Blame shifting on outstanding claim

I called Dental Risk to advise on the process to have a wisdom tooth extracted. The lady who I spoke to never advised that there is only certain Dentist I can use. No where on their website or on the medical aid's website is this mentioned. Now they decline my claim due to the following reasons: • 355 – We have not paid this amount on this line as you did not use the network provider. • 332 – Your plan does not cover these treatments or tests. You need to pay this amount.

Remedi is saying the claim was rejected by the Administrator of the Policy ( Dental Risk) and Dental Risk is saying it was declined up front by Discovery as the dentist is not a listed provider.

NOW I am expected to pay the dentist because their terms and conditions are not clear!