Terrible service from Sizwe Hosmed

My name is Gary Wilder Membership number *** ID number *** Main member Mr GA Wilder On top of the below complaint which I sent two working days ago, TodayI tried to call your call center and waited 45 minutes on the phone only to be cut off. Recently I got through to Tembi who asked me a couple of questions then put me on hold and again the line went dead. I am now following the procedures required by the Council for medical schemes before laying a formal complaint with them. I receive no statements from Sizwe since November 2025 so I do not know what is going on with the below claims and cannot call Sizwe.

Dr WP De Beer practice number *** R1000.00 paid by myself on 3rd November 2025 and submitted on that date to claims department,then submitted again on 14th January 2026 and again to Queeneth on 2nd February 2026. New system reference number RFS67646. Please let me know when I will be paid back for this. This has not been answered and has not been paid.

DR Tayob Practice number ***. R5249.96 Sent to Sizwe claims department on 29th December 2025. They have not been paid.

Dr WP De Beer practice number *** R6130.63. Submitted on 15th December 2025 to claims department on 16th December 2025 then again on 14th January 2026 to Victoria Ref RFS67685.Sizwe original authorization number NEO ***A. As discussed with Queeneth, when I managed to get on to your portal it showed a short payment of R2761.75 and stated that codes 40,42,44 and 46 were duplicated so I spoke to Jacques at the doctor's rooms and he said these will be duplicated as it was a bilateral Hernia operation( Bilateral means both sides) so some codes will be duplicated. I contacted Jacques at Dr De Beer's offices today 9th March 2026 and he told me he received a remittance that said amount exceeded code 10 and nothing has been paid..

Netcare Linksfield Practice number *** for services on 15th to 16th of December 2025. sent on 16th December by Netcare electronically then sent by me on the same date to claims, also update requested by the hospital case management on 22nd December 2025 but no reply received. Sizwe original authorization number NEO ***A. . Also sent to Victoria on 14th January 2026 with clear instructions regarding the password to open this document then sent to you again on 2nd February 2026. Amount R40701.90. PASSWORD FOR THIS DOCUMENT ***. This was received according to Queenith during our conversation on the 2nd February. Apparently this has been short paid by R8113.51. I have no explanation for this short payment and have not received any statement. Documents submitted are attached.