What should I have on my claim

When submitting a claim, make sure the following information is on the healthcare service provider's invoice/claim:

• Your member number
• Your benefit option
• Your surname and initials
• The patient's name and beneficiary code as it appears on your membership card
• The name and practice number of the service provider
• The date of service
• The nature and cost of treatment
• The pre-authorisation number, if applicable
• The tariff code
• The relevant ICD-10 code
•  Your signature to confirm that the account is valid (for paper-claims)

How do I submit?
GEMS has made it easy for you to submit your claim.

You can submit your claim by using the following channels:
Post: GEMS, Private Bag X782, Cape Town, 8000.
Fax to: 0861 00 4367
Email to: [email protected]