UB
Udheer B

1 reviews | Active since May 2017

16 May 2017, 12:06

Years of incorrect claims calculations, continues

<p>Discovery cannot do simple calculations. </p> <p>Here is a breakdown:</p> <p> </p> <p>2012: Discovery made a mistake when processing a claim. I think they paid the wrong health care provider.</p> <p>2016: Discovery added the above mistake to my account, resulting in negative balance</p> <p>2016: Claims payable to me where not paid due to the above mistake</p> <p>2016: Discovery reversed hospital claims, creating a higher negative balance. </p> <p>2017: My wife had an emergency delivery of baby but discovery does not deem this as an emergency, This leaves me with R20 000 to pay out of my own pocket</p> <p>2017: The following discovery staff are involved in with my compaint but still cannot resolve the matter:</p> <p> </p> <p>Baghtiaar Salie</p> <p>Warren Harris</p> <p>Unathi Makinana</p> <p>And various call center staff</p> <p> </p> <p>Health Complaints/Compliments ********** 427 -WRefNo# ********** 596#- -MailRef# ********** 614#- -WRefNo# ********** 772#- -MailRef# ********** 779#- -MailRef# ********** 185#-</p>

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Replies (2)
Discovery Health
Discovery Health's reply16 May 2017, 13:42
Official

Dear udheerbab

Your concerns are important to us and we will be in touch soon with an answer to your comments.

Regards
Discovery Health Medical Scheme

Discovery Health
Discovery Health's reply19 May 2017, 14:54
Official

Dear udheerbab

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

Regards
Discovery Health Servicing Team