1 reviews | Active since Apr 2013
Non Payment of Medical Bills without a reason
<p>On 22 August My son was admitted in Hospital and admission was granted but now Gems is not paying the service which was rendered by the Doctors and there is no reason for that. Doctors are being send from piller to post just to get their payments and its being 4 Months now.</p> <p> </p> <p>Below is the correspondence from the Doctor with Gems without any help</p> <p> </p> <p>.</p> <p>ALL THE REFERENCE NUMBER AND DETAILS WHEN WE CALLED MEDICAL AID ABOUT YOURE CLAIM.</p> <p> </p> <p>E-MAILED PT 31/1 - REJECTED BY MEDICAL AID - PLEASE SETTLE BY 15/2/2017 MK</p> <p>----------</p> <p>Called on 11/01/2017 at 10:16, Response:</p> <p>GEMS REF MH ********** 21 SPOKE TO SIZWE HE SPOKE TO THE TEAM LEADER AND TO TRY TO GET ANY FEEDBACK HE</p> <p>TOOK MY CONTACT DETAILS THAT HE CAN CONTACT ME BACK REGARDING THIS HE SENT A COMPLAINT AS WELL MDK</p> <p>----------</p> <p>Called on 29/12/2016 at 12:35, Response:</p> <p>CALLED BERYL HOLD ON FOR HOUR AND HALF KHANYSILE HELPED ME 291216Q2Z7VLJ SHE ASSIST ME WITH THE</p> <p>QUERY WHEN SHE PUT ME THROUGH TO BERYL DEPARTMENT THE GUY ANSWERED THEN HE SAID HE WILL HELP ME</p> <p>THEN I HOLD ON FOR A HOUR CALLED AGAIN THEN I SPOKE TO THE MANAGER SHEREEN ISHMAIL SHE PUT IN A</p> <p>COMPLAINT THEN SHE TOOK MY DETAILS THAT BERYL DEP CAN CALL ME BACK MDK</p> <p>----------</p> <p>Called on 21/12/2016 at 12:00, Response:</p> <p>BERYL REF 161116QY86P9 CLAIM WAS ESCALATED TO THE FINANCE DEPARTMENT MDK</p> <p>----------</p> <p>Called on 16/11/2016 at 12:48, Response:</p> <p>BERYL REF 161116QY86P9 CLAIM WILL BE PAID DEF ON THE 02/12/2016 MDK</p> <p>----------</p> <p>Called on 02/11/2016 at 09:56, Response:</p> <p>GEMS BERYL REF 021116QXX873 SPOKE TO JADE THE CLAIM IS ACCEPTED FOR PMT 11/11/2016 JADE CAN NOT</p> <p>TELL ME HOW MUCH WILL BE PAID MDK</p> <p>----------</p> <p>Called on 18/10/2016 at 12:15, Response:</p> <p>CALLED GEMS BERYL AND SHE SAID I NEED TO FAX THE PC TO THEM ********** 501 I DID MDK</p> <p>----------</p> <p>Called on 10/10/2016 at 12:13, Response:</p> <p>GEMS I SENR A PC AGAIN FOR THIS CLAIM REGARDING THE DEP CODE AND PMB MDK</p> <p>----------</p> <p>Called on 10/10/2016 at 07:48, Response: MDK</p> <p>GEMS RECEIVED INTERN REMITTANCE : Pending awaiting approval</p> <p>----------</p> <p>Called on 27/09/2016 at 13:07, Response:</p> <p>CALLED GEMS BERYL DEPARTMENT REF NR 270916QX0H9F SENT FOR REPROCESSING AND TO THE CLAIMS DEPARTMENT</p> <p> MDK</p> <p>----------</p> <p>Called on 22/09/2016 at 12:19, Response:</p> <p>CALLED GEMS REF NR ********** 8 SPOKE TO JULIA AND SHE SAID I NEED TO SEND A PC TO GEMS THAT CODE 0011</p> <p>CAN BE PROSESSED AND TO SEE THE UNITS I SENT THE PC CONFIRMED ICD 10 CODES WITH ROOMS (DR) PMB MDK</p> <p>----------</p> <p>Called on 02/09/2016 at 08:12, Response:</p> <p>CALLED THE BERYL DEPARTMENT REF 020916QWD5X5 THE AMOUNT WHAT WILL BE PAID R4098.45 TODAY THE</p> <p>REMITTANCE IS NOT</p> <p>AVAILABLE AS YET MDK</p> <p>----------</p> <p>Called on 30/08/2016 at 11:59, Response: MDK</p> <p>THEY RECEIVED THE CLAIM AND CLAIM WAS ACCEPTED FOR PMT FOR REMITTANCE DATE 02/09/2016</p>
Good day
Thank you for affording us the opportunity to respond to your complaint. We are looking into this and will provide feedback.
Kind regards
The GEMS online team
Good day
Thank you for affording us the opportunity to respond to your complaint. We are looking into this and will provide feedback.
Kind regards
The GEMS online team
