Unprocessed Preauthorised Clinic account - 7 months later

My daughter was admitted to the Day clinic for treatment on the 13th of November 2018 with preauthorisation from my medical aid to have her tonsils removed. Co-payment was paid on the day. All the bills have been settled except for the hospital account.

Health Squared claim Intercare has the wrong code on the account (psychiatric for a 4 year old). I have called, emailed Koekie Pearson and Norman Afrikaner at Intercare multiple times. I have sent them all the correspondence from the medical aid regarding the codes. They insist the codes are correct and industry standard. As a result I am unable to submit accounts to my gap cover and am R10k out of pocket and Intercare would like me to settle their account directly despite the fact that I have followed medical aid procedure precisely.

I have called and emailed Health Squared repeatedly too to assist with the Gap claim. The first person, Lorraine said she would get her supervisor to send me a letter stating how much I paid for a co-payment so that I could make a claim. This letter never came. Then I called and spoke to Martin, Martin also said he would send a letter, then sent and a rejected claim without co-payment amount on it a week later. Then I spoke to Kohlekile who told me they cannot give me any documentation showing the co-payment until the claim is processed. It is impossible to get this issue resolved as neither party will admit they are wrong . There is no communication between the clinic and medical aid. I am at my wits end being passed from person to person with no on taking accountability or helping me. Very unprofessional all round.