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Groupon Gaining traction in US Health Care

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By Debra Beaulieu
 

Despite some questions over the legality of doctors splitting revenue with discount sites such as Groupon, the proportion of healthcare-related deals offered through local and daily deal sites has continued to rise. And according to a report from the Associated Press, the nation’s 46.3 million uninsured are helping to drive the trend.
 
As of November 2011, about 9 percent of all offers on daily deal websites were for dental or medical treatment, up from 4.5 percent a year earlier, Dan Hess, CEO and founder of Local Offer Network, told the AP.
 
The article cited recent deals, including a Groupon offer for a full medical checkup with blood, stool and urinalysis testing sold for $69 in New York, an AmazonLocal deal for $17 flu shots in Seattle and Lasik eye surgery in California for $2,100. Patients pay the websites upfront before making appointments with the doctors, and the deal offers at least half off of the regular price for the service.
 
Although such deals can help patients fill gaps in their health insurance, they may drive them to keep chasing the next deal, rather than form an ongoing relationship with one physician, noted David Williams, co-founder of consultancy MedPharma Partners and author of HealthBusinessBlog.com.
 
The risks of this phenomenon include not only fragmented, uncoordinated care for patients but also a lack of repeat business to help the physician offset providing care at deep discounts.
 
Nonetheless, for physicians offering high-cost cosmetic procedures such as Lasik surgery, the deals draw a demographic to the office that would otherwise be unreachable. For Dr. Gregg Feinerman, an ophthalmologist who runs Feinerman Vision Center in Newport Beach, Calif., the 58 percent discount on Lasik he offered through Groupon achieved his goal of attracting more patients under the age of 30 for whom the full $5,000 price tag would prevent from exploring the idea of eye surgery.

Medical Aid Destination Codes

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Medinol Practice Management Software users: Please omit the suffix “P”, i.e. numeral only, e.g. 027 not 027P.

 

QEDI
Code		 MediSwitch
Destination Code		 Scheme Name Administrator Name
027P SHAE0000 AECI MEDICAL AID SOCIETY Medscheme
290P ABRO0001 AFA BROADREACH Medscheme
304P ACOR0001 AFA CORPORATE Medscheme
248P BKAE0000 AFROX MEDICAL AID SOCIETY Metropolitan Health Group
224P MSAM0002 ALLIANCE MIDMED MEDICAL SCHEME Momentum Metropolitan Investments (MMI)
033P ALAT0000 ALTRON MEDICAL AID SCHEME Discovery Health Administrators
037P NPAM0000 ANGLO MEDICAL SCHEME Momentum Metropolitan Investments (MMI)
036P DIAV0000 ANGLOVAAL GROUP MEDICAL SCHEME Discovery Health Administrators
042P BKAC0000 BANKMED MEDICAL SCHEME Metropolitan Health Group
043P MSBR0000 BARLOWORLD MEDICAL SCHEME Medscheme
733P BCIM0001 BCIMA (BUILDING AND CONSTRUCTION INDUSTRY MEDICAL AID FUND) Universal Healthcare Administrators (Pty) Ltd.
045P BEBE0000 BESTMED MEDICAL SCHEME Sanlam Health
048P MSBW0000 BMW EMPLOYEES MEDICAL AID SOCIETY Medscheme
595P BSBO0000 BOMAID BOMaid Medical Aid
050P MSBS0000 BONITAS MEDICAL FUND Medscheme
964P BBON0001 BONITAS MEDICAL FUND BONCAP OPTION Medscheme
594P AFBO0000 BOTSWANA PUBLIC OFFICES A.F.A. Administrators
056P BKAJ0000 BP SOUTHERN AFRICA MEDICAL AID SOCIETY Metropolitan Health Group
593P INPE0000 BUILDING INDUSTRIES P.E. Industrial Council P.E.
079P CAAA0000 CAMAF Eternity Private Health Fund Administrator (Pty)
052P CMPL0000 CAPE MEDICAL PLAN Cape Medical Plan
561P CARE0006 CARECROSS Carecross
389P CFDA0001 CENTRE FOR DIABETES AND ENDOCRINOLOGY (CDE) Centre For Diabetes And Endocrinology (CDE)
596P CFCF0000 CHARIOT FINANCIAL SERVICES MEDICAL FUND Chariot Financial Services Medical Fund
009P IHCO0000 COMMUNITY MEDICAL AID SCHEME (COMMED) Allcare Administrators (Pty) Ltd
129P SSCC0000 COMPCARE MEDICAL SCHEME Universal Healthcare Administrators (Pty) Ltd.
704P CIOD0001 COMPSOL (IOD CLAIMS) IOD Claims: Compsol
066P DBDB0000 DE BEERS BENEFIT SOCIETY De Beers Benefit Society
406P DRCC0001 DENTAL RISK COMPANY DRC Dental Risk Company
125P DHEA0000 DISCOVERY HEALTH MEDICAL SCHEME Discovery Health Administrators
289P EMCC0008 EMERGING MARKET HEALTHCARE Emerging Market Healthcare
269P BKAI0000 ENGEN MEDICAL BENEFIT FUND Metropolitan Health Group
782P EHEA0001 EYETHUMED MEDICAL SCHEME Medscheme
859P FARA0001 FARANANI HEALTH SOLUTIONS Faranani Health Solutions
160P OPLA0001 FEDHEALTH MEDICAL SCHEME Medscheme
779P FISH0001 FISHING INDUSTRY MEDICAL SCHEME (FISHMED) Metropolitan Health Group
083P BKAL0000 FOSCHINI GROUP MEDICAL SCHEME Discovery Health Administrators
470P FURN0001 FURNMED Eminent Wealth Consult Pty Ltd
383P GSSE0001 GAUTENG SHARED SERVICE Gauteng Shared Services
518P GMSC0001 GENESIS MEDICAL SCHEME Definiti Medical Fund Managers
349P GETM0001 GETMED GETMED
381P GSWA0001 GETMED AFRICA (SWAZILAND) GETMED Swaziland
116P DIME0000 GOLD FIELDS MEDICAL SCHEME Providence Health Risk Managers
363P GARR0000 GOLDEN ARROW EMPLOYEES MEDICAL BENEFIT FUND Metropolitan Health Group
925P GEOP0001 GOVERNMENT EMPLOYEES MEDICAL SCHEME (GEMS EMERALD OPTION) Metropolitan Health Group
875P GEMS0001 GOVERNMENT EMPLOYEES MEDICAL SCHEME (GEMS ONYX OPTION) Metropolitan Health Group
926P GROP0001 GOVERNMENT EMPLOYEES MEDICAL SCHEME (GEMS RUBY OPTION) Metropolitan Health Group
259P STGR0000 GRINTEK ELECTRONICS MEDICAL AID SCHEME Universal Healthcare Administrators (Pty) Ltd.
597P IDHA0000 HAIRDRESSING SICK BENEFIT FUND CAPE TOWN Hairdressing Sick Benefit Fund
870P HARM0001 HARMONY HEALTH SERVICES Providence Health Risk Managers
444P HMSC0001 HORIZON MEDICAL SCHEME Medscheme
523P THHM0000 HOSMED MEDICAL AID SCHEME Thebe YaBophelo Healthcare
943P ISMA0001 IBM SA MEDICAL AID SOCIETY Discovery Health Administrators
439P IMPL0001 IMPALA MEDICAL PLAN Providence Health Risk Managers
364P OMIM0000 IMPERIAL GROUP MEDICAL SCHEME Metropolitan Health Group
510P MUNI0000 KEYHEALTH PPS Medical Scheme Administrators
525P LHEA0001 LA HEALTH Discovery Health Administrators
099P MSLI0000 LIBCARE MEDICAL SCHEME V Medical Aid Administrators
008P LBLU0001 LIBERTY BLUE MEDICAL SCHEME V Medical Aid Administrators
101P LIPS0000 LIBERTY HEALTH MEDICAL SCHEME V Medical Aid Administrators
945P LMSC0001 LONMIN MEDICAL SCHEME Discovery Health Administrators
104P NMMD0000 MALCOR MEDICAL SCHEME Allcare Administrators (Pty) Ltd
598P MASC0000 MASCA ZIMBABWE MASCA Zimbabwe
038P MSSS0000 MASSMART HEALTH PLAN Medscheme
180P DCME0003 MB MED Medscheme
256P MGFM0001 MEDIHELP Medihelp
265P MSDI0000 MEDIMED MEDICAL SCHEME Providence Health Risk Managers
250P OMDP0000 MEDIPOS MEDICAL SCHEME Metropolitan Health Group
111P MSMS0000 MEDSHIELD MEDICAL SCHEME Medshield Administrators
121P MMSC0000 METROPOLITAN MEDICAL SCHEME Metropolitan Health Group
378P CAAC0000 MINEMED MEDICAL SCHEME Providence Health Risk Managers
362P MMSC0001 MMED OPTION OF THE NASPERS MEDICAL FUND Discovery Health Administrators
237P MHAF0001 MOMENTUM HEALTH AFRICA Momentum: HDS Medical Management
822P MHEA0007 MOMENTUM HEALTH MEDICAL SCHEME Momentum Metropolitan Investments (MMI)
940P MHCA0001 MOTO HEALTHCARE Momentum Metropolitan Investments (MMI)
292P MINT0001 MSO INTERNATIONAL MSO
206P MSAS0000 NAMIBIA HEALTH PLAN Medscheme Namibia
600P MSAU0000 NAMIBIA IND MEDICAL AID Medscheme Namibia
046P NMAK0000 NAMPAK SA MEDICAL SCHEME Momentum Metropolitan Investments (MMI)
512P NSNP0000 NASPERS MEDICAL FUND Discovery Health Administrators
138P NIMA0001 NATIONAL INDEPENDENT MEDICAL AID SOCIETY (NIMAS) Agility
010P NWFH0001 NBCRFLI WELLNESS FUND HEALTH PLAN Universal Healthcare Administrators (Pty) Ltd.
016P OMNE0000 NEDGROUP MEDICAL AID SCHEME Medscheme
067P NPMS0000 NETCARE MEDICAL SCHEME Metropolitan Health Group
624P NSBS0001 NUFSWSA SICK BENEFIT SOCIETY Eminent Wealth Consult Pty Ltd
012P OMOL0000 OLD MUTUAL STAFF MEDICAL AID SCHEME Medscheme
468P OPMI0001 ONE PLAN MEDICAL INSURANCE Oneplan Medical Insurance
142P NASE0000 OPMED Opmed (NIA)
143P MSPA0000 PARMED MEDICAL AID FUND Medscheme
586P DEAN0000 PG BISON MEDICAL AID SOCIETY Allcare Administrators (Pty) Ltd
146P NMPS0000 PG GROUP MEDICAL SCHEME Metropolitan Health Group
583P PVPH0000 PHAROS MEDICAL PLAN Private Health Administrators (Pty) Ltd
376P DEAO0000 PICK N PAY MEDICAL SCHEME Metropolitan Health Group
266P MSAP0001 PLATINUM HEALTH Platinum Health
219P MHPO0001 POLMED Metropolitan Health Group
703P PIOD0001 POLMED (IOD CLAIMS) Metropolitan Health Group
417P PAEC0001 PPN AECI Medscheme
426P PBAN0001 PPN BANKMED Metropolitan Health Group
432P PCAR0001 PPN CARECROSS Carecross
457P PMED0018 PPN MEDIMED Providence Health Risk Managers
456P PMIN0001 PPN MINEMED Providence Health Risk Managers
419P PPOL0001 PPN POLMED Metropolitan Health Group
642P PCUR0001 PRIME CURE Prime Cure
154P PFPO0000 PROFMED PPS Medical Scheme Administrators
155P SGPS0000 PROSANO MEDICAL SCHEME Sigma Health Fund Managers
342P PULA0001 PULA MEDICAL AID FUND A.F.A. Administrators
162P QMAS0002 QUANTUM MEDICAL AID SOCIETY Discovery Health Administrators
818P RMAS0001 RAND MUTUAL ASSURANCE Rand Mutual Assurance
607P RAWB0000 RAND WATER MEDICAL SCHEME Rand Water Board
161P MSRM0000 REMEDI MEDICAL AID SCHEME Discovery Health Administrators
257P RHMF0001 RENAISSANCE HEALTH MEDICAL AID FUND Prosperity Health Namibia
061P BKAO0000 RESOLUTION HEALTH MEDICAL SCHEME Agility
608P REMT0000 RETAIL MEAT TRADE Retail Meat Trade
946P RMSC0001 RETAIL MEDICAL SCHEME Discovery Health Administrators
581P TEMS0001 RHODES UNIVERSITY MEDICAL SCHEME (RU MED) Providence Health Risk Managers
179P MSBI0000 SA BREWERIES MEDICAL AID SOCIETY Momentum Metropolitan Investments (MMI)
176P MSAG0000 SABC MEDICAL AID SCHEME Medscheme
611P SAMW0001 SAMWUMED SAMWUmed
174P NMSP0000 SAPPI MEDICAL AID SCHEME Metropolitan Health Group
175P MSOI0000 SASOLMED MEDICAL SCHEME Medscheme
022P SMSC0003 SEDMED MEDICAL SCHEME SEDMED Medical Scheme
004P SHSF0000 SELFMED MEDICAL SCHEME Selfmed
178P SZWE0000 SIZWE MEDICAL FUND Sechaba Medical Solutions
522P ROSP0000 SPECTRAMED V Medical Aid Administrators
614P SPSB0000 SPES BONA Spes Bona
072P DEAC0000 SUREMED HEALTH Providence Health Risk Managers
240P MSSW0000 SWAZIMED Medscheme
769P TBEN0001 THEBEMED MEDICAL SCHEME Thebe YaBophelo Healthcare
228P TIGE0000 TIGER BRANDS MEDICAL SCHEME Universal Healthcare Administrators (Pty) Ltd.
003P BKTE0001 TOPMED MEDICAL SCHEME Momentum Metropolitan Investments (MMI)
194P TRTR0000 TRANSMED MEDICAL FUND Metropolitan Health Group
944P TSGM0001 TSOGO SUN GROUP MEDICAL SCHEME Discovery Health Administrators
869P UMSC0001 UDIPA Udipa Medical Aid
615P ULUM0000 ULTRACARE Ultracare
920P UHMS0001 UMVUZO HEALTH MEDICAL SCHEME Umvuzo Health Medical Scheme
198P MSUN0000 UNIV OF WITWATERSRAND STAFF MEDICAL AID SCHEME Medscheme
431P UHEA0001 UNIVERSAL HEALTH WORKERS PLAN Universal Healthcare Administrators (Pty) Ltd.
197P MSAV0000 UNIVERSITY OF KWAZULU NATAL MEDICAL SCHEME Discovery Health Administrators
286P WYMO0001 WCMAS: YEBO MED OPTION Witbank Coal Medical Aid Society
201P MKWC0000 WITBANK COALFIELDS MEDICAL AID SCHEME Witbank Coal Medical Aid Society
202P DIWO0000 WOOLTRU HEALTHCARE FUND Metropolitan Health Group
495P WCAS0001 WORKERS COMPENSATION ASSISTANCE WCA Workers Compensation Assistance cc
910P WORL0001 WORLDBANK Momentum Metropolitan Investments (MMI)
181P XTRA0001 XTRATA ALLOYS MEDICAL AID SCHEME Medscheme
028P YARO0001 YARONA SAPS

Edcon Medical Aid amalgamating with Discovery Health Medical Scheme

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Edcon Medical Aid will be amalgamating with Discovery Health Medical Scheme from 1 January 2012

 

We want to let you know that the members of Edcon Medical Scheme will move to the Discovery Health Medical Scheme from 1 January 2012.

 

Claim submission information

 

·         Claims with a service date from 1 January 2012

Please start sending claims through Discovery Health Medical Scheme using these members’ new Discovery Health Medical Scheme membership numbers. They will receive their cards by mid December.

 

 

·         Claims with a service date before 1 January 2012

 

All claims with a service date up to 31 December must be routed to the Edcon Medical Scheme.

 

You have four months (until the end of April 2012) to send claims with a service date up to 31 December 2011 to the Edcon Medical Scheme. After this, they will not pay any claims.

 

Edcon Medical Scheme will not accept any claims with service dates from 1 January 2012.

 

Afrox Medical Scheme Amalgamation

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Dear Trading Partner and Practice Manager
Afrox Medical Scheme will be amalgamating with Discovery Health Medical Scheme from 1 May 2014
We want to let you know that the members of Afrox 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 Afrox Medical Scheme.
Claims with a service date before 1 May 2014 must still be submitted to the administrator (Metropolitan Health) for processing.
Afrox Medical Scheme will not accept any claims with service dates from 1 January 2014.
Please note that the information contained in this communication on the proposed amalgamation of Afrox Medical Scheme and Discovery Health Medical Scheme is subject to the Council for Medical Schemes’ approval of the transaction.
Tags:

Schemes Administered by Discovery

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Medical Aids or Schemes Administered by Discovery Health

ANGLO MEDICAL SCHEME
ANGLOVAAL GROUP MEDICAL SCHEME
BMW EMPLOYEES MEDICAL AID SOCIETY
DISCOVERY HEALTH MEDICAL SCHEME
FOSCHINI GROUP MEDICAL SCHEME
LA HEALTH
LONMIN MEDICAL SCHEME
MMED OPTION OF THE NASPERS MEDICAL FUND
NASPERS MEDICAL FUND
QUANTUM MEDICAL AID SOCIETY
REMEDI MEDICAL AID SCHEME
RETAIL MEDICAL SCHEME
TSOGO SUN GROUP MEDICAL SCHEME
UNIVERSITY OF KWAZULU NATAL MEDICAL SCHEME

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