RW
Rachel W
1 reviews | Active since Apr 2024
13 Mar 2025, 14:09
Pathetic turnaround times for processing of Claims at GEMS
I made several calls to Gems about my claims submitted 35 days ago. With every follow-up call to check on the status of processing of my claims, I was informed that it was escalated for scanning and batching. However, still the claims are not found on the system. CLAIM REF NR'S *** and ***. This is past the 40 day turnaround time that they promise. Can an investigation please be conducted about the status of processing of my claims. I am frustrated by now to hear the same story of escalating to batching and scanning and 30 days turnaround times from Gems customer service agents.Other medical aid schems such as Medscheme and Discovery have a 2-3 days turnaround time for processing of claims.
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Replies (1)Gems (Government Employees Medical Scheme)'s replyOfficial
13 Mar 2025, 14:53Good day,
Thank you for engaging with us. We are following your message, and feedback will be provided. If you have an urgent query, please contact us on: ***(members) & ***(providers).
Call Centre Hours: Monday - Friday: 8h00 - 17h00 & Saturday: 8h00 - 12h00.
Emergency number: ***(available 24 hours)
If you wish to submit a compliment, please email us on at ***.
We look forward to receiving your positive feedback.
Regards, GEMS
Thank you for engaging with us. We are following your message, and feedback will be provided. If you have an urgent query, please contact us on: ***(members) & ***(providers).
Call Centre Hours: Monday - Friday: 8h00 - 17h00 & Saturday: 8h00 - 12h00.
Emergency number: ***(available 24 hours)
If you wish to submit a compliment, please email us on at ***.
We look forward to receiving your positive feedback.
Regards, GEMS
Gems (Government Employees Medical Scheme)'s reply13 Mar 2025, 14:53
Official
Good day,
Thank you for engaging with us. We are following your message, and feedback will be provided. If you have an urgent query, please contact us on: ***(members) & ***(providers).
Call Centre Hours: Monday - Friday: 8h00 - 17h00 & Saturday: 8h00 - 12h00.
Emergency number: ***(available 24 hours)
If you wish to submit a compliment, please email us on at ***.
We look forward to receiving your positive feedback.
Regards, GEMS
Thank you for engaging with us. We are following your message, and feedback will be provided. If you have an urgent query, please contact us on: ***(members) & ***(providers).
Call Centre Hours: Monday - Friday: 8h00 - 17h00 & Saturday: 8h00 - 12h00.
Emergency number: ***(available 24 hours)
If you wish to submit a compliment, please email us on at ***.
We look forward to receiving your positive feedback.
Regards, GEMS
