BestMed now reali-time live through MediSwitch
|
brought to you by best practice management software
Dental Practices
Dental Practices
Submitting Claims to Transmed State+ Universal Health
Electronic claims to be sent via MediSwitch EDI.
Universal’s telephone number is: 086 168 6278.
They are the administrators for Transmed’s State+ network option.
So firstly, inside Medinol … go into Files -> Medical Aid … then ADD a new medical aid called Transmed-Universal …. give it a Medical aid code let’s say TU
Be sure to enter the EDI code as: 194
Save this new medical aid.
Now re-enter any members covered by this option as members of the newly created TU.
Reinvoice them using the new member codes.
Create Batch and submit to Medi-Switch.
Discovery Premiums Massive Increase in 2017
Discovery Health has announced its new premiums for 2017, which are set to increase between 7.8% and 14.9%.
The average premium increase across Discovery Health’s plans are 10.2% – significantly higher than last year’s 8.6%, and even higher than the forecast CPI of 6.8%
The increases for individual Discovery Health plans are as follows:
- Executive and Comprehensive: 11.9%
- Coastal Core: 14.9%
- Coastal Saver: 7.8%
- All other plans: 9.9%
According to Milton Streak, Principal Officer at Discovery Health Medical Scheme, most of their members will see an increase of 9.9% or lower in 2017.
Discovery Health is the biggest medical scheme on the open market with over 2.7 million members. The group warned earlier this year that premiums would be going up due to significantly higher claims than in previous years.
..
Spectramed change of Administrator
Spectramed change of Administrator
Date: 11 July 2018
Kindly take note that as of 01 November 2014 , V-Med administrators will no longer administer Spectramed claims , The new administrator Agility Global Health Solutions will be administering Spectramed claims for Doctors , Pharmacy and hospital claims.
| Please take note that the Switching codes for Spectramed will remain ( ROSP0000 / 522P). *** Medinol users: EDI CODE 522 (No “P”) Kindly take note that for today only MediSwitch will be rejecting all Spectramed claims as “ Mediswitch will not accept your claims via MediSwitch “ Kindly resend affected claims as of 01 November
Please refer to the attached document for further information as well as important contact numbers.
Spectramed contact details
Existing contact details will be retained
Call Centre: 0861 497 497 Fax Number: 0861 492 492 Email address: enquiries@spectramed.co.za
|
| Kind regards |
Mamoth Health Plan via MediSwitch
Mamoth Claims Now Accepted via MediSwitch
Mediswitch has announced that as of 1 Feb, they are now live for hospital claims delivery for Mamoth Health Plan – administered by Mamoth Employee Benefits (Pty) Ltd, Lesotho.
Hospitals and clinics are nnow able to send claims via MediSwitch for Mamoth Health Plan members.
The destination codes for Mamoth are:
MHPL0002
247P
The allowed disciplines for Mamoth are:
049 Stepdown Facilities
055 Mental Health Institutions
057 Private Hospitals (A tariff)
058 Private Hospitals (B tariff)
059 Private Rehab Hospitals (Acute)
076 Unattached Operating Theatres
077 Approved UOTU / Day Clinics
079 Hospices
Medinol users: Please use EDI Code: 247