*********** medical aid

I have 2 accounts that I paid for my dependant 04, I can't get GEMS to pay me back for the services rendered by specialists. Then they need an invoice, then proof of payment then ICD 10 codes. Their medical cards they send electronic don't open with the ID nr. I totally understand why specialists don't want to deal directly with GEMS because GEMS want your contribution every month but when they need to refund you they have problem on problem. Also call centre can't help because claims are dealt by the back office so you never know if they are satistied or not and if they are going to pay or not. I send the same info in weekly but still they can't see the invoice/statement or proof of payment but I send it in weekly or as indicated on the statements of GEMS