Claims not paid out

Discovery is collecting a premium from us of R14000 a month. Now that I would like to claim back emergency expenses of R2000, they have a problem with the Service Providers Invoice and is only willing to pay R280. I phoned the Service Provider and they confirmed that having to change their system of billing is ridiculous as this has never been a problem and that Discovery will find any means possible to reject a claim. Just because the date of consultation is not next to the ICD10 code. I then called in again and spoke to a lady who is not very friendly. She advised that the claim was never submitted. So something is wrong with your processes, systems or *********** people. Discovery is clearly not complying with TCF in this matter. I will not leave the matter here.