1 reviews | Active since Aug 2012
billing
<p>I am on the maternity plan with gems , there is aquery that gems will not pay my pathcare bills as path care used the wrong icd code, we have been in contact with pathcare and the accounts department says they have been workin for years with gems. Can this be sorted </p>
Dear Ms. Pieterse
As discussed and further to our telecom, all information supp**** to us by your referring doctor is correct.
However, the claims were rejected due to incorrect processing by the medical aid, and through no fault of PathCare, as we supp**** the correct ICD10 code.
We have since followed through with medical aid on your behalf, further to your resubmission of the claims.
We trust that the accounts will be settled accordingly.
Assuring you of our best intentions at all times.
Yours sincerely,
Sharon van der Berg
PathCare Debtors
Best regards,
Dear Ms. Pieterse
As discussed and further to our telecom, all information supp**** to us by your referring doctor is correct.
However, the claims were rejected due to incorrect processing by the medical aid, and through no fault of PathCare, as we supp**** the correct ICD10 code.
We have since followed through with medical aid on your behalf, further to your resubmission of the claims.
We trust that the accounts will be settled accordingly.
Assuring you of our best intentions at all times.
Yours sincerely,
Sharon van der Berg
PathCare Debtors
Best regards,
The consultant dealing with the claim, said she will contact me on the 1/04/2017, which she had not. What is happening with this claim.
The consultant dealing with the claim, said she will contact me on the 1/04/2017, which she had not. What is happening with this claim.
Below Reply from Gems, if this is a path care error why must I pay, if I had sufficient funds on this plan,
Good day
Thank you for alerting us to your claim concerns.
As indicated the account was submitted electronically by the service provider with the ICD-10 code as Z01.7. Please note that the information received cannot be changed or amended by the Scheme and that we will require an amended claim, reflecting the correct ICD-10 code, from the healthcare service provider.
We trust that this is in order.
Kind regards
The GEMS online team
Below Reply from Gems, if this is a path care error why must I pay, if I had sufficient funds on this plan,
Good day
Thank you for alerting us to your claim concerns.
As indicated the account was submitted electronically by the service provider with the ICD-10 code as Z01.7. Please note that the information received cannot be changed or amended by the Scheme and that we will require an amended claim, reflecting the correct ICD-10 code, from the healthcare service provider.
We trust that this is in order.
Kind regards
The GEMS online team
Dear Badboy69
Our email to you dated the 29/05/2017 has reference that we have been in continuous contact with your medical in an effort to assist you.
Regrettably, Gems rejected your accounts again.
We would appreciate you addressing this non-payment of your accounts directly with Gems in order to bring resolution to this matter.
Assuring you of our best intentions at all times.
Yours sincerely
Sharon van der Berg
PathCare Debtors
Best regards,
Dear Badboy69
Our email to you dated the 29/05/2017 has reference that we have been in continuous contact with your medical in an effort to assist you.
Regrettably, Gems rejected your accounts again.
We would appreciate you addressing this non-payment of your accounts directly with Gems in order to bring resolution to this matter.
Assuring you of our best intentions at all times.
Yours sincerely
Sharon van der Berg
PathCare Debtors
Best regards,
Thank you, I am aware of the history with gems. Gems rejected the claims due to incorrect icd code on invoices, whether it was refered to the correct code on the statement as we both know that reconciliations gets done on statements and not payment, therefore I understand why gems have a query, I will refer this. Please forward me the invoices not statement, just like it is my ultimate responsibility to pay this account it is the suppliers responsibility to bill according to the correct codes. Please stop passing the buck,
Thank you, I am aware of the history with gems. Gems rejected the claims due to incorrect icd code on invoices, whether it was refered to the correct code on the statement as we both know that reconciliations gets done on statements and not payment, therefore I understand why gems have a query, I will refer this. Please forward me the invoices not statement, just like it is my ultimate responsibility to pay this account it is the suppliers responsibility to bill according to the correct codes. Please stop passing the buck,
Dear Badboy69
Our email to you dd 31/05/2017, reflects and have attached all the necessary information as requested.
Please feel free to contact us should you have further queries in this matte. Assuring you of our best intentions at all times
Yours sincerely
Sharon van der Berg
PathCare Debtors
Best regards,
Dear Badboy69
Our email to you dd 31/05/2017, reflects and have attached all the necessary information as requested.
Please feel free to contact us should you have further queries in this matte. Assuring you of our best intentions at all times
Yours sincerely
Sharon van der Berg
PathCare Debtors
Best regards,