Assisting Practitioners – New EDI Requirement

Assisting Practitioners:

The name and practice number of a medical or dental practitioner who assists during a procedure performed in theatre must be included on the account of the doctor performing the procedure and claiming for the assistant fees. Some schemes may in future also require this to be specified for procedures out of theatre, and it is therefore suggested that the assisting practitioners should always be specified irrespective if the procedures were performed in or out of theatre.

The assisting doctor’s PCNS practice number and HPCSA number, as well as name, must be included on every transaction line that contains the modifier that indicates an assisting fee.

Modifiers that should be submitted with assisting practice numbers are:

  • 0009 and 0008 (for medical practitioners)
  • 8001 and 8007 (for dental practitioners)
Kind Regards,



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About Medinol:
Medinol is one of the few purpose-built practice management application to meet the unique needs of independent private healthcare providers. Today Medinol helps over 130 providers throughout South Africa run more efficient and profitable practices, while delivering outstanding patient care. As an on-premise software, Medinol and the data it manages, is fully under your control. This enhances your independence and privacy:¬†what happens in your rooms, stays in your rooms. Medinol helps manage your patient information, generates your billings, submits your claims, control your outstandings, and get your accounts paid quickly. Medinol has been in operation since 1984 demonstrating its proven efficacy. Medinol’s mission is to help independent practices succeed in an ever-changing healthcare environment. More information can be found at http://medinol.co.za.

Contact:
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