IOD WCA COMPENSATION FUND CLAIMS Stale Claims

 1. COMPENSATION FUND CLAIMS SUBMITTED VIA MEDIKREDITWith Immediate effect, the Stale Claim and Reversal Period applicable to Compensation Fund electronic claims submission will be lifted. MediKredit will deliver all old/stale as well as new/current claims received electronically to the Compensation Fund for electronic processing. 2. MASK CHECK Member details will not be validated against the cardholder file; however the following mask checks will apply:a) …

GEMS Dental Management Program 2013

http://medinol.co.za/government-employees-medical-scheme-gems-faces-insolvency-threat/Dear Dental Provider As from 1 January 2013 the GEMS Dental Management Programme will be managed by Prime Cure Health. The Dental Managed Care Programme will incorporate all five GEMS benefit options.For dental pre-authorisations or any dental queries, please contact the GEMS Call Centre on 0860 00 4367 and follow the voice prompts.All GEMS dental claims for services rendered from 1 …

Medical Aids or Schemes Administered by Dental Risk Company DRC

CareCross Administered ClientsBestmed Pulse 1·                 Horizon Major Medical Plan CareCross·                 Moto Health Essential Option·                 Old Mutual Staff Network Plan·                 Selfmed Selfnet Option·                 LA Health KeyCare Option·                 Remedi Option·                 Eminent Administered ClientsNUFAWSA Standard and Select Options·                  Classic Option·                 ProSecure Option·                 TransmedState Plus Own Choice Option·                  Complete Select Option·                 P2 Lonmin Mining Option·                 Platinum Option·                   brought to you by Medinol Dental Billing …

2018 Discovery Physiotherapy Tariffs

Discovery Health2018 Physiotherapy Tariffs For Physio Billing & Claims Software Click HereProcedure CodeProcedure DescriptionScheme Rate72001Infra-red, Radiant heat, Wax therapy Hot packs48.5072005Ultraviolet light97.1072006Laser beam145.6072007Cryotherapy48.5072103Galvanism, Diodynamic current, Tens.83.5072105Muscle and nerve stimulating currents.100.0072107Interferential Therapy.97.1072117Appointment not kept (schemes will not necessarily grant benefits in respect of this item, it will fall into the “By arrangement with the scheme” or “Patient own account” category).0.0072201Shortwave diathermy.58.5072203Ultrasound.97.1072205Microwave.58.5072300Vibration97.1072301Percussion134.1072302Massage83.5072303Myofacial release/soft …

Medical Aid EDI Codes – 2016/02

Medical Scheme EDI Codes as at February 2016Below are the latest Medical Aid activation and destination codes.  MEDINOL USERS: OMIT THE “P” –  Enter Only The NumeralVERY IMPORTANTThe media used by MediSwitch to submit your claims to the Medical Aid Schemes are Real-Time, EDI (electronic) or Printed Statements.PLEASE NOTE: An * (Asterisk) in front of a Code indicates a change to an …

THEBEMED MEDICAL SCHEME CHANGES 2018

Dear Electronic Switch Houses/Bureau’s THEBEMED MEDICAL SCHEME CHANGES 2018 Directors:This letter serves as notification that Thebe Ya Bophelo Administrators and Providence Healthcare Risk Managers are merging on the 01st of January 2018. ThebeMed Medical Scheme will be moving to the Providence Healthcare Administration System as from the 01st of January 2018. Please be advised that all future claims with a …