MF
Michaela F

1 reviews | Active since Jul 2023

01 Nov 2024, 10:15

Claims & PMB department

I am so frustrated with the claims and PMB department. I am been sent from pillar to post and its upsetting. Been struggling with a claim that the claims department rejected on 15th Oct 24 for ICD codes that were supp**** by the PMB department. Everytime i was told to wait 3-7 days for feedback, 5-7 days for feedback upon calling and not receivingany correspondencein between that. I called yesterday and was told by PMB department that the claim has been aprroved on the 28th October already, upon wanting to know when the doctor would be paid I was told only the claims department will be able to give that info as it was now escalated to them. I called claims department of which I was told it has now been escalated back to PMB department for payment and I need to wait 7 -14 days for feedback. This is ridiculous! I have a follow up with the specialist and the account of 15th October was not get even settled yet. We are now in November. Why does the doctor have to wait so long for a mistake done by GEMS? I urgently need this account to be paid before my next follow up as I will then have to pay out of my pocket for a delay that GEMS has done.

0
Replies (0)