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

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