Second claim submission and the nightmare continues

Claims submitted on 28/11/2019. Numerous emails asking if all documents are received and then the response on 6/12/2019 and the same response on 07/01/2020- We have assessed your claim and have found that the shortfall should have been covered by the Medical Scheme. Your claim is now with a specialist who is liaising with the medical scheme administrator. The second time i submitted a claim and it is an absolute nightmare when it come to claim submissions. So disappointment, meanwhile I have to deal with Doctors rooms calling for payments of their claims. AMBL***