jj
jannette.botha jannette.botha

1 reviews | Active since May 2016

09 May 2016, 09:27

Waiting for an AUTH for 8 weeks - still no feedback

<p>practice no: ***</p> <p>member no: &nbsp;697887</p> <p>Service date: 10-01-2016</p> <p>&nbsp;</p> <p>24-02-2016 quote and motivation submitted via email</p> <p>27-02-2016 Recieved and escelated by BUSI Ref: MH ***1</p> <p>05-03-2016 No feedback spoke to FELICIA, Ref: MH ***3</p> <p>19-03-2016 Instructed by LEANORD, to fax the quote and motivaiton to him directly ***</p> <p>29-03-2016 spoke to MIRIAM, she stated that no documentation was recieved, but then she said she can see the documents... there was a backlog in applaince department Ref: &nbsp;150416QRFR1M</p> <p>&nbsp;</p> <p>To date: no AUTHORIZATION recieved, been waiting 8 weeks!</p> <p>account will be a stale claim tomorrow, because GEMS HAS A BACK LOG!</p> <p>PATHETIC</p>

0
Replies (3)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply20 May 2016, 10:04
Official

Good day

Thank you for bringing your concerns to our attention. We are terribly sorry that you have been experiencing difficulties. We are looking into your complaint and we will provide feedback as soon as possible.

Kind regards

The GEMS online team

jj
jannette.botha jannette.botha's update23 May 2016, 11:35
Reviewer Update
Good day It has been 2 weeks since the complaint was logged. Unfortunately GEMS has not rep**** with an resolution to the inquiry. Thus we have now been waiting 10 weeks for an Authorization. Please resolve this matter urgently
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply18 Jul 2016, 15:28
Official

Good day

Thank you for affording GEMS the opportunity to respond to your concerns.

In order for the claim to be reviewed, we require a prescription from your doctor. In order to fast track this matter we have contacted your doctor's practice to request for a prescription. We have received confirmation that the prescription will be emailed directly to the Scheme

We apologise for the delay in authorisation and for any inconvenience caused in this regard. We trust the above is in order.

Yours in service,

The GEMS Online Team