1 reviews | Active since Aug 2019
GEMS - claims still outstanding as from 9 November 2022. Authorization No. ***1
I app**** for Ex-Gratia assistance and waited 18 months before GEMS granted permission for the procedure to remove one implant as well as other teeth from my upper jaw which resulted in severe infection and inflamation. GEMS granted authorization (Authorization number ***1) for the procedure on 9 November 2022. The following amounts were approved / authorized by GEMS: Curo Day Erasmuskloof Hospital R18 448.60 (They reduced the amount to R18 049.23 after the operation) CLAIM IS STILLL NOT BEEN SETTLED. Dr JF Harmse Maxillo Facial Surgeon R11 307.72 CLAIM IS STILLL NOT BEEN SETTLED. Dr Brink Anaesthesiologist R3 862.35 (GEMS paid only R2 877.35 - Still outstanding R985.00 and GEMS neglected to pay the amount granted by authorization ***1. Dr J van Rensburg Dentist R4 480.65. Although the bills were sent by the Institutions as well as by me, GEMS still did not settle the outstanding claims. It is so embarrassing to go for check-ups whilst the bills are still not settled. I sent the outstanding claims to the complaints section beginning January, only to receive a reply that they did not keep the 7 days before replying to me. I have sent the outstanding claims again to the following sections but without any success. ***> Cc: Complaints <*** *** It will be appreciated if this could be resolved asap.
