Bad Customer Service: Unable to process claims on time

<p>Good Day,</p> <p> </p> <p>Once again i have had a poor experience with GEMS customer services, specifically relating to claims not processed.</p> <p> </p> <p>My wife is currently on the maternity benifit, initially Pathcare submitted the claim with the incorrect IDC10 code. I then contacted them to resubmit the claim with the correct ICD10 code - GEMS did not acknowledge the claim at all when sending it to them to ********** <p>I then had to follow-up with Pathcare, they told me they heard nothing from GEMS (which didnt suprise me).</p> <p> </p> <p>I then contacted GEMS on (Friday 24th March) myself spoke to an agent, he actually acknowledged the mistake on GEMS side and told me that his team leader will sort it out and i should contact GEMS the (tuesday 28th March). I then decided to give GEMS an extra 3 days just based on my current experience. Called them right now and guess what????</p> <p> </p> <p>They told me it exceeded the 4 month claim period which means they have to now send it to the stale deparment!!! Can you believe that? they take a month to ackowledge the claim then tell me that i must wait an additional 10 days because of their delay.</p> <p> </p> <p>So now i am in arrears with Pathcare due to GEMS processing department taking their time.</p> <p> </p> <p>See call reference numbers..If it helps</p> <p>-claim on 21 February 2017 with reference number MH ********** 5.</p> <p>- MH ********** 1 </p> <p> </p> <p>what a joke!! can someone compentent please call me... ********** 254</p> <p> </p> <p>regards,</p> <p> </p> <p>Siraaj</p> <p> </p>