Refund

Thank you. Someone called and they said they will get someone from authorisation to call me and till now they haven’t

Hello Again, Kamogelo Sebesho from retentions called me back and assisted me, now everything is amended. The service was really good

Good day,

May I please get an update on this query?

Good day,

I sent this email on the 16th of April to ***
Email:
“Good day,

Please see attached document for a refund.

Regards,

Karabo lehong ”

I got a reply on the 19th of April from the call centre. There’s two more conversations that come before this reply, to save time, I’m only copying this one.

Feedback:
160421QYJB9F - SPECIALIST REFERRAL NUMBER - ***. [MI***]

“Good day Ms Lehong

With reference to your email dated 19 April 2021, please find feedback below.

Please note that all claim enquiries (for all options of gems) must be forwarded to ***.

Kindly be advised that an ICD10 code means and/ or stands for International Classification of Diseases, Tenth Revision. In other words this is a diagnosis code. The Dr needs to summarize your condition into a clinical code. Please note that the authorisation has been approved. Kindly remember to ask the Dr, in future, to also provide you with an icd10 code.

Membership number: ***
Member name: Ms Karabo Lehong
Dependant code: 00
Referring GP: KILLIAN NIENABER ASSOCIATES
Referred to specialist: DR RAKESH NEWAJ
Specialist practice number: ***
Authorisation number: ***
Authorisation period: 26/02/2021 to 26/08/2021

Authorisation has been loaded for six months and is dependent on scheme rules, managed care protocols and available funds, which include waiting periods if applicable and subject to PMBs. Maternity claims are subjected to registration on the Maternity Programme. If the specialist is not on the network, please be aware as you may have an out of pocket co-payment.
The members need to contact us to nominate or update a Family Practitioner if they have not done so.

Please do not reply to email ***. Should you require any further information relating to this query, please send an email to *** or call our Call Centre on ***.

Kind Regards
Tshikelo
GEMS Network Team“

Do I need a referral to go to an optometrist if I’m using emerald value?

I still need assistance with this

I’m still waiting for feedback