WJ
Wayne J

1 reviews | Active since Aug 2016

19 Jun 2018, 21:50

The Mystery of the Disappearance of R600

On the 2nd February 2018 I had a check-up with my specialist (yearly consultation). Once my consultation is done, i would settle the account with my specialist and put my invoice in the claims box at the hospital. I would then get reimbursed from my day to day at the discovery rate. However, this process no longer seems to be working. The past 2 occasions have become a tedious process to recover the funds. Numerous emails, phone calls and then eventually HelloPeter as the complaint falls on deaf ears.

I have emailed the claims division and submitted via the app. The feedback received is: Reason for co-payment. Please send the correct procedure code so we may process this amount 734. As I’ve stated in my email, I am not a doctor so I am not sure what procedure code is need. However, when looking on the invoice I see codes: ICD-10: K51.9. There is a practice number as well.

So, this amount was never refunded to me. This evening I receive my medical aid tax certificate for the tax year ending 28 February 2018. My consultation, as stated above was on the 2nd February 2018.

On my tax certificate, it shows: Claims not recovered from this scheme: R0.00

Now my question is...Who was lucky enough to pocket this R600 that was never refunded to me?

0
Replies (2)
Discovery Health
Discovery Health's reply20 Jun 2018, 08:50
Official

Dear WJeftha

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
Discovery Health's reply21 Jun 2018, 12:40
Official

Dear WJeftha

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

Regards
Discovery Health Servicing Team