Subjective claim process depending on assessors decision - Swazi put me on hold for 35minutes

Subjective claim process - once again

Code N71.9 ETC600275*001 when processed initially was paid through the scheme on payment for R9223 and when the updated statement was processed the payment of R10,987.50 excluded the payment of R302.19, when I queried the non-payment of the code, it was then processed but from the MSA not as originally processed from the hospital account therefore resulting in me paying for a hospital procedure from my savings and not being covered by the gap cover on the hospitalisation because Discovery is saving costs on a hospital stay by using my savings account (MSA). Fix the claim to pay as per claim - hospital admission. Statement line item on the initial code and revised statement hasn't changed yet Discovery has med it their mission to be subjective once again first pay the claim correctly through the hospital claim scheme rate, then not pay it on the updated statement and when I picked it up they made me pay it by utilising my savings therefore being subjective.

How difficult can it be to be consistent, yet I guess in this case when it comes to this claim Discovery for the second time has proven to be consisitent by being subjective on this claim once again.