2019 TFG Medical Aid Scheme Changes

Changes to TFG Medical Aid Scheme in 2019   The names of the TFG Medical Aid Scheme Benefit Plans, will be changing with effect 1 January 2019.   To ensure that the healthcare providers and members of TFG Medical Aid Scheme experience a seamless transition when claiming, please take note of the information in the letter.   The TFG Medical Aid Scheme plans changes   ·      Plan A will be called — TFG Health ·      Plan B will be called — TFG Health Plus   Identifying TFG Medical Aid Scheme members   Discovery Health will issue new membership cards with the new plan names to members on the TFG Health Benefit Plan. See the example below:     Submitting claims to Discovery Health The channels and processes of submitting claims will not change, Healthcare providers should continue submitting claims as normal.   Authorisations carried over from 2018 into 2019   To ensure no break in service is experienced, Discovery Health will automatically transfer authorisations for all the plans that have already been approved.      We hope this information will make the transition as smooth as possible. If you have any questions, please send an email to electronic@discovery.co.za     Regards     Brought to you by: medical aid claims software Tags: TFG, The+Foschini+Group

Bonitas tiered reimbursement consultation codes effective 1 November 2013

As part of a pilot project Bonitas has introduced tiered consultation codes The codes below are in-house Medscheme codes and we request that you load these codes into your billing systems to allow the provider practice’s to use them when billing for a consultation for all Bonitas patients (except for BonCap). It will not be necessary for you to communicate …

Momentum Medical Aid fee increase 2019

Momentum Health has published its fee schedule for 2019, showing how much their members can expect to pay for their various schemes in 2019. According to the group, the average increase in contributions across its plans is 10.7% –  slightly above the industry corridor of 3% to 4% above CPI. The group cited rising medical inflation and the April 2018 VAT hike …

Mandatory Changes To Claims Submitted Via MediSwitch

12 Sept 2017 Dear Medinol User Problem: REJECTED CLAIMS At the beginning of August 2017, claims sent via MediSwitch were rather suddenly rejected with a D133 error message – relating to dispensing fee calculation. This primarily affected Discovery claims. Investigating further it was found that MediSwitch had started implementing validation of the dispensing fee in the batch file. This was …

Medical Billing Software: Web-Based or In-house?

When confronted with a choice between in-house based Medical Billing System and a web-based or hosted Medical Billing System system, which might happen to be the better choice for you and your practice? Current economic hardship being what it is means more and more medical practitioners are finding themselves facing this critical question that needs a decision. For starters, it …

Medical Billing Software: Web-Based or In-house?

When confronted with a choice between in-house based Medical Billing System and a web-based or hosted Medical Billing System system, which might happen to be the better choice for you and your practice? Current economic hardship being what it is means more and more medical practitioners are finding themselves facing this critical question that needs a decision. For starters, it …