BC
Berna C

1 reviews | Active since Jul 2021

29 Jul 2021, 08:35

WORST SERVICE FROM AUTHORISATION AND STANDARDS DEPARTMENT OF DISCOVERY MEDICAL AID

The WORST experience in 21 years with Discovery Medical Aid. Authorisation granted for a patient, four days later a call from Discovery - putting it in a declined status. This all started the 2nd of July 2021 and up till now NOTHING has been sorted. Here are all the call reference numbers: *** from standards department for the PMA they received. *** from Prudentia - she informed me that it is now in decline status and sales calls needs to be check and there is now time line to that, SO MY CONCLUSION WAS THEY CAN TAKE 365 DAYS TO CHECK SALES CALLS AND IT DOES NOT MATTER, 21 July Marvin, holding 25 minutes while is busy with standards department, line cut, 21 July Danielle reference number ***, she said sales call turn around time 7 days. 23 July spoke to Prudentia with reference number *** with information will esqualate again. 26 July spoke to Sanele just to hear that the reviewer reviewing this case is sick for a week but will ESQUALATE, I hate this word!!, again. 27 July spoke to Felicia with information still waiting for feedback we must phone again in the afternoon at around 5 pm, hope I've got this reference number right, looks a bit different: ***. 28 July phone again - still now feedback. Sabelo got me on the line with Emmanuel, team leader, and Emmanuel and he just apologize and apologize and the manager of the standards deparment will phone us back yesterday afternoon, guess what: NO CALL AND TODAY IS 29 JULY!! Call reference number: ***. Before I go two things: if the lines get cut, nobody from Discovery phone you back and lastly how can you give authorisation numbers and four days later you decline it. Operational loss to be granted. Just a last bit of water on the fire: my colleague phoned 28 July to change a date on a authorisation number, busy for 12 minutes on the line JUST to phone them again later in the afternoon spoke to a different agent and nothing was updated. How bad can you be???

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Replies (2)
Discovery Health
Discovery Health's reply29 Jul 2021, 13:00
Official
Dear Berna C
 
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 reply30 Jul 2021, 15:55
Official
Dear Berna C
 
We have been in touch with your office to answer your comments.
 
Regards 
Discovery Health Servicing Team