2015 Medscheme Billing Changes
2015 Medscheme Billing Perspective Change:
Scheme Rate
Whereas in the past, claims were submitted REPI1 and REPI3, Medscheme have now requested that consultations (0190) be submitted at the “Scheme Rate”.
Medscheme Medical Schemes:
- AECI
- Bonitas
- Fedhealth
- Glencore
- MBMED
- Sasolmed
Medscheme themselves will add the enhanced fee.
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E.g.
Practice submits AECI claim 0190 at R303.70
For a REPI1 practice, remittance will show payment of R303.70 in your favour PLUS an enhanced fee in the comment line of R91.10 – total payment therefore R394.48
Click here to get 2015 Medinol Medical Tariffs
.