RJ
Roger J

1 reviews | Active since Feb 2018

26 Mar 2024, 14:00

Two weeks now and my request for details of my current Oncology Benefits still not fully finalised

Two weeks now and my request for details of my current Oncology Benefits still not fully finalised. First request was on 13 March and was followed up by a chaser mail. Eventual response was: "please note that we cannot determine the nature of your query." What could be simpler than my original request: "Please provide me with my authorisation #’s for ‘23/24. I never received authorisation letters for this period but also had no need of them until now" WHICH WAS SENT WITH MY MEMBERSHIP #, TO ***. On 19th I mailed back and enclosed copies of the two authorisations received in '22 for your guidance. This resulted in receipt of a mail on 22nd enclosing authorisation letter BUT FOR ONLY ONE OF THE SUBJECT CONDITIONS. I followed up same day and am still waiting for the second authorisation letter. I don't pay you 60K plus per annum to get this kind of service and I also expect that as a member of the principal fund (your own fund/product in fact) that you administer among some ten/twelve/or more, that my requests should be dumped upon receipt into you overall work queue for attention (and hopefully resolution...but not in this case yet) until your work queue processors eventually get around to them – as appears to be your standard practice. Please expedite (asking for expedite for the second time now)

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Replies (7)
Discovery Health
Discovery Health's reply27 Mar 2024, 06:41
Official
Dear Roger J

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
RJ
Roger J's update27 Mar 2024, 18:05
Reviewer Update
Thank you. I received the second authorisation letter today, But. there appears to be discrepancies regarding benefit period expiry dates in same as well as the first letter received 22nd. I have sent an email to dco_oncology with questions
RJ
Roger J's update28 Mar 2024, 09:53
Reviewer Update
Update: I have received a call from your Chane Jonathan and the issues that I raised in my above-mentioned email of 27th have been clarified. Still somewhat confusing but we are on the same page now. We agreed that I should diarise to be warned of upcoming authorisation expiry dates and address you re renewal of same to receive now letters with new expiry dates
Discovery Health
Discovery Health's reply28 Mar 2024, 10:14
Official
Dear Roger J

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

Regards 
Discovery Health Servicing Team
RJ
Roger J's update02 Apr 2024, 12:36
Reviewer Update
Why has Priya Govender mailed me today to advise:
"Thank you for contacting us.
We cannot trace a valid membership with the information provided. Please confirm the member's nine-digit membership number or the member's ID number for us to assist you.
Please resend attachment with the requested information."
Given above inputs from me earlier, this matter is closed surely?
RJ
Roger J's update02 Apr 2024, 12:45
Reviewer Update
I have responded to DCO_Oncology via mail suggesting that the matter is surely closed after the above inputs of 28th March and that, if they agree, no response required
Discovery Health
Discovery Health's reply05 Apr 2024, 15:49
Official
Dear Roger J

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

Regards 
Discovery Health Servicing Team