Mamoth Health Info For Providers

1. New Mamoth Health Scheme Information:
Mamoth Health, a self administered scheme, will be processing via MediKredit with effect from 1 February 2012. New acute and chronic option codes as indicated in the summary table have been assigned for the processing of all plans.

2. HEALTHNET
2.1 Claims:
a) Claims should be submitted via HealthNet
b) Retain original scripts for record and audit purposes

2.2 Validation:
HealthNet will validate:
a) Membership number
b) Date of birth
c) Dependent Code

2.3 Networks:
HealthNet will accommodate all networks as agreed to with the scheme.

2.4 Markup & Dispensing Fee
a) Schedule 0 and nonscheduled items calculated on published wholesale price : 29.64% (Incl. VAT)
b) Schedule 1 to 7 calculated on Single Exit Price Pharmacy Claim (with Prescription): 29.64%
Max R29.64 (Incl. VAT)

2.5 Membership Number
a) Total length: 9 digits

2.6 Stale Claim Period
120 Days

2.7 Online Reversal Period
120 Days

3. PAYMENT INFORMATION
MediKredit will be paying providers on behalf of the scheme.

SUMMARY OF RULES:
Momoth Health Acute
Mamoth Health Chronic

For more info: Medikredit 0860 932 273

 

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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:

medical billing software

 

Fudley Bezuidenhout Pr.Eng.
Founder and CEO
Email: info@medinol.co.za
Ph: 021-906-2296
Cell: 082-688-9610

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