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On this secure website you can:
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a pleasant one.
As a healthcare service provider, if you provide services to any of our members, you can register on our secure website to:
Any queries? Please provide your feedback so that we can make your GEMS online experience a pleasant one.
Healthcare providers can now load HIV/AIDS DMP registrations online. Click here to login to the GEMS HIV/AIDS DMP Online Provider Registration facility.
DMA is the first tool of its kind in South Africa - providing employers with easy, 24/7 access to the membership data of their entire employer group or branch - through the Internet. DMA allows you to:
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The claims you or your healthcare provider submit to the Scheme can be rejected for various reasons. For example, claims must be received by the Scheme for processing within four months from the date of receiving a service. A claim that is received after four months from the date of service is regarded as stale in accordance with the Medical Schemes Act and the Schemes rules. A claim that does not have all the information needed according to the Rules and the Act. If your claim is rejected due to outstanding information, you only have 60 days to resubmit, otherwise the account will not be paid.
Other common reasons why claims can be rejected include:
Check your claims statement regularly as the reason for rejection of claims will reflect on your statement, if any. For a useful and easy guide on how to interpret your claims statement, please refer to www.gems.gov.za > Members > Claims.
Download various forms relating to your membership in easy-to-use PDF format. Click Here >