WARFARIN TREATMENT PLAN EXPIRED??? A PMB

My mom is on Bocap and was placed on wafarin many years ago by a doctor at N1 City who no longer treats her. She must have the levels tested and then PATHCARE send her a SMS on how to take the WARFARIN. TARIFF CODE 3*** AND I48.0 is what the LAB puts on the claim. BONCAP never pays the codes correctly and now send Emails and copy Gakiema in and at times she never replies , the latest response was unhelpful to say the least, TL says that ' The only claim rejected for codes 3805 and 3806 was dated the 21/12/2019. The claim rejected as the member’s treatment plan benefit was exhausted at the time.' I rep**** and asked her surely BONCAP as clinical people ? WHAT must the member do? Surely a member who did not put herself on the WARFARIN must have adequate FUNDS FOR PMB and why does Bonitas Clinical PMB department or chronic department bot contact the doctor and ask why they must increase it? The option is so limited NO CONTACT from BONCAP side to the member, no direction or guidance just sorry funds exhausted? Next you will claim STALE .... AND LIST MY MOTHER WITH ATTORNEY FEES even then you guys are not interested. Please can someone check all the dates from the 14/09.2019 to 31/03/2020 FOR PATHCARE and respond with a solution as to how we can get these claims paid from the treatment plan?