Claim of September 2020 not paid

I am so disgusted with sanlam gap cover! My claim was for 16 September 2020. In the 1st week of October i submitted all my documents. When i contacted the call center before my procedure I asked if they will cover my prosthesis as i dont have enough benefits. They confirmed it will be paid. However i have been following up every week and for 3 weeks the agents said it takes 14days for claims to processed. I called again and the 4th agent said my documents were not submitted and he will do so. When i followed up they requested a claims report. I got this from my medical aid and sent it. Followed up and they requested another document, sent it to them. Called again they requested another form to state the prosthesis not paid. Sent it, in the mean time i requested another form from my medical aid to state the prosthesis was declined as PMB and sent it. Just to call back and they requested another form from the doctor this i sent as well.

Its December no feedback! I have to phone after them! I never skipped a premium for this **** service! Did they ever hear of first call resolution? I am done with this **** place!

I had a Hernie repair with Mesh, and the mesh was short paid as i do not have enough prosthesis benefits. The prosthesis is not PMB LOC. The hospital account was short paid!