TD
Tersia D

1 reviews | Active since Mar 2017

23 Mar 2017, 09:54

Doctor's account not paid

<p>It is now more than a year that we are struggling.</p> <p> </p> <p>My mother was admitted in hospital on 31/10/2015 with a fractured arm. Hospital account paid in full, but the doctor's accounts still not paid. This is a PMB condition, and should be paid full. Every time my mother phone, they inform her that it is approved, and that payment will take place on certain date. Every time the date passes, and yet again a dissapointment.</p> <p>Just to name a few:</p> <p>06/05/2016:Zene 7-14 work days MH ********** 5</p> <p>18/11/2016: Lorraine MH ********** 2 Could take 4 months</p> <p>08/03/2017: Valencia MH ********** 4</p> <p> </p> <p>Then part of account is paid only to be drawn back shortly thereafter.</p> <p>Getting accounts from Doctor, making her nervous, as they don't have the funds to pay for this.</p> <p> </p> <p>What is the hold up???</p> <p>Not once they are able to put her through to the department responsible for doctor's accounts? How is this possible? Is it only computers working on its own.</p> <p> </p> <p>If this claim is not resolved withing 7 working days, or written feedback received, we will proceed with a CMS complaint.</p> <p>Membership number: ********** 99</p>

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Replies (5)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply23 Mar 2017, 10:20
Official

Good day

Thank you for affording us the opportunity to respond to your concerns.

Please send us a private message with your membership number so that we may be of further assistance.

Kind regards

The GEMS online team

TD
Tersia D's update05 May 2017, 18:09
Reviewer Update

Still no feedback???????????????????

Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply08 May 2017, 09:45
Official

Good day

Please send us a private message with your membership number.

Kind regards

The GEMS online team

TD
Tersia D's update22 May 2017, 05:25
Reviewer Update

Already done 3 times!!!!! Unbelievable. Is that the only feedback you have???

Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply27 Jul 2017, 16:06
Official

Good day

Thank you for bringing your concerns regarding your unpaid claim to our attention.

As per our communication with you, we can confirm that the outstanding account was paid to the service provider on 30 June 2017.

We apologise for the delay in resolving this matter and for any inconvenience caused as a result.

Kind regards

The GEMS online team