Menu

admin

About admin

Medinol Site Webmaster

Posts by Webmaster :

PG Bison Medical Scheme Amalgamation

, , ,

Dear Trading Partner and Practice Manager
 
PG Bison Medical Scheme will be amalgamating with Discovery Health Medical Scheme from 1 May 2014
 
We want to let you know that the members of PG Bison Medical Scheme will move to the Discovery Health Medical Scheme (DHMS) from 1 May 2014. The destination remains the same as current.
 
Claim submission information
Claims with a service date from 1 May 2014
Please start sending claims to Discovery Health using these members’ new Discovery Health Medical Scheme membership numbers. They will receive their membership cards during the first or second week of May 2014.
Claims with a service date before 1 May 2014
 
Please finalise all reversals of claims with a service date up to 30 April 2013 for PG Bison Medical Scheme.
 
Claims with a service date before 1 May 2014 must still be submitted to the Administrator (ALLCARE) for processing.
PG Bison Medical Scheme will not accept any claims with service dates from 1 May 2014.
 
Please note that the information contained in this communication on the proposed amalgamation of PG Bison Medical Scheme and Discovery Health Medical Scheme is subject to the Council for Medical Schemes’ approval of the transaction.
Tags:

Largest Medical Aids in SA – Oct 2019

The table below outlines the 15 biggest open and restricted schemes.

Scheme Type Members Beneficiaries
Discovery Health Open 1 335 093 2 792 583
Government Employees Medical Scheme Restricted 695 531 1 813 320
Bonitas Open 331 955 713 190
Polmed Restricted 175 954 502 996
Momentum Health Open 156 761 298 071
Bankmed Restricted 108 669 219 948
Bestmed Medical Scheme Open 93 635 197 088
Medihelp Open 92 884 201 944
Medshield Open 81 456 164 774
LA-Health Medical Scheme Restricted 74 124 182 286
FedHealth Medical Scheme Open 72 286 143 200
Platinum Health Restricted 59 807 98 975
Sizwe Medical Fund Open 46 850 112 201
SAMWUMed Restricted 33 644 75 554
Keyhealth Open 33 503 69 569
Tags:

Locabiotal – Withdrawal

,

Locabiotal – Withdrawal

Date: 18 Aug 2018

WITHDRAWAL OF PRODUCT: Locabiotal®

Effective 12 April 2016, Servier Laboratories SA (Pty) Ltd, in agreement with the Medicines Control Council has withdrawn the below product from the market. The NAPPI code for this product has therefore been discontinued and placed in the Non-chargeable Discontinued File in the public domain.

The product details affected are:

Product (inc. Strengh) Form NAPPI Code

Locabiotal pump 1 doses 5mg/0.5ml Pump 837172004

For further information about these changes, please contact Harshal Thaker or Thealdi Mitchell at MediKredit on 011 770 6000, or alternatively, contact the manufacturer directly.

brought to you By Medinol Practice Management Software

MEDINOL MEDICAL BILLING | PRACTICE MANAGEMENT SOFTWARE

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, controls your outstanding debtors, 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 https://medinol.co.za.

Contact:

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

Medscheme to manage Liberty from 2017-07-01

Good day
Kindly not the following communication from Medscheme.
MEDSCHEME PROCESS FOR LMS MEDICAL FUND (previously Liberty Medical Scheme)
FROM 1 JULY 2017

From 1JULY 2017, Medscheme will manage all enquiries related to LMS Medical Fund.

To ensure that claims enquires are routed to the correct place, please take note of the details provided below,

Associated Provider Claims Enquiries
Hospital Claims enquiries

For any additional information please contact us on 0861 112 666.

Regards
Hugo Pretorius | Support Specialist: Channel Consultant| MediSwitch Central
Direct: 011 265 5400 | Cell: 082-6564106 | Fax: 086-7309067 | Email: Hugo@mediswitch.co.za | www.MediSwitch.co.za

2019 TFG Medical Aid Scheme Changes

Changes to TFG Medical Aid Scheme in 2019

 

The names of the TFG Medical Aid Scheme Benefit Plans, will be changing with effect 1 January 2019.

 

To ensure that the healthcare providers and members of TFG Medical Aid Scheme experience a seamless transition when claiming, please take note of the information in the letter.

 

The TFG Medical Aid Scheme plans changes

 

·      Plan A will be called — TFG Health

·      Plan B will be called — TFG Health Plus

 

 

Identifying TFG Medical Aid Scheme members

 

Discovery Health will issue new membership cards with the new plan names to members on the TFG Health Benefit Plan. See the example below:

 

 

 

Submitting claims to Discovery Health

 

The channels and processes of submitting claims will not change, Healthcare providers should

continue submitting claims as normal.

 

Authorisations carried over from 2018 into 2019

 

To ensure no break in service is experienced, Discovery Health will automatically transfer

authorisations for all the plans that have already been approved.

 

We hope this information will make the transition as smooth as possible. If you have any questions, please send an email to electronic@discovery.co.za

 

 

Regards

 

 

Brought to you by: medical aid claims software

 

ICD-10 Rejections for Age and Gender validations

ICD10 IMPLEMENTATION:

In order to be fully compliant with the ICD-10 implementation plan as outlined by the National ICD-10 Task Team,

stakeholders must have successfully implemented Phase 3 and Phase 4.1 by the 1

Phase 3 (already implemented):

Switchboard: 011 770 6000

Call Centre: 0860 932 273

Website: www.medikredit.co.za

2nd Floor President Place,

Cnr Jan Smuts Avenue & Bolton Road,

Rosebank, Johannesburg, 2196

Directors: Dr S C P Belamant; A Keschner; H G Kotzé

ectors: Dr S C P Belamant; W J du Plessis; H G Kotzé

Switchboard: 011 770 6000

Call Centre: 0860 932 273

st

of July 2014.

All health care providers are required to submit claims with complete codes (3rd, 4th or 5th character codes,

as appropriate). The validation process for primary and secondary codes continues during this phase.

Phase 4.1 to be implemented on 1 July 2014:

Rejections for Age and Gender validations as contained in the Master Industry Table (MIT) will be

implemented on the 1st of July 2014.

Please note that the Task Team has agreed to defer the validation and rejection of Paediatrician claims

(practice type 32 and 33) for the ICD-10 age and gender edits from 01 July 2014. MediKredit therefore will

not apply these changes to discipline types 32 & 33 effective 1st of July 2014.

RMR Codes

2103 – Diagnosis is invalid for the patient’s gender

2102 – Diagnosis is invalid for the patient’s age

4336 – Diagnosis is for Age younger than 19

4335 – Diagnosis is for Age 19 years or Older

This will only affect claims from service date of 01/07/2014. Claims before the 1st of July will not be affected.

Load More