Organization : Discovery
Head Quarters: Cape Town
Facility : How To Submit A Medical Claim
Website : https://www.discovery.co.za/medical-aid/how-to-claim
Discovery Submit A Medical Claim
There are 3 digital ways to submit your Claim
01. Upload your claim (Through Online )
Related / Similar Facility :
Discovery Health Medical Scheme
02. Email your claims
03. Discovery app
Upload Your Claim
To Upload Your Claim First you have to Register for a Discovery Account
Who Can Register :
Individuals, Financial Advisers, Healthcare Professionals and Employers can register.
Online Registration
Go to the Official web page. Click Register link available on the right top of the home page
Following The Steps To Register :
1. Enter your details to receive a registration PIN
Step 1 : Select Identification type – ID Number Or Passport Number
Step 2 : Enter your details as per your selection
Step 3 : Select Send via – SMS Or Email Notification
Step 4 : Enter Your Cellphone Number (If Select SMS Notification) Or Enter Your mail address (If Select Email Notification )
Step 5 : Click Send button
2. Enter your PIN Number & Click the Continue Button
Log In
Please log in below to access the Submit a claim page :
Step – 1 : Enter Username
Step – 2 : Enter Password
Step – 3 : Click Log In Button
Forgot username / password?
If you forgot your Username / Password kindly follow the below steps to recover it.
Step 1 : Select what you would like us to send you User Name Or Password
Step 2 : Select Identification type ID Number Or Passport Number
Step 3 : Enter ID Number
Step 4 : Select Send via – SMS Or Email Notification
Step 5 : Enter Your Cellphone Number
Step 6 : Click Send button
Email Your Claims
Scan and email your claims to claims [AT] discovery.co.za
Discovery App
** Use your smartphone camera. Download the Discovery app from the App Store or Google Play, log in and take a photo of the claim.
** If the claim has a QR code, simply scan the QR code from within the Discovery app.
** Tap on the Scan QR code on claim button, scan the QR code on your claim and follow the prompts.
You can also submit your claims by post to :
Discovery Claims,
PO Box 784262,
Sandton, 2146
View & Track My Claims
To View & Track your Claims you have to Login by providing your Username & Password
What To Remember
1. Submit claims within four months
2. Older claims will be considered expired and will not be paid.
3. Check the claim to make sure the following details are correct and clear :
** your name and membership number
** name and practice number of the healthcare provider
** date on which service was provided
** relevant consultation, procedure codes or Nappi codes and diagnostic (ICD-10) codes
** total amount charged for the service
4. Include a receipt if you paid for the claim
5. Send a detailed claim and not just a receipt
6. If the healthcare provider sends the claim to us electronically, you don’t need to send us a copy.
Payment Of Claims
** To update your debit order or your claims payments banking details, please log in.
** You will receive an OTP (one-time PIN) that will be sent to the registered cellphone number or email address.
** This pin will verify and confirm the change being actioned through the website.
** Claims will be paid directly to the healthcare professional when they bill the Discovery Health Rate
** Cash claims and claims payable to members are paid weekly.
FAQ On Discovery Medical Claim
Here are some frequently asked questions about Discovery medical claims:
How do I submit a Discovery medical claim?
You can submit a Discovery medical claim online through the Discovery website or mobile app, or by completing a claim form and submitting it via email, fax, or post. You will need to provide information about the medical service you received, including the provider’s details and the date and cost of the service.
How long does it take to process a Discovery medical claim?
The processing time for a Discovery medical claim depends on several factors, including the complexity of the claim and the completeness of the information provided. In general, claims are processed within a few days to a few weeks, although some claims may take longer.
How will I know if my Discovery medical claim has been approved?
Once your claim has been processed, you will receive an Explanation of Benefits (EOB) statement that outlines the amount that was paid or denied, as well as any remaining balance that you may owe.
Additional Simplified Procedure
Here are the steps on how to submit a Discovery Medical Claim online:
1. Go to the Discovery website: https://www.discovery.co.za/.
2. Click on the “Medical Aid” tab.
3. Click on the “Claims” tab.
4. Click on the “Submit a Claim” button.
5. Log in to your Discovery account.
6. Enter the details of your claim, such as the date of service, the name of the healthcare provider, and the amount of the claim.
7. Upload the supporting documents for your claim, such as the invoice from the healthcare provider and the medical aid card.
8. Click on the “Submit” button.
Your claim will be reviewed by Discovery and you will be notified of the outcome within 10 working days.
Here are the documents that you need to submit a Discovery Medical Claim:
** Invoice from the healthcare provider.
** Medical aid card.
** Proof of payment, if applicable.
You can also submit a Discovery Medical Claim by post or by fax.
By post:
Discovery Health Medical Scheme
PO Box 784262
Sandton
2146
By fax:086 075 1751