GEMS Claims Department | PMB frustration

The frustration of having to call Gems every month to query for claims that have not been paid and being put on hold for 3o minutes or more is beyond frustrating. My son is on an approved PMB programme from GEMS, he attends physiotherapy every month and I send the claims to GEMS via email indicating that he is on a PMB programme but the claims are still rejected because they claim from the normal funds.

Every time I call I am being told that the PBM approval is not reflecting on the system because that department did not archive it for them to see. Can someone care to rectify this and pay up all the outstanding claims to the Dr. And can I not call again to follow up on payments that should be paid from the PMB.

I am tired!