LM
Lesley M

1 reviews | Active since Sept 2016

10 Jun 2017, 08:55

Medical aid rejects account when it should be paid

<p>I have followed procedure and sent through the request for auth number within the allotted time, but the medical aid keeps rejecting the account stating no auth when I have ref number and everything and every time I send an email with the account and ref number it just keeps getting rejected stating no auth. they do not read their emails and then state the account is stale when they have not done the work on their side. I am tired of working with a medical aid that does not do their side of the work and then blames us for not doing the work and refuses to pay the accounts. </p>

0
Replies (2)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply12 Jun 2017, 09:27
Official

Good day

Thank you for affording us the opportunity to respond to your concerns. We are looking into this matter and will respond as soon as possible.

Kind regards

The GEMS online team

Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply13 Jun 2017, 09:17
Official

Good day

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

We can confirm that the account is accepted for payment for the next claims payment run on 16 June 2017.

Please note that the account will be settled from the in-hospital physiotherapy benefit.

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

Kind regards

The GEMS online team