JM
Jacques M

1 reviews | Active since Dec 2009

27 May 2015, 08:40

Simple doctor's claim still not resolved

No joy after submitting a claim for a simple doctor's visit on the 13th of April, submitted on the 14th. Many previous submissions have passed in the same format. It seems this time that each new consultant at the call center needs me to jump through new hoops, at each call. There is zero CONSISTENCY in implementing their standards and it seems like a luck of the draw whether or not you will be having difficulties or not with having your claim processed. I paid out of my pocket (R360) for the visit, am up to date with my payments and have a medical savings account in excess of R20,000. Yet they put me through hell for the claim, I have surely spent as much on calls. The feedback / communication from their side is poor in keeping you informed.

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Replies (1)
Discovery Health
Discovery Health's reply27 May 2015, 15:44
Official
Hello JacquesMol,

Thank you for your comment.

I am truly sorry for the inconvenience experienced during your recent claims processing. I investigated the matter and confirmed the details of the rejection and have since reprocessed the claim. I emailed you the details of the refund and you are welcome to contact me directly should you have any concerns.

Thank you for allowing me to assist with your query.

Regards
Rishana