
| Common Error | Quick Fix in Medinol | Section | Category |
| Incorrect or missing member number / ID | Always verify member number and ID against card and Medinol Patients screen. | Patient & Membership | Member details |
| Wrong option or scheme selected | Double-check option code (e.g., Discovery Saver vs Classic) before EDI send. | Patient & Membership | Option / scheme |
| Wrong relationship (e.g., dependant vs principal) | Ensure correct relationship code and correct principal member on file. | Patient & Membership | Relationship |
| Wrong EDI code (e.g., old or test code) | Use latest Medinol EDI codes (e.g., Makoti 736, GetSavvi 504, etc.). | Medical Aid Setup | EDI code |
| Missing or incorrect MediSwitch destination | Confirm destination (e.g., DHEA0000, MSBS0000) in Medinol Schemes table. | Medical Aid Setup | Destination |
| Provider ID / practice number mismatch | Ensure Medinol provider ID matches record on scheme system. | Medical Aid Setup | Provider ID |
| Invalid or non-covered procedure codes | Use valid, current, benefit-covered codes and check scheme lists. | Coding & billing dates | Procedure codes |
| Missing or invalid diagnosis (ICD-10) | Always attach a valid ICD-10 code that supports the procedure. | Coding & billing dates | Diagnosis codes |
| Future or missing dates of service | Ensure date of service is correct and not in the future or too far back. | Coding & billing dates | Claim dates |
| Missing referral / consult-to provider | Fill all referral, consult-to, and required fields before EDI batch. | Claim & batch handling | Claim level |
| Same claim submitted twice | Avoid re-submitting exact same claim; use valid corrections instead. | Claim & batch handling | Duplicate claim |
| EDI batch created but not sent | Always click Send and confirm transmission before closing the batch window. | Claim & batch handling | Batch not sent |
| Procedure without prior auth / referral | Obtain and capture PA/referral number before EDI submission. | Prior auth & benefits | Missing PA |
| Service outside benefit or limit | Check coverage, limits, and network before billing. | Prior auth & benefits | Out-of-benefit |
| Member no longer active on scheme | Verify membership status at registration or via scheme query. | Prior auth & benefits | Inactive membership |
| No latest EDI update installed | Apply latest Medinol EDI update and confirm new codes (e.g., Makoti 736). | Technical & interface | EDI update |
| Wrong discipline or category mapped | Review discipline and category settings for correct pricing and benefits. | Technical & interface | Discipline / category |
| Send failed / timeout | Check internet and Medinol EDI gateway; retry failed batches. | Technical & interface | Connectivity |
