Just another ICD 10 code Human being!

This is an ongoing matter. I have submitted sufficient motivation, photos and supporting documentation for an in hospital procedure that was not paid. I have requested the claim to be re-adjudicated by a medically qualified person in light of all the medical treatment leading up to the procedures. Once again I got the standard template responses! I am sick and tired of working with standard responses. I have taken the time to prepare proper documentation and motivation from relevant service providers. The Hospital Case Manager as well as treating doctors and physiothe****** are in agreement that treatment in hospital was relevant from the initial knee surgery to the subsequent complications and the second knee surgery. Or is the medical aid regulations ( Obviously carved in stone or ICD 10 code book) that fail to comprehend all the facts of the case, regardless the comprehensive supporting documents? In other words a person in an ivory tower knows best and overrules the required treatment by surgeons, physicians etc. null and void ?? I wish to have a proper response from a medically qualified person an senior level. Thus I will know that my complaint was reviewed by the right people and not the people that are staring them selves blind against an ICD 10 code on a statement!!! The irony in the last feedback is that they refer to treatment at different hospital!! Take a paid working hour read through the relevant documentation. After all it was summitted for a purpose! Your feedback up until now speaks of the level of respect you show your members. Just a standard shrug of the shoulders and pay your membership!!! Your are a just an ICD 10 code !!Not a complex biological human being!!