EF
Erin F

1 reviews | Active since Jul 2014

06 Aug 2015, 12:51

Claim Payment Reversal

20 Mar, I had blood tests (Cost R1 097.1) I got a GEMS statement saying the full amount was approved & paid to Lancet. 18April I received a statement from Lancet with an outstanding amount of R555.30. I called GEMS which said they would resubmit the claim and pay which never happened. I called them countless times after that as the bill was still not paid and I decided to pay the bill myself on 8June.<br> <br> 6 August I got a call from Lancet stating GEMS reversed the payment & there is an outstanding amount. I called the call centre & Jabu Mahlangu (***) informed me of the following: 27 March GEMS paid R541,80, 17 July - Reversed payment of R541.8, 31 July - Paid R1 096.7.<br> <br> I asked for statements showing all these payments and reversals and never received ones except the initial statement which states the full amount had been paid which wasnt as only R541.8 was paid and a statement showing the reversal of R555.30 which is the portion I paid. No further proof of payments was received to send to Lancet to settle this. I asked to speak to the manager, wasnt put through and Jabu refused to give me the managers name! <br> <br> I would like a prompt resolution & the claim to be paid ASAP!

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Replies (1)
Metropolitan Health Group
Metropolitan Health Group's reply12 Aug 2015, 11:52
Official
Hello E03,

As per our telephonic conversation, we confirm that the accounts were reprocessed and paid in full on 31 July 2015. You also confirmed that you received the statements.

Apologies for any inconvenience caused.

Kind regards
The Metropolitan Health Team