Transmed Medical Fund Info

Date: 1 Aug 2018

WEBSITE ACCESS AND FUNCTIONALITIES
Transmed has embarked on a movement, doing electronic business and moving away from the paper trail and manual process.
Service providers can submit their claims using one of the following options:
  • EDI – which is the preferred submission process
  • E-mail
  • Fax
  • Post.
Prevent claims from becoming stale by submitting it within four months of the service being rendered. For more information please log into www.transmed.co.za.
We want to encourage our providers to register on the Transmed website where you will have 24-hour access to:
  • 2016 benefit information
  • Doctor/practice claims and processed information
  • Claims statements
  • Member profile information, including benefit plan
  • Submit enquiries and much more.
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24 HOUR PRE-AUTHORISATION LINE
Transmed provides a 24-hour pre-authorisation line to providers and members to assist and provide guidance when necessary before admission.
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CONTACT DETAILS
Services
State Plus Network
Guardian, State Plus Own Choice
and Private Network
Customer Service Department
Universal Healthcare
0861 686 278
011 381 2026
Chronic medication application (fax)
Universal Healthcare
0861 686 278
0800 122 236
Ambulance authorisation
Universal Healthcare
0861 686 278
0800 115 750
24-hour health advice line
Universal Healthcare
0861 686 278
0800 115 750
Optical services
Universal Healthcare
0861 686 278
Guardian and State Plus Own Choice
PPN 0860 103 529
Private Network
011 381 2026
Disease programmes
Universal Healthcare
0861 686 278
0800 225 151
HIV programmes
Universal Healthcare
0861 686 278
HIV YourLife programme
0861 888 300
Hospital and major medical pre-authorisation
Universal Healthcare
0861 686 278
0800 225 151
KPMG fraud hotline
0800 200 564
0800 200 564
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IMPORTANT E-MAIL ADDRESSES
 
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