Medscheme NAPPI Code Requirement

Dental Practices

Essential Med will be accepting direct claims from 1 July 2014. The Medswitch EDI code to be used is 516 for users of Medinol otherwise 516P for all other software PMAs.
Providers are advised to submit their claims via EDI as it will allow faster payment and processing of claims.
The following disciplines will be accepted electronically:
General Practitioners
Pathology
Dentistry including dental Labs
Radiology
Optometry
Pharmacy
All other disciplines to be sent via paper until further notice.
It is important to note that the membership numbers and dependant codes remain
unchanged.
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A bill that aims to establish a new regulatory agency for medicines was passed in Parliament on Tuesday.
The medicines and related substances amendment bill was passed in the National Assembly with the support of all the parties, except the Economic Freedom Fighters.
The bill means the Department of Health can replace the under-resourced Medicines Control Council with the South African Health Products Regulatory Agency.
Calling the bill progressive and necessary, the African National Congress, Democratic Alliance, Congress of the People and the National Freedom Front all expressed their support, with parties calling for the new regulatory agency to be properly resourced so it could do its work.
The bill will now be sent to President Jacob Zuma.
You know intimately what Medinol can do for your practice. Refer a colleague (Doctor or Dentist) and get paid a finders fee. Simply email their name, email and telephone to us, and we will get in touch. Do not forget to include your own name and email. Medinol Practice Management Software.
PLUS: Your name will be entered into a draw to Win a Plain Paper Fax Machine! valued at R2,995. The winner will be announced 9 December 2011. Good Luck.

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Click here for 2014 Dental Tariffs Pack
Discovery Health firmly holds the view that dentists should be appropriately remunerated and has consistently led the industry in the tariffs paid to dentists.
In 2014, we will increase the Discovery Health Rate by 6%. We are pleased to note that this is in excess of prevailing CPI at 5.5%.
We will publish the detailed rates on www.discovery.co.za from mid-December 2013.
We need place of service indicators on accounts
In 2011 we enhanced our dental benefits to allow funding of in-hospital dentistry from the Scheme’s risk pool, where the place of service indicator serves to trigger the payment from risk without the need to get authorisation. Please submit the following place of service indicators when applicable:
21 Inpatient Hospital
24 Day Clinical/Hospital
11 Consulting room
Please note that risk cover for members older than 13 years does not extend to basic dentistry in hospital such as fillings, root canal treatment and preventive treatments. These procedures are covered under the day-to-day benefit regardless of the place of service.
Below are the latest medical aid scheme activation and destination codes.
Medinol Users to Omit the O”P” and use only the numeral.
PLEASE NOTE: An * (Asterisk) in front of a Code indicates a change existing destination or a new destination on the list.
[pdf-embedder url=”https://medinol.co.za/wp-c0ntent/uploads/2020/05/EDI-DESTINATION-CODES-May-2020.pdf” title=”EDI DESTINATION CODES May 2020″]
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