The Scheme received a tipoff letter that saved both GEMS and its members an enormous amount in fraudulent claims. The letter provided the Scheme with sufficient information to openly conduct an investigation that eventually led to the sentencing of an Empangeni pharmacist.
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GEMS would like to urge employees at government departments to be vigilant of unlicensed mobile practices offering on-site healthcare services.
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There has been an increase in fraudulent cases where healthcare providers treat a member's de-registered dependant (family or friend) and claim for these services from the Scheme using the details of a registered dependant.
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When diagnosed with an HIV infection, it is important to make a commitment to living positively. By living a positive lifestyle you are ensuring a healthier, longer life.
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When submitting a claim what information should be on the healthcare provider's invoice?
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GEMS has two self-help services that allow members quick and easy access to their benefit information.
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