NP
Natashia P
1 reviews | Active since Sept 2010
19 Nov 2024, 09:19
Unresolved claim - 7 months ongoing
I submitted a complaint and HP report on 12 Nov 24. I prompltly received a call explaining the situation and was promised a call back on Monday 18 Nov 24. Well today is 19 Nov and i still do not have a call.or resolution. I have been delaying going to the ombudsman but seems that is what i now need to do. You authorise codes and then refuse to pay becuase there is miscommunication between your clinical and auth dept. Fix your internal processes as this is the last thing anyone needs..fighting for what is rightfully due to your members. Exploitation at its best.
Helpful (0)
Replies (4)0
Replies (4)Gems (Government Employees Medical Scheme)'s replyOfficial
19 Nov 2024, 09:29Good day,
Thank you for engaging with us. We are attending to 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,
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 reply19 Nov 2024, 09:29
Official
Good day,
Thank you for engaging with us. We are attending to 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,
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
NP
Natashia P's updateReviewer Update
19 Nov 2024, 09:35I would not have escalate if i received the promised call back yesterday.
NP
Natashia P's update19 Nov 2024, 09:35
Reviewer Update
I would not have escalate if i received the promised call back yesterday.
NP
Natashia P's updateReviewer Update
19 Nov 2024, 11:48Thank you
NP
Natashia P's update19 Nov 2024, 11:48
Reviewer Update
Thank you
NP
Natashia P's updateReviewer Update
19 Nov 2024, 13:42Im still waiting for a call?
NP
Natashia P's update19 Nov 2024, 13:42
Reviewer Update
Im still waiting for a call?
