ID
Ingrid D

1 reviews | Active since Jul 2011

29 Jun 2022, 15:22

7 MONTHS STILL NO PAYMENT OF PMB CLAIM

ATT: THE PRINCIPAL OFFICER - Gems member and one of our patient of many years saw the specialist for a follow up. According to her care plan she is allocated 2 consultations for the year. I have been trying since November 2021 to get payment. NUMEROUS calls to Gems call center are met with "its being referred" or "no feedback from PMB department"! 29/06/2022 - STILL NO solution. I spoke to an agent Adelaide who sounded uninterested and too exhausted. Not interested in going the extra mile. Surely this particular example calls for serious intervention from the medical council.

0
Replies (4)
ID
Ingrid D's update30 Jun 2022, 10:34
Reviewer Update
*** thank you
ID
Ingrid D's update07 Jul 2022, 16:18
Reviewer Update
I called again today 7 July 2022 - Still no outcome on this complaint call ref MH***2
ID
Ingrid D's update08 Jul 2022, 08:43
Reviewer Update
*** tel ***
ID
Ingrid D's update14 Jul 2022, 12:43
Reviewer Update
On 8 July 2022 I received a call from Salwa at the Gems Complaints department. I have not heard from her since re this query. Have just spoken to Linda call reference MH*** who was unable to provide any further insight into this rejected claim which remains short paid. Please refer this to the PRINCIPAL OFFICER