PMB account not paid

<p>Member number ********** 39</p> <p> </p> <p>My father-in-law had surgery which was approved in 2015, there was a second part to the op. The dr claimed directly and was paid. He then informed me that GEMS had not paid the full amount and they were doing follow up but I said I would too. I have phoned repeatedly to be told that my claim has been escalated to stale accounts.... this has been over a year now. I phoned again today to be told that we can't reprocess as it is with stale accounts and we can not speak to them directly. We have processed the query direectly in Braamfontein too and still have no answers after a year. What must we do to get the bill paid? What must we do to get answers? It is PMB and was approved so why not pay?</p> <p> </p> <p>GEMS.... I WANT ANSWERS</p>