Health 4 Me Electronic Claims

Momentum EDI Claims Claims for Momentum Health are being rejected. As per their call centre it should be captured under Momentum Insurance or Health4Me or Comprehensive. We advise that the following EDI code be used: 472     To Implement inside Medinol:   Main menu -> Files -> Medical Aid -> Add   Designate a separate code for Health4Me, e.g. …

Discovery Premiums Massive Increase in 2017

Discovery Health has announced its new premiums for 2017, which are set to increase between 7.8% and 14.9%. The average premium increase across Discovery Health’s plans are 10.2% – significantly higher than last year’s 8.6%, and even higher than the forecast CPI of 6.8% The increases for individual Discovery Health plans are as follows: Executive and Comprehensive: 11.9% Coastal Core: …

Glencore Medical Scheme to be administered by Discovery Health

Dear Trading Partner/PMAs   Glencore Medical Scheme to be administered by Discovery Health We can confirm that from 1 July 2016, Glencore Medical scheme will take on Discovery Health Medical scheme tariff guide, except the below will have different rates, Dialysis and Pathology Networks Hospital networks GP Consult Table: 0190 New and established patient: Consult R349 0191 New and established …

Polmed Membership Number

Who is Polmed South African Police Service Medical Scheme (POLMED), is a closed medical scheme registered under the Medical Schemes Act (Act 131 of 1998). Only employees of the South African Police Service (SAPS), appointed under the South African Police Service Act (Act 68 of 1995), and their dependants are eligible to be members of POLMED. The Board of Trustees …

2016 Polmed GP Tariffs

The GP tariffs will increase by 6% for both Network & Non-Network doctors for consultation codes namely 0190,0191 and 0192 which is R355.00 and R328 respectively. All GP procedure codes will increase by 6% for all doctors. Tags: 2016+Polmed

2016 MEDSCHEME GP Tariffs

  2016 Medscheme Administered Scheme Tariffs     1. Tariff increases for 2016: After due consideration by each individual medical schemes’ board of trustees, the following tariff  increases will apply to the scheme tariffs of the Medscheme-administered schemes listed below with effect from 1 January 2016: Scheme % Increase Scheme % Increase AECI Medical Aid Society 6.00% MBMed Medical Aid …