Total risk vs Bonitas

Totalrisk has been requesting breakdowns on shortfall payments on my account of June 2024 since I submitted my claim in June. To date Bonitas has responded with some of the codes but there are still outstanding info needed.

Now I do not know why they are requesting this and what the intercompany issues are but me as the middleman, being threatened by the surgery for handover, is not a happy customer. Whatever the issue is let me know so that I can either get me a new medical aid or new gap cover as this is totally unacceptable.

To me it is simple, if medical aid do not pay, Total risk must pay? I get some response from Bonitas and send it to Totalrisk - a week later Total risk advise me this is not correct. Bonitas sais that is all they need, Total risk sais no it is not....I am sick of the whole lot of you!!!