MSA balance was reduced which would have affected other claims being processed correctly. Does Discovery expect members to ensure that claims are linked? Feedback required from CEO of Discover Health on why your systems & processes don’t work?
2.3. Claim dated 05/05/2024 for Els I KClaim reference number: BEuYObWe processed the claim for R2,681.20 on 12/05/2024. We initially paid R1,418.20 from the MSA. Asindicated in point 2.2. above, the authorisation was pended on 09/05/2024 and it was approved on14/05/2024.We reprocessed this claim on 10/07/2024 and paid it in full from the Hospital Benefit.As indicated in the email we sent to you on 23/07/2024, R385.74 remains paid from the MSAbecause the out-of-hospital physiotherapy claims were paid from the limited Above ThresholdBenefit (as indicated in points 1.2 and 1.3. above).I would like an explanation why this was not picked up by the Claims Department when there was an approved authorisation number. As a result of this mistake the MSA balance was reduced which would have affected other claims being processed correctly. Does Discovery expect members to ensure that claims are linked? Feedback required from CEO of Discover Health on why your systems & processes don’t work?
In summary this clearly indicates that Discovery have no idea how to process claims. I find this whole exercise a total waste of time & energy. If Discovery had provide the correct service in the first place I would not have to run around with this audit. As this stage I have no idea what is owed to who & why!!
I insist that all these claims related to this hospital event be processed correctly & all providers notified & paid accordingly. If I receive any more claims that have not been paid I will forward them onto you until they are paid.
Feedback required from CEO of Discover Health on why your systems & processes don’t work?
If you have any more questions, please visit www.discovery.co.za.RegardsPaurusa SamarooDiscovery HealthOn behalf of Discovery Health Medical Scheme
Further your correspondence & our discussion yesterday morning, I am still confused with your response below. See my comments in yellow;
Thank you for taking my call earlier today.1. Claims for Jantjes S1.1. Claim reference number: BLIqNLThe claim dated 07/06/2024 was processed on 11/06/2024.The Medical Savings Account (MSA) balance was R0.00 and the cumulative expenses wereR20,933.00 before we processed this claim.As of today 07th August there is a MSA of R63.18 see screen shot below. How can you state that there was a R0 balance on the 11/06/2024?
1.2. Claim reference number: BM8Tz0The claim dated 14/06/2024 was processed on 18/06/2024.The MSA balance was R0.00 and the cumulative expenses were R22,282.48 before we processedthis claim.The Annual Threshold is R22,890.00. As such, we part-paid this claim from the limited AboveThreshold Benefit.As of today 07th August there is a MSA of R63.18 see screen shot below. How can you state that there was a R0 balance on the 18/06/2024?
1.3. Claim reference number: BNCUgWThe claim dated 21/06/2024 was processed on 23/06/2024.The MSA balance was R0.00 and the cumulative expenses were R23,127.48 before we processedthis claim.Since the member had already reached the Annual Threshold, we paid this claim in full from thelimited Above Threshold Benefit.As of today 07th August there is a MSA of R63.18 see screen shot below. How can you state that there was a R0 balance on the 23/06/2024?
2. Claims processed from MSA between 03/05/2024 and 06/06/20242.1. Claim dated 03/05/2024 for Spiro Wilson Duncan and Fourie IncorporatedClaim reference number: BENqq5We processed the claim for R2,009.80 on 03/05/2024. We are unable to confirm the time the claimwas sent as it was sent to us electronically. The claim did not link to an approved authorisation andwas paid in full from the MSA.The preauthorisation request was approved on 03/05/2024 at 13:05. The authorisation number forthis admission is ***2.We reprocessed the claim on 10/07/2024 and paid it from the Hospital Benefit.I would like an explanation why this was not picked up by the Claims Department when there was an approved authorisation number. As a result of this mistake the MSA balance was reduced which would have affected other claims being processed correctly. Does Discovery expect members to ensure that claims are linked? Feedback required from CEO of Discover Health on why your systems & processes don’t work?
2.2. Claim dated 06/05/2024 for Spiro Wilson Duncan and Fourie IncorporatedClaim reference number: BEmYgoWe processed the claim for R696.78 on 11/05/2024. The claim did not link to an approvedauthorisation and was paid in full from the MSA.The authorisation number: ***2 was pended on 09/05/2024 as we were awaiting additionalclinical information from the facility. On 14/05/2024, the hospital admission was approved for sevendays.We reprocessed this claim on 09/07/2024 and paid it in full from the Hospital Benefit.As indicated in the email we sent to you on 23/07/2024, R696.74 remains paid from the MSAbecause the out-of-hospital physiotherapy claims were paid from the limited Above ThresholdBenefit (as indicated in points 1.2 and 1.3. above).I would like an explanation why this was not picked up by the Claims Department when there was an approved authorisation number. As a result of this mistake the MSA balance was reduced which would have affected other claims being processed correctly. Does Discovery expect members to ensure that claims are linked? Feedback required from CEO of Discover Health on why your systems & processes don’t work?
2.3. Claim dated 05/05/2024 for Els I KClaim reference number: BEuYObWe processed the claim for R2,681.20 on 12/05/2024. We initially paid R1,418.20 from the MSA. Asindicated in point 2.2. above, the authorisation was pended on 09/05/2024 and it was approved on14/05/2024.We reprocessed this claim on 10/07/2024 and paid it in full from the Hospital Benefit.As indicated in the email we sent to you on 23/07/2024, R385.74 remains paid from the MSAbecause the out-of-hospital physiotherapy claims were paid from the limited Above ThresholdBenefit (as indicated in points 1.2 and 1.3. above).I would like an explanation why this was not picked up by the Claims Department when there was an approved authorisation number. As a result of this mistake the MSA balance was reduced which would have affected other claims being processed correctly. Does Discovery expect members to ensure that claims are linked? Feedback required from CEO of Discover Health on why your systems & processes don’t work?
In summary this clearly indicates that Discovery have no idea how to process claims. I find this whole exercise a total waste of time & energy. If Discovery had provide the correct service in the first place I would not have to run around with this audit. As this stage I have no idea what is owed to who & why!!
I insist that all these claims related to this hospital event be processed correctly & all providers notified & paid accordingly. If I receive any more claims that have not been paid I will forward them onto you until they are paid.
Feedback required from CEO of Discover Health on why your systems & processes don’t work?
If you have any more questions, please visit www.discovery.co.za.RegardsPaurusa SamarooDiscovery HealthOn behalf of Discovery Health Medical Scheme
GH
Garth H's update07 Aug 2024, 12:50
Reviewer Update
Hi Paurusa,
Further your correspondence & our discussion yesterday morning, I am still confused with your response below. See my comments in yellow;
Thank you for taking my call earlier today.1. Claims for Jantjes S1.1. Claim reference number: BLIqNLThe claim dated 07/06/2024 was processed on 11/06/2024.The Medical Savings Account (MSA) balance was R0.00 and the cumulative expenses wereR20,933.00 before we processed this claim.As of today 07th August there is a MSA of R63.18 see screen shot below. How can you state that there was a R0 balance on the 11/06/2024?
1.2. Claim reference number: BM8Tz0The claim dated 14/06/2024 was processed on 18/06/2024.The MSA balance was R0.00 and the cumulative expenses were R22,282.48 before we processedthis claim.The Annual Threshold is R22,890.00. As such, we part-paid this claim from the limited AboveThreshold Benefit.As of today 07th August there is a MSA of R63.18 see screen shot below. How can you state that there was a R0 balance on the 18/06/2024?
1.3. Claim reference number: BNCUgWThe claim dated 21/06/2024 was processed on 23/06/2024.The MSA balance was R0.00 and the cumulative expenses were R23,127.48 before we processedthis claim.Since the member had already reached the Annual Threshold, we paid this claim in full from thelimited Above Threshold Benefit.As of today 07th August there is a MSA of R63.18 see screen shot below. How can you state that there was a R0 balance on the 23/06/2024?
2. Claims processed from MSA between 03/05/2024 and 06/06/20242.1. Claim dated 03/05/2024 for Spiro Wilson Duncan and Fourie IncorporatedClaim reference number: BENqq5We processed the claim for R2,009.80 on 03/05/2024. We are unable to confirm the time the claimwas sent as it was sent to us electronically. The claim did not link to an approved authorisation andwas paid in full from the MSA.The preauthorisation request was approved on 03/05/2024 at 13:05. The authorisation number forthis admission is ***2.We reprocessed the claim on 10/07/2024 and paid it from the Hospital Benefit.I would like an explanation why this was not picked up by the Claims Department when there was an approved authorisation number. As a result of this mistake the MSA balance was reduced which would have affected other claims being processed correctly. Does Discovery expect members to ensure that claims are linked? Feedback required from CEO of Discover Health on why your systems & processes don’t work?
2.2. Claim dated 06/05/2024 for Spiro Wilson Duncan and Fourie IncorporatedClaim reference number: BEmYgoWe processed the claim for R696.78 on 11/05/2024. The claim did not link to an approvedauthorisation and was paid in full from the MSA.The authorisation number: ***2 was pended on 09/05/2024 as we were awaiting additionalclinical information from the facility. On 14/05/2024, the hospital admission was approved for sevendays.We reprocessed this claim on 09/07/2024 and paid it in full from the Hospital Benefit.As indicated in the email we sent to you on 23/07/2024, R696.74 remains paid from the MSAbecause the out-of-hospital physiotherapy claims were paid from the limited Above ThresholdBenefit (as indicated in points 1.2 and 1.3. above).I would like an explanation why this was not picked up by the Claims Department when there was an approved authorisation number. As a result of this mistake the MSA balance was reduced which would have affected other claims being processed correctly. Does Discovery expect members to ensure that claims are linked? Feedback required from CEO of Discover Health on why your systems & processes don’t work?
2.3. Claim dated 05/05/2024 for Els I KClaim reference number: BEuYObWe processed the claim for R2,681.20 on 12/05/2024. We initially paid R1,418.20 from the MSA. Asindicated in point 2.2. above, the authorisation was pended on 09/05/2024 and it was approved on14/05/2024.We reprocessed this claim on 10/07/2024 and paid it in full from the Hospital Benefit.As indicated in the email we sent to you on 23/07/2024, R385.74 remains paid from the MSAbecause the out-of-hospital physiotherapy claims were paid from the limited Above ThresholdBenefit (as indicated in points 1.2 and 1.3. above).I would like an explanation why this was not picked up by the Claims Department when there was an approved authorisation number. As a result of this mistake the MSA balance was reduced which would have affected other claims being processed correctly. Does Discovery expect members to ensure that claims are linked? Feedback required from CEO of Discover Health on why your systems & processes don’t work?
In summary this clearly indicates that Discovery have no idea how to process claims. I find this whole exercise a total waste of time & energy. If Discovery had provide the correct service in the first place I would not have to run around with this audit. As this stage I have no idea what is owed to who & why!!
I insist that all these claims related to this hospital event be processed correctly & all providers notified & paid accordingly. If I receive any more claims that have not been paid I will forward them onto you until they are paid.
Feedback required from CEO of Discover Health on why your systems & processes don’t work?
If you have any more questions, please visit www.discovery.co.za.RegardsPaurusa SamarooDiscovery HealthOn behalf of Discovery Health Medical Scheme
Further your correspondence & our discussion yesterday morning, I am still confused with your response below. See my comments in yellow;
Thank you for taking my call earlier today.1. Claims for Jantjes S1.1. Claim reference number: BLIqNLThe claim dated 07/06/2024 was processed on 11/06/2024.The Medical Savings Account (MSA) balance was R0.00 and the cumulative expenses wereR20,933.00 before we processed this claim.As of today 07th August there is a MSA of R63.18 see screen shot below. How can you state that there was a R0 balance on the 11/06/2024?
1.2. Claim reference number: BM8Tz0The claim dated 14/06/2024 was processed on 18/06/2024.The MSA balance was R0.00 and the cumulative expenses were R22,282.48 before we processedthis claim.The Annual Threshold is R22,890.00. As such, we part-paid this claim from the limited AboveThreshold Benefit.As of today 07th August there is a MSA of R63.18 see screen shot below. How can you state that there was a R0 balance on the 18/06/2024?
1.3. Claim reference number: BNCUgWThe claim dated 21/06/2024 was processed on 23/06/2024.The MSA balance was R0.00 and the cumulative expenses were R23,127.48 before we processedthis claim.Since the member had already reached the Annual Threshold, we paid this claim in full from thelimited Above Threshold Benefit.As of today 07th August there is a MSA of R63.18 see screen shot below. How can you state that there was a R0 balance on the 23/06/2024?
2. Claims processed from MSA between 03/05/2024 and 06/06/20242.1. Claim dated 03/05/2024 for Spiro Wilson Duncan and Fourie IncorporatedClaim reference number: BENqq5We processed the claim for R2,009.80 on 03/05/2024. We are unable to confirm the time the claimwas sent as it was sent to us electronically. The claim did not link to an approved authorisation andwas paid in full from the MSA.The preauthorisation request was approved on 03/05/2024 at 13:05. The authorisation number forthis admission is ***2.We reprocessed the claim on 10/07/2024 and paid it from the Hospital Benefit.I would like an explanation why this was not picked up by the Claims Department when there was an approved authorisation number. As a result of this mistake the MSA balance was reduced which would have affected other claims being processed correctly. Does Discovery expect members to ensure that claims are linked? Feedback required from CEO of Discover Health on why your systems & processes don’t work?
2.2. Claim dated 06/05/2024 for Spiro Wilson Duncan and Fourie IncorporatedClaim reference number: BEmYgoWe processed the claim for R696.78 on 11/05/2024. The claim did not link to an approvedauthorisation and was paid in full from the MSA.The authorisation number: ***2 was pended on 09/05/2024 as we were awaiting additionalclinical information from the facility. On 14/05/2024, the hospital admission was approved for sevendays.We reprocessed this claim on 09/07/2024 and paid it in full from the Hospital Benefit.As indicated in the email we sent to you on 23/07/2024, R696.74 remains paid from the MSAbecause the out-of-hospital physiotherapy claims were paid from the limited Above ThresholdBenefit (as indicated in points 1.2 and 1.3. above).I would like an explanation why this was not picked up by the Claims Department when there was an approved authorisation number. As a result of this mistake the MSA balance was reduced which would have affected other claims being processed correctly. Does Discovery expect members to ensure that claims are linked? Feedback required from CEO of Discover Health on why your systems & processes don’t work?
2.3. Claim dated 05/05/2024 for Els I KClaim reference number: BEuYObWe processed the claim for R2,681.20 on 12/05/2024. We initially paid R1,418.20 from the MSA. Asindicated in point 2.2. above, the authorisation was pended on 09/05/2024 and it was approved on14/05/2024.We reprocessed this claim on 10/07/2024 and paid it in full from the Hospital Benefit.As indicated in the email we sent to you on 23/07/2024, R385.74 remains paid from the MSAbecause the out-of-hospital physiotherapy claims were paid from the limited Above ThresholdBenefit (as indicated in points 1.2 and 1.3. above).I would like an explanation why this was not picked up by the Claims Department when there was an approved authorisation number. As a result of this mistake the MSA balance was reduced which would have affected other claims being processed correctly. Does Discovery expect members to ensure that claims are linked? Feedback required from CEO of Discover Health on why your systems & processes don’t work?
In summary this clearly indicates that Discovery have no idea how to process claims. I find this whole exercise a total waste of time & energy. If Discovery had provide the correct service in the first place I would not have to run around with this audit. As this stage I have no idea what is owed to who & why!!
I insist that all these claims related to this hospital event be processed correctly & all providers notified & paid accordingly. If I receive any more claims that have not been paid I will forward them onto you until they are paid.
Feedback required from CEO of Discover Health on why your systems & processes don’t work?
If you have any more questions, please visit www.discovery.co.za.RegardsPaurusa SamarooDiscovery HealthOn behalf of Discovery Health Medical Scheme
Discovery Health's replyOfficial
12 Aug 2024, 15:38Dear Garth D
Please check your emails for feedback from us.
Regards Discovery Health Servicing Team
Please check your emails for feedback from us.
Regards Discovery Health Servicing Team
Discovery Health's reply12 Aug 2024, 15:38
Official
Dear Garth D
Please check your emails for feedback from us.
Regards Discovery Health Servicing Team
Please check your emails for feedback from us.
Regards Discovery Health Servicing Team