1 reviews | Active since Dec 2016
PMB Claim not even processed despite reference number
<p>I called to request a claim he put through as a PMB claim 2,5 weeks ago. I was given a reference number and when following up today, no notes are even on the system and nothing has been done.</p> <p>This is unacceptable!!!! </p>
Good day
We apologise for the experience you have had with us. We are looking into your complaint and will revert soonest.
Kind regards
The GEMS online team
Good day
We apologise for the experience you have had with us. We are looking into your complaint and will revert soonest.
Kind regards
The GEMS online team
Good day
Thank you for bringing your concerns regarding your claim to our attention.
According to the Scheme rules, your diagnosis does not form part of the care plan and as a result the account was unfortunately declined.
In this regard, please note that you remain liable for the payment of the account.
We apologise for the delay in providing feedback.
Kind regards
The GEMS online team
Good day
Thank you for bringing your concerns regarding your claim to our attention.
According to the Scheme rules, your diagnosis does not form part of the care plan and as a result the account was unfortunately declined.
In this regard, please note that you remain liable for the payment of the account.
We apologise for the delay in providing feedback.
Kind regards
The GEMS online team
This is nonsense! Why has the same provider with the same ICD10 code been paid for 6 years then ? Please can some one contact me to discuss this further. Epilepsy IS a PMB!
This is nonsense! Why has the same provider with the same ICD10 code been paid for 6 years then ? Please can some one contact me to discuss this further. Epilepsy IS a PMB!