1 reviews | Active since Nov 2014
Struggling to get a claim paid - on service
I have been struggling to get a claim paid. My daughter went to the hospital - pre authorized on 2014/11/29. <br> There are two claims which I query. Both these claims were partly paid and the reason was for there was not sufficient funds within the Medical Savings Account. These are in hospital claims.<br> Each time I need to explain my case from the start. The first call was 2015/01/26 - the agent said he will look into it and I would receive a reverence / inquiry number in 2-3 days.<br> No response.<br> Second Call was on 2015/01/30 - different agent said there was nothing reported for the first call. She saw a mistake on the claim detail. I received reverence numbers: *** and *** and response was that the agent will work on this and personally call me back in 2-3 days.<br> No response.<br> Third Call was on 2015/02/09. The response was that the one claim was send to be reprocessed but the status was unclear. Nothing was given on the second claim. Received a log number: 371 004 712 and response was that he would call me within 24 hours.<br> No response.<br> Complete an online Discovery complaints form. WEB page response:<br> \Thank you for your query. We will respond within 24 hour....""""
Thank you for your comment.
Please accept my sincerest apologies for the inconvenience experienced. We will address this internally to prevent a reoccurrence of this nature. I am pleased to confirm that the claims you are referring to have been reprocessed. I confirmed the details of the payment telephonically and via email.
Thank you for allowing me to assist with your query. You are welcome to contact me should you require any further assistance.
Kind regards
Rishana
Thank you for your comment.
Please accept my sincerest apologies for the inconvenience experienced. We will address this internally to prevent a reoccurrence of this nature. I am pleased to confirm that the claims you are referring to have been reprocessed. I confirmed the details of the payment telephonically and via email.
Thank you for allowing me to assist with your query. You are welcome to contact me should you require any further assistance.
Kind regards
Rishana
