Terrible service. Totally in the dark regarding claims

Below claims not paid since December and one is even from November. You wait for minimum of 30 minutes to get through to claims and then often cut off. They do not reply to members or Doctors E Mails. Dr WP De Beer practice number 0082295 R1000.00 paid by myself on 3rd November 2025 and submitted on that date to claims department,then submitted again on 14th January 2026 and again to Queeneth on 2nd February 2026. New system reference number RFS67646. Please let me know when I will be paid back for this. This has not been answered and has not been paid.

DR Tayob Practice number 0271268. R5249.96 Sent to Sizwe claims department on 29th December 2025. They have not been paid.

Dr WP De Beer practice number 0082295 R6130.63. Submitted on 15th December 2025 to claims department on 16th December 2025 then again on 14th January 2026 to Victoria Ref RFS67685.Sizwe original authorization number NEO 020251113014A. As discussed with Queeneth, when I managed to get on to your portal it showed a short payment of R2761.75 and stated that codes 40,42,44 and 46 were duplicated so I spoke to Jacques at the doctor's rooms and he said these will be duplicated as it was a bilateral Hernia operation( Bilateral means both sides) so some codes will be duplicated. I contacted Jacques at Dr De Beer's offices today 9th March 2026 and he told me he received a remittance that said amount exceeded code 10 and nothing has been paid..

Netcare Linksfield Practice number 5808502 for services on 15th to 16th of December 2025. sent on 16th December by Netcare electronically then sent by me on the same date to claims, also update requested by the hospital case management on 22nd December 2025 but no reply received. Sizwe original authorization number NEO 020251113014A. . Also sent to Victoria on 14th January 2026 with clear instructions regarding the password to open this document then sent to you again on 2nd February 2026. Amount R40701.90. PASSWORD FOR THIS DOCUMENT 5810285091184. This was received according to Queenith during our conversation on the 2nd February. Apparently this has been short paid by R8113.51. I have no explanation for this short payment and have not received any statement. Documents submitted are attached.