PMB condition not settled although all related codes correctly shown

I am totally frustrated as all my attempts to communicate with Momentum Health leads to NO WHERE!!! What I definitely can say: Over the years Momentum has not improved their service when it comes to claim settlements - especially when dealing with a PMB. My daughter had fractured her wrist on the 30th January 2018. A fracture is a PMB which by law has to be covered in full. I have made sure that all related claims/invoices are correctly coded (S52.50) and on all claims the PMB condition (902H) is noted. I have received an email on the 18 Feb 2018 from Momentum reading that "the account has been reprocessed accordingly as PMB. Kindly note, the claim is currently being held for auditing purposes. Hence, an exact payment date cannot be confirmed". THIS IS NO LONGER ACCEPTABLE. Why auditing purpose if all claims are correctly PMB coded! Why do I need to wait any longer! I HEREBY URGE MOMENTUM TO COMMUNICATE A PAYMENT DATE AND PAYMENT TO BE DONE WITHIN REASONABLE TIME IN FULL! Up to today Momentum has short paid all claims! My GAP will not cover as it is a PMB! How ridiculous. The doctors now call and email me to get their shortfall paid! Another upsetting issue: as my daughter got admitted into hospital for an emergency surgery I had to settle the co-payment of R1300. According to Momentum Custom Option - emergency conditions DO NOT REQUIRE R1300 CO-PAYMENT. THIS IS STATED IN THE MOMENTUM HEALTH CUSTOM RULES. I have debated the co-payment with the responsible person at the hospital admission - he said Momentum told him to charge R1300. I have no other choice as to pay the R1300 and then discuss this with Momentum myself. I have no other choice as to contact the Council of Medical Scheme and submit a complaint! How is this! How frustrating!