Spectramed change of Administrator

To all Medical Service Providers   Kindly take note that as of 01 November 2014 , V-Med administrators will no longer administer Spectramed claims , The new administrator Agility Global Health Solutions will be administering Spectramed claims for Doctors , Pharmacy and hospital claims.   Please take note that the Switching codes for Spectramed will remain ( ROSP0000 / 522P). …

Mamoth Health Pan via MediSwitch

Mediswitch has announced that as of 1 Feb, they are now live for hospital claims delivery for Mamoth Health Plan – administered by Mamoth Employee Benefits (Pty) Ltd, Lesotho.   Hospitals and clinics are nnow able to send claims via MediSwitch for Mamoth Health Plan members.   The destination codes for Mamoth are: MHPL0002 247P   The allowed disciplines for Mamoth are: 049 Stepdown Facilities …

Important changes on Glustitch and Corvadil

The pack price for Glustitch has changed to reflect the price per application and NOT per bottle.   Please note that when 1 is entered in the qty you will only be claiming for a SINGLE application.   ie: There are 5 applications per 1ML @ R49.06 per application There are 10 applications per 2ML @ R27.51 per application * …

Prosano Claims

As from 1 January 2013 Prosano claims will be administered by Bonitas. Claims sent to Prosano via EDI code 155 are being rejected. In order to have your Prosano claims accepted and processed correctly, in the Medical Aid File, change Prosano’s code to: 050 (omit the “P”). Tags: prosano+claims+2013

Locums and Tax

A Locum Tenens is classified as an Independent Contractor. As such, where an individual who is an independent contractor receives regular payments from you or is subject to your supervision and control, you must withhold employee’s tax. The fact that they are registered as provisional taxpayers and/or charge VAT on their invoices will make no difference.

Medical Aid Changes Starting 2013

The following changes are effective from 01 January 2013 Momentum Ingwe has discontinued the Network and State Capitation options of Carecross and Primecure. Members can now choose between Ingwe Network hospitals and State hospitals as their hospital provider, andIngwe Primary Care Network Providers for their chronic and day-to-day benefits Momentum Access has discontinued the Network Capitation options of Primecure, Medicross …