Bad service from compcare claims department

Mrs. DG Mariotti medical aid number: ***. I confirm that this is the second complaint I'm placing for compcare. We tried through facebook channels but are not getting anywhere. On their brochures they state unlimited hospital benefit under the dynamics scheme but we learning that this is not the case. The medical aid let admin issues get in the way of medical Bill's from being paid and penalizing the client whom they declare to look after and have their best interests at heart. mrs mariotti was admitted into hospital for an operation to remove cancer from her right lung in November 2018. She had more then one doctor looking after her. The medical aid did pay for everything except one doctor - Dr. M. Greenblatt. Their two reasons for this are 1) the icd10 codes first used was used by another doctor who was already paid. 2) Dr. Greenblatt accounts department are using incorrect codes for the amount of days she was in surgical icu. The doctors keep changing the codes as requested by medical aid but this keeps being rejected with medical aid claiming one of the two reasons mentioned above. This keeps going round and round in circles with this matter not being resolved over a year later. My mom had to pay the bill as it painted her in a bad light as Dr. Greenblatt is our family physician. We should have gone straight to the ombudsman instead of complaining with compcare as this is not getting us anywhere. We feel that compcare are not making this their priority as mrs Mariotti has already paid for the bill .