Poor claims service for cancer patient

Dear Sir/Madam I wish to express my disappointment and discontentment with GEMS poor service delivery and poor rate of paying in claims. In March I sent in claims to the value of over R R134 921,22. To date I did not receive a single email or phone call relating to why the claims were not paid in full. I received the following amounts with no explanation: 4 May R14 631,79 17 May R11 583,96 1 June R15 029,17 Total received: R41 244,92 Shortfall not paid: R93 676,30. I request in writing an explanation as to why my claims were not paid in full as I wish to take legal action. I took a loan from the bank to pay the medical expenses and the interest is fast accumulating and I need to close off the loan.

I have tried to contact GEMS through various channels (phone/email) and no one has yet been able to assist with either an explanation, or confirmation that I will be receiving full claims payment.