UNPAID CLAIMS. ZERO COMMUNICATION. NO REPLIES. PATHETIC SERVICE

I have recently become a member of the TFG Medical Aid Scheme which is administered by Discovery. I have hypertension and needed my CIB to kick in, and I was advised by my GP and Discovery I need to see a specialist to have this benefit approved.

My specialist authorization was given to me on the 05/04/21 and valid for 01/04/21 to 01/05/21.

I visited Dr Moosa and completed all required tests with Lancet. All claims were submitted by Dr Moosa and Lancet. However 2 claims have to date still not been approved nor has there been any communication to me as to why?

I have emailed discovery and TFGMAS a multitude of times and I still have no answer as to why these claims were not approved and they should be approved and paid by now.

I am absolutely horrified at the sheer lack of communication and response in this matter. From emails to the call center no one can give me a damn answer and this is extremely frustrating as no one has the time to go back and forth with this **** when there is so much happening right now.

Discovery, this claim needs to be approved and I need to know why there has been absolutely zero communication in this matter.

Membership Number - ***

Email ref numbers from dailyclaims - We have received and assessed your latest claim(s) -MailRef#***#-

Email ref from service - Claims Not Paid - LANCET -MailRef#***#- Your reference number is ***, and the details of these claims will reflect on your next claims statement or notification.

Specialist approval- TFG Medical Aid Scheme: We approved your Specialist visit to, Moosa A Y D. The claims for your visit, approved blood tests, X-rays and medicine from the list will be covered from your available limit. Use referral #***2 when making the appointment. Valid from 2021-04-01 to 2021-05-01.

Contact me on *** or via email on ***

Regards Braden