AH
Almuir H

1 reviews | Active since Feb 2016

17 Mar 2016, 12:34

Outstanding claims

We still have claims of last year outstanding, some more than a year old. I queried several times and received a reference number for every call. Every time I was told that the account will be reprocessed and that I still must wait, but until now I did not receive any payments. GEMS never stated at any time that this accounts will NOT be paid by them. I cannot claim the accounts from the patients now, because on this option of the medical aid they usually are from the lower income group, and as the claims are so old. On 14 March 2016 I sent emails to: ***, but up to now received no answer from them.

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Replies (1)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply17 Mar 2016, 12:40
Official
Hello Dr Tredoux Heyns,

Thank you for bringing your concerns to our attention.

One of our consultants will contact you shortly to provide you with the necessary assistance.

Kind regards
The GEMS Online Team