Rejected Claim, Then uses Delay Tactics

I am R11800 out because of the incompetence and inconsistency of CAMAF staff. Further to this other queries have been resolved, but this amount remains... delaying the inevitable by paying small amounts and avoiding the large payment. A delay tactic if ever I saw one. This has been going on for over a month.

I received authorisation (which I had to wait to get for over 30 minutes for, in pain from a cyst in my jaw and impacted wisdom tooth), submitted documentation for the exact same procedures with my name ON THE DOCUMENTATION and yet I was given rejection codes alluding to the member not existing (I am the main member). This defies all belief or logic. I have raised this issue with the person dealing with our corporate account, A Frank, who has tried to assist but appears to be facing similar internal challenges. I did receive an SMS stating that the claim was being reprocessed by here I am 2 weeks later and 2 statements later still out of money and still no closer to understanding what needs to happen. We pay tens of thousands out of pocket in good faith that medical aid will cover the bill (or their required portion) when the time comes... My patience with CAMAF has worn thin having just spent an extraordinary amount of time resolving ANOTHER very simple issue. Communication is extremely poor. There is no acknowledgement of complaints, no responses to complaints, no proactiveness at all, no responses from support... CAMAF support does not respond to emails. The call centre just plain doesn't work 75% of the time (conservatively) in that it won't even send you to a person because it can find neither your member number nor your ID number... and if you finally get through to someone they want you to resolve with the service provider, who usually wants nothing to do with them (I can see why!) Just how competent are the people dealing with these claims? How much of a total view of the case do they have? Do they even have medical knowledge? Nobody at CAMAF can answer these questions.

Either way, I am out a lot of money and my faith in CAMAF has been DRAMATICALLY reduced.