Are healthcare providers permitted to practice in South Africa without a practice number from PCNS?
The practice number, allocated to all registered healthcare providers is the essential billing code that triggers the process of reimbursement of a claim to either a medical scheme member or service provider. This is in accordance with the requirement of the Medical Schemes Act 131 of 1998 wherein it is stated that a medical scheme may only reimburse a member or a provider of relevant healthcare services for services rendered against a valid practice code number.