Claims not paid

Since November, I am waiting for claims to be paid. A member was authorised PMB out of hospital benefits yet each time the response when the claims are sent, is that there are no funds. Everytime I call, the various agents say they will send it for reprocessing but yet no payment has been made. The PMB authorisation letter has been sent with the claims yet seems like the different departments do not liaise with each other, or no one seems to be able to read. This has put stress on the client as well. Its shocking that the service FROM discovery has deteriorated so badly. If payment is not made soon, then this will be taken up with the Ombudsman.