Claim not paid & poor service

I have consulted a Maxillo Facial Specialist on the 17 & 18 August 2015 which I have obtained a specialist authorisation as requested by the fund. I sent a treatment plan to the fund to get authorisation for the procedure, I was informed I do not need a auth as I have enough benefit available in my dentist benefits, I can go ahead with the procedure. Sent through the treatment plan anyway and the Dr PA did the same sending the treatment plan and was told the same.<br> <br> 3 months later I have a bill of R5500 not paid by the fund! I have followed up 8 TIMES ASKING THEIR MANAGER, JEREMY TO CALL BACK which was never done! Spoke to several call centre agents trying to sort out the claim.<br> <br> First I was told the Dr cancelled his contract with the fund and when I queried it with the Dr, it was not the case.<br> Then the authorisation that was obtained for the procedure is not valid. After that authorisation was obtained and the procedure was done I was told after I phoned back the 8th time that it was exclusions.<br> I sent an email to the [Email Removed] complaining of the poor service, yet still no reply!<br> ***