Date: 4 December 2015
from Bankmed Communique…
Dear Trading Partner
Bankmed to be administered by Discovery Health (Pty) Ltd from 1 January 2016
We are pleased to inform you that from 1 January 2016, Bankmed will be administered by Discovery Health (Pty) Ltd.
We would like to ensure that healthcare professionals and Bankmed members experience a seamless transition in claiming under the new administrator. We have therefore provided you with information that will assist you when submitting claims for Bankmed members, from 1 January 2016.
Bankmed membership cards
In order for your patients to identify themselves as valid Bankmed members, they will be in possession of membership cards with the identifying Bankmed logo.
Submitting claims to Discovery Health
Claims with a service date up to 31 December 2015
You may submit claims with a service date up to 31 December 2015 to the previous administrator – Metropolitan Health – as you have always done. You will have five months in which to submit claims with a service date until the end of December 2015 to Metropolitan Health. There will be no payment for any claims we receive after this five-month period.
Claims with a service date from 1 January 2016
Please submit claims for Bankmed members to Discovery Health from 1 January 2016, with the exception of the following claims:
* Optometry claims must be submitted to Iso Leso Optics
Traditional and Comprehensive plans
* Optometry claims must be submitted to PPN
Planned hospital admissions
Discovery Health will transfer all approved 2016 hospital admissions of Bankmed members to its administration database.
We hope this information will assist in making the transition phase as smooth as possible. Should you have any questions please e-mail firstname.lastname@example.org
Yours in good health.
Electronic Transaction Team
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