They **** to me

I have had elbow surgery in June. I had to pay a co-paiment to the hospital.

The claim was placed on hold because the detailed claim statememt from my medical aid was not received. This I have since sent to Sanlam.

On the 18th of July I received the below information from Sanlam:

Thank you for contacting Sanlam Gap, where ensuring good health is never a bridge too far. The account received for Mediclinic has a treatment date 10-06-2025. Please see confirmation below: Our claims specialist has released the below claim and will be in the payment run for the 21/07/2025.

This claim was NEVER paid.

Today I received an email stating that the claim was rejected:

780 : ICD10 CODE NOT SPECIFIED TO DETAILED LEVEL

There is no ICD-10 Code on my detailed medical claims statement nor has there ever been on any previous statement.

I'm moving my RA and other policies to another company. Sanlam has proven time and time again that they are inefficient with handling claims. I encourage you to do the same.