CW
Caradee W

1 reviews | Active since Jul 2018

19 Aug 2021, 10:20

GEMS medical aid members - don't use Sedation Connect - GEMS doesn't accept their statement

Sedation Connect are infuse anesthetic and sedation services. It costs R3800 which is a lot of money. The Dr was lovely and did the job well. The problem is they will not issue me the correct documentation I need to claim from GEMS medical aid. They just issue a statement - no stamp on it, nothing. I did an EFT to pay them since you don't actually go to their offices. See email from GEMS. They won't consider the claim. So I cannot get even a partial payment back. Will never use them again.

From: Gems Noreply <***> Sent: Wednesday, 18 August 2021 09:50

Good day, We refer to your query dated the 17th August 2021. Kindly note, when sending a paper claim with proof of payment for processing, we require the following. • A valid proof of payment with paid stamp and signature visible. • Electronic payment reflecting on claim will not be accepted. • Handwritten, word document and excel spreadsheet paper claim will no longer be accepted. Please be advised that paper claims without the above will not be accepted for processing. We trust the above is in order. Disclaimer: Confirmation of benefits does not guarantee payment. Please do not reply to this email. This is a no-reply email account. Please forward all queries to *** Kind Regards GEMS Dental Management Tel: Member +***7 Tel: Service Provider +***7 Fax: +***7 *** | www.gems.gov.za

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