*****ulent claims 20 months after service.

We received an emergency service at Milpark hospital 2023/09/27 and I have the statement from my medical aid indicating that the charged services from this group were paid in full 2023/10/12. Now 2025/05/27 "Please take note of the following, your scheme recently decided to reverse a portion of all their members' claims for the last couple of years as they decided that the visits to the emergency department were non emergencies and that their members will be responsible for the amounts reversed. The visit was for 27/09/2023 and an amount of R236.60 is due. Please take it up with your medical scheme." This is a *****ulent claim and the explanation as well to make nearly 2 years later with no communication on any earlier date although stating in their first mail that they contacted me on several occasions (All my contact details are on the statement they sent me) and I did not pay, they then sent me a statement of theirs showing a small amount being refunded 2025/05/09 refusing to forward me the claim made by my medical aid with a reason code. I have informed their attorney that I will take legal action, and their client will be responsible for the costs I incur when listing me on Monday. I have received *****ulent claims before but not this stupid, I have left the email addresses from google and 2 as received from these people thinking no medical practice can be this dumb and they are *****sters that somehow got this info to **** me, a very common thing in SA where people working at these places hand out your details for extra money. Never pay these types of people before they proof what they say with a reason code from your medical aid, a statement from your aid must show this as well and or a mail from your medical aid that show proof send to them and forwarded to you and which you can then follow up on. But come on 20 months later while having all my contact details saying my medical aid decided only now to request money back, you should have stayed in school dude and listened when the teacher said crime does not pay.