MediKredit Circulars: Pharmacies
|
Reference Number |
Effective Date |
Subject |
005/2021 |
17/04/2021 |
Liberty Healthcare SpesBona Scheme Termination |
004/2021 |
01/04/2021 |
CIGNA Sasol Mozambique New Scheme Information |
003/2021 |
16&17/03/2021 |
MediKredit Systems Maintenance Communication |
002/2021 |
01/01/2021 |
GEMS Year-end Changes |
001/2021 |
Immediate |
Pick n Pay PAT Max Change |
048/2020 |
01/01/2021 |
Platinum Health Mark-up Change |
047/2020 |
01/01/2021 |
Medibucks Tariff Increases |
046/2020 |
01/01/2021 |
Bankmed Year-end Changes |
045/2020 |
01/01/2021 |
Anglo AMS PAT Limit Change |
044/2020 |
01/01/2021 |
Profmed Year-end Changes |
043/2020 |
01/01/2021 |
WCMAS Year-end Changes |
042/2020 |
01/01/2021 |
SABMAS Year-end Changes |
041/2020 |
01/01/2021 |
Pick N Pay Year-end Changes |
040/2020 |
01/01/2021 |
Rand Water year-end Changes |
039/2020 |
01/01/2021 |
CIGNA Option Code Consolidation |
038/2020 |
01/01/2021 |
RFMCF Pharmacy Tariff Increase |
037/2020 |
01/01/2021 |
KeyHealth Year-end Changes |
036/2020 |
01/01/2021 |
CAMAF Year-end Changes |
035/2020 |
01/01/2021 |
Mamoth Health Max Script Limits |
034/2020 |
01/01/2021 |
Platinum Health PAT Max Change |
033/2020 |
01/01/2021 |
Momentum Health Assessment NAPPI Price Increase |
032/2020 |
30/11/2020 |
SpesBona New Scheme Information |
031/2020 |
30/11/2020 |
Liberty Health Blue New Scheme Information AMENDED |
030/2020 |
30/11/2020 |
Libcare New Scheme Information AMENDED |
029/2020 |
01/10/2020 |
(UHAP) Universal Health Insurance Plan New Option (Reinstatement) |
028/2020 |
01/10/2020 |
Bankmed Tariff Increases |
027/2020 |
29/09/2020 |
GEMS Early Refill/Next Fill Date |
026/2020 |
Immediate |
CIGNA International Dispensing Fee Change |
025/2020 |
01/10/2020 |
CIGNA Food & Agricultural Org |
024/2020 |
01/10/2020 |
CIGNA World Food Program MICS |
023/2020 |
01/10/2020 |
CIGNA World Food Program MCS |
022/2020 |
01/10/2020 |
CIGNA World Food Program BMIP |
021/2020 |
01/10/2020 |
CIGNA Inter Fund for Agric Dev |
020/2020 |
Immediate |
Pick N Pay Next File Date Functionality |
019/2020 |
Immediate |
Various Schemes Early Refill/Next Fill Date |
018/2020 |
Immediate |
CIGNA Pan-African Parliament Scheme Termination |
017/2020 |
01/08/22020 |
PPSHA KeyHealth New Virtual Consultation Tariff |
016/2020 |
Immediate |
WCMAS Next Fill Date |
015/2020 |
Immediate |
SABMAS Next Fill Date |
014/2020 |
Immediate |
Bankmed Next Fill Date |
013/2020 |
Immediate |
Anglo AMS Next Fill Date |
012/2020 |
01/08/2020 |
Building Industries (BIMAF) Pat Claims Processing /New RMR7997 |
011/2020 |
01/07/2020 |
Grintek Electronics Medical Scheme Termination |
010/2020 |
Immediate |
Pick N Pay PAT Max Increase |
009/2020 |
26/03/2020 |
General Information |
008/2020 |
Immediate |
Platinum Flu Vaccine Claims |
007/2020 |
Immediate |
CIGNA Pan-African Parliament New Scheme Information |
006/2020 |
24/03/2020 |
Compensation Fund Scheme Termination |
005/2020 |
01/03/2020 |
Massmart Emergency Services Insurance Claims |
004/2020 |
Immediate |
PPSHA KeyHealth New Pharmacy Tariff |
003/2020 |
Reminder |
RFMCF Regular Force Medical Continuation Fund Reminder of Claims Processing |
002/2020 |
Immediate |
SABMAS MMAP on HIV Claims |
001/2020 |
01/01/2020 |
Medibucks Tariff Changes |
032/2019 |
01/01/2020 |
GEMS Year-end changes |
031/2019 |
01/01/2020 |
Momentum Health Assessment NAPPI Price Increase |
030/2019 |
01/01/2020 |
Bankmed Year-end Changes |
029/2019 |
01/01/2020 |
KeyHealth Year-end Changes |
028/2019 |
01/01/2020 |
Universal Compcare Confirmation of Plans/Benefit Options for Compcare in 2020 |
027/2019 |
01/01/2020 |
SABMAS Year-end Changes |
026/2019 |
01/01/2020 |
WCMAS Year-end Changes |
025/2019 |
01/01/2020 |
CAMAF Year-end Changes |
024/2019 |
01/01/2020 |
Profmed year-end changes |
023/2019 |
01/01/2020 |
PICK N PAY Year-end Changes |
022/2019 |
01/01/2020 |
Mamoth New Elite Magenta Benefit Option |
021/2019 |
01/01/2020 |
Platinum Health Year-end Changes |
020/2019 |
01/01/2020 |
RFMCF Pharmacy Tariff Increase (year-end 2019) |
019/2019 |
01/01/2020 |
Rand Water PAT/OTC Max Benefit Change (year-end 2019) |
018/2019 |
Immediate |
CIGNA Jesuit Refugee Services (JRS) New Option |
017/2019 |
Immediate |
Rand Water General Notification of Statement Error |
016/2019 |
01/10/2019 |
Selfmed Medical Scheme Merger with Compcare Medical Scheme |
015/2019 |
Immediate |
Bankmed New Risk Management Response (RMR) Code 7929 |
014/2019 |
01/09/2019 |
Universal Workerplan Rebokrant Claims Information |
013/2019 |
Immediate |
MediBucks EDCON Option Termination |
012/2019 |
01/07/2019 |
RFMCF Claims Related Enquiry Contact Details |
011/2019 |
01/07/2019 |
Old Mutual Staff (OMSMAF) Administrator Change/Option Replacement |
010/2019 |
Immediate |
CAMAF New Pharmacy Tariff |
009/2019 |
Immediate |
RFMCF New Pharmacy Tariff Codes |
008/2019 |
01/06/2019 |
Discovery Medical Scheme Diabetes Medicine Claims |
007/2019 |
01/06/2019 |
Platinum Health New PlatFreedom Benefit Option |
005/2019 |
01/04/2019 |
Old Mutual Health Plan (OMHP) Insurance Option Information |
004/2019 |
01/04/2019 |
Watch Tower Claims Processing Information |
003/2019 |
Immediate |
KeyHealth Reminder of Health Assessment NAPPI |
002/2019 |
Immediate |
Cigna Nestle Scheme/Option Termination |
001/2019 |
01/01/2019 |
Bankmed PAT Benefit for Core Saver Plan Members |
038/2018 |
01/01/2019 |
Workerplan Trucare Plan Name Change |
037/2018 |
01/01/2019 |
GEMS Year-end Rule Changes |
036/2018 |
01/01/2019 |
GEMAS New Scheme Information (Grintek) |
035/2018 |
01/01/2019 |
BCIMA New Scheme Information |
034/2018 |
01/01/2019 |
Universal Transmed State Plus Network Plan Name Change |
033/2018 |
01/01/2019 |
Centre for Diabetes & Endocrinology (CDE) New Scheme Information |
032/2018 |
01/01/2019 |
Universal Umvuzo Year-end Changes |
031/2018 |
01/01/2019 |
SABMAS Year end Changes |
030/2018 |
01/01/2019 |
KeyHealth Year end Changes |
029/2018 |
01/01/2019 |
Platinum Health PAT Max Change for 2019 |
028/2018 |
01/01/2019 |
Rand Water PBM Processing |
027/2018 |
01/01/2019 |
WCMAS Year-end Changes |
026/2018 |
01/01/2019 |
CAMAF year-end Changes |
025/2018 |
01/01/2019 |
Bankmed Year-end Changes |
024/2018 |
01/01/2019 |
Profmed Year-end Changes /New Plans |
023/2018 |
01/01/2019 |
Momentum Health Assessment NAPPI Price Increase |
022/2018 |
01/01/2019 |
PICK N PAY Year-end Changes |
021/2018 |
01/01/2019 |
Anglo AMS Year-end Changes |
020/2018 |
01/12/2018 |
Universal Tiger Brands Mzansi Benefit Option Name Change |
019/2018 |
01/12/2018 |
(ON HOLD) MediBucks New EDCON Option Information |
018/2018 |
24/09/2018 |
SABMAS Rejection of Old Membership Numbers |
017/2018 |
08/02/2016 |
RFMCF Reminder Circular (Indicating NON-PPN Providers dispensing Fee) |
016/2018 |
16/07/2018 |
CIGNA Administrator Option Name Change |
015/2018 |
Immediate |
CAMAF New Risk Management (RMR) Response Code (7828) |
014/2018 |
01/07/2018 |
Old Mutual Staff (OMSMAF) New Network & Network Select Option |
013/2018 |
01/04/2018 |
Bankmed Pharmacy Tariff Change Due to VAT Increase |
012/2018 |
01/04/2018 |
WCMAS Amendments Due to VAT Increase |
011/2018 |
01/04/2018 |
PICK N PAY Amendments Due to VAT Increase |
010/2018 |
01/04/2018 |
Profmed Amendments Due to VAT Increase INDEPENDENT & NON-PPN ONLY |
009/2018 |
01/04/2018 |
Platinum Dispensing Fee Amendments Due to VAT Increase |
008/2018 |
01/04/2018 |
Harmony Gold Mines Amendments Due to VAT Increase |
007/2018 |
01/04/2018 |
KeyHealth Amendments Due to VAT Increase |
006/2018 |
Immediate |
General - MediKredit Change of Postal Address |
005/2018 |
01/04/2018 |
General - Amendment Due to VAT Increase from 14% to 15% |
004/2018 |
Immediate |
CIGNA MTN Validation Change & FamCheck Functionality |
003/2018 |
Immediate |
CIGNA International MTN New Scheme Information |
002/2018 |
Immediate |
Cigna Schemes Dispensing Fee Change |
001/2018 |
Immediate |
CIGNA Administrator – Reminder of Scheme information |
034/2017 |
Immediate |
Anglo AMS New RMR 7799 & 7800 |
033/2017 |
01/01/2018 |
Universal Administered schemes Dispensing Fee Change |
032/2017 |
01/01/2018 |
SABMAS Yearend rule changes |
031/2017 |
01/01/2018 |
Momentum Heath Assessment NAPPI Price Increase |
030/2017 |
01/01/2018 |
GEMS Year-end Rule Changes |
029/2017 |
01/01/2018 |
MMI Pick N Pay Year-end Changes |
028/2017 |
01/01/2018 |
Universal WorkerPlan Flu Vaccine Claims from Pharmacies |
027/2017 |
01/01/2018 |
CAMAF Year-end Rule Changes |
026/2017 |
01/01/2018 |
CareCross /ONECARE Option Terminations |
025/2017 |
01/01/2018 |
Bankmed Year-end Rule Changes |
024/2017 |
01/01/2018 |
WCMAS Year-end Rule changes |
023/2017 |
01/01/2018 |
KeyHealth Year-end Changes |
022/2017 |
01/01/2018 |
Profmed Year-end Changes |
021/2017 |
15/12/2017 |
CareCross Scheme Termination |
020/2017 |
Immediate |
SABMAS Confirmation of Option to be Used |
019/2017 |
Immediate |
SABMAS MMAP Information |
018/2017 |
Immediate |
CareCross OCSACARE Ackermans Termination |
017/2017 |
immediate |
Discovery Bankmed New Risk Management (RMR) Code 7722 |
016/2017 |
Immediate |
RFMCF Stale Claim Period Change |
015/2017 |
07/08/2017 |
CareCross Commed Roots Joining Bonitas |
014/2017 |
Immediate |
CAMAF Notification of Extended Operating Hours for Medicine Authorisation Line |
013/2017 |
01/07/2017 |
SABMAS Administrator Change/Option Replacement |
012/2017 |
Immediate |
Cigna World Bank New Pharmacy Tariffs & Flu Vaccine Benefits |
011/2017 |
Immediate |
Carecross Motohealth Pat Benefit Information reminder |
010/2017 |
Immediate |
CareCross & ONECARE Confirmation of Submitting Codes for 2017 |
009/2017 |
Immediate |
WCMAS Flu Vaccine Price Change |
008/2017 |
Immediate |
KeyHealth MMAP on Oncology and HIV and Appropriate ICD-10 on Oncology Claims |
007/2017 |
01/03/2017 |
RFMCF MMAP Change |
006/2017 |
Immediate |
SAB Wellness Benefit Reminder |
005/2017 |
Immediate |
PICK N PAY Medical Scheme Option Termination |
004/2017 |
01/01/2017 |
Information for Independent Pharmacies Not Part of PPN Default Dispensing Fee |
003/2017 |
01/02/2017 |
CareCross New Selfmed Essential CareCross Option |
002/2017 |
Immediate |
Bankmed Insured Pharmacy Advised Therapy (PAT) Benefit for Core Saver Members |
001/2017 |
10/01/2017 |
GENERAL Payment Information |
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031/2016 |
01/01/2017 |
GENERAL Payment Information |
030/2016 |
01/01/2017 |
(Discovery) Anglo Medical Scheme PAT Max Increase |
029/2016 |
01/01/2017 |
(Universal) Compcare Plan Changes |
028/2016 |
01/01/2017 |
(Universal) WCMAS New Ntsika Option Information |
027/2016 |
01/01/2017 |
(Universal) Tiger Brands D4C Functionality |
026/2016 |
01/01/2017 |
SAB Medical Aid Scheme Year-end Rule Changes |
025/2016 |
01/01/2017 |
GEMS Year-end communication |
024/2016 |
15/12/2016 |
CareCross & ONECARE Year-end Changes |
023/2016 |
31/12/2016 |
Platinum Platsave Plan Termination |
022/2016 |
01/01/2017 |
WCMAS Year-end Rule Changes |
021/2016 |
01/01/2017 |
CAMAF Year-end Rule Changes |
020/2016 |
01/01/2017 |
Profmed Year-end Rule Changes |
019/2016 |
01/01/2017 |
KeyHealth Year-end Rule Changes |
018/2016 |
01/01/2017 |
Bankmed Year-end Rule Changes |
017/2016 |
14/12/ 2016 |
Pick n Pay Scheme Migration to New IT System & Year-end Changes |
016/2016 |
01/12/2016 |
Natal Hairdressing Sick Benefit Fund Termination |
015/2016 |
14/11/2016 |
CompCare D4C Functionality |
014/2016 |
01/01/2017 |
GEMS New Option Information |
013/2016 |
01/11/2016 |
CareCross Medicall Option Termination |
012/2016 |
01/10/2016 |
GEMS MediKredit Underwriting Information |
011/2016 |
Immediate |
Cigna Administrator – Reminder of Schemes Information |
010/2016 |
Immediate |
Cigna Administered Schemes Famcheck Functionality Change |
009/2016 |
01/09/2016 |
WCMAS Dosage Limits on Codeine Containing Products |
008/2016 |
01/08/2016 |
Universal Health & Accident New Option Information |
007/2016 |
01/08/2016 |
CareCross Liberty Traditional Standard Option Name Change |
006/2016 |
Immediate |
Rand Mutual Important Membership Detail Information |
005/2016 |
Immediate |
SAB Wellness Benefits Reminder Circular |
004/2016 |
05/02/2016 |
Schemes Administered by CIGNA Dispensing Fee Change |
003/2016 |
Immediate |
General New Risk Management Response (RMR) Code (7323) |
002/2016 |
Immediate |
Pick N Pay Pat Max Change |
001/2016 |
08/02/2016 |
RFMCF New Scheme Information |
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GEMS01 |
01/01/2016 |
GEMS Provider communication sms pharmacy |
GEMS02 |
01/01/2016 |
GEMS Provider communication 2015 claims and queries |
GEMS03 |
01/01/2016 |
GEMS destination codes for PBM claims Pharmacy |
029//2015 |
01/01/2016 |
GEMS New Scheme Information |
028/2015 |
01/01/2016 |
Universal Health WorkerPlan New truCare Plan Information |
027/2015 |
01/01/2016 |
WCMAS Dispensing Fee Change |
026/2015 |
01/01/2016 |
CAMAF HIV Tariff Increases & SAB Wellness Benefit |
025/2015 |
01/01/2016 |
Momentum Health Assessment NAPPI Price Change |
024/2015 |
01/01/2016 |
CareCross Year-end Changes |
023/2015 |
01/01/2016 |
Pick N Pay Year-end Changes |
022/2015 |
01/01/2016 |
Discovery Bankmed Option Replacement |
021/2015 |
01/01/2016 |
CAMAF, Profmed year-end changes |
020/2015 |
01/01/2016 |
KeyHealth Year-end changes |
019/2015 |
01/01/2016 |
WCMAS, ANGLO AMS year-end changes |
018/2015 |
17/08/2015 |
Platinum Health/Platinum CareCross Acute Claims Processing Change |
017/2015 |
Immediate |
Bankmed New Custom Tariff Claims |
016/2015 |
Immediate |
KeyHealth Acute Quantity Limits on Nexiam |
015/2015 |
Immediate |
KeyHealth Quantity Limits on Sedatives, Hypnotics and Anxiolytics |
014/2015 |
Immediate |
WCMAS [email protected] |
013/2015 |
Immediate |
MHG Bankmed Insured Pharmacy Advised Therapy (PAT) Benefit for Core Saver Plan Members |
012/2015 |
01/06/2015 |
BIMAF [email protected] |
011/2015 |
11-28/05/2015 |
Rand Mutual Claims Submission and Processes Information Sessions |
010/2015 |
01/05/2015 |
MHG Bankmed Quantity Limits on Agents for Smoking Cessation |
009/2015 |
01/05/2015 |
MHG Bankmed Dosage Limits on Codeine Containing Products |
008/2015 |
Immediate |
CareCross Flu Vaccine Benefit Increase |
007/2015 |
immediate |
CareCross & ONECARE On-Line Reversal Period Change |
006/2015 |
immediate |
Cigna International New Scheme Information |
005/2015 |
17/03/2015 |
Cigna International Dispensing Fee Change |
004/2015 |
Immediate |
Cigna International New Membership Cards |
003/2015 |
01/03/2015 |
Rand Mutual Assurance Claims Submitted via MediKredit |
002/2015 |
Immediate |
MMSA SAB Wellness Benefits Reminder Circular |
001/2015 |
Immediate |
ANGLO AMS PAT MAX change |
041/2014 |
01/01/2015 |
Vanbreda Administrator Name Change |
040/2014 |
01/01/2015 |
Universal Compcare New Scheme Information |
039/2014 |
01/01/2015 |
Universal Umvuzo New Scheme Information |
038/2014 |
01/01/2015 |
Universal Massmart New Scheme Information |
037/2014 |
01/01/2015 |
WCMAS Correction to Circular 030/2014 |
036/2014 |
01/01/2015 |
Universal Transmed State Plus New Scheme Information |
035/2014 |
01/01/2015 |
Universal Tiger Brands New Scheme Information |
034/2014 |
01/01/2015 |
KeyHealth & Profmed Pharmacy Tariff Changes |
033/2014 |
01/01/2015 |
WCMAS & Anglo AMS [email protected] MK Processing |
032/2014 |
Immediate |
General From [email protected] to [email protected] |
031/2014 |
01/01/2015 |
CareCross & ONECARE Year-end Changes |
030/2014 |
01/01/2015 |
WCMAS Year-end changes |
029/2014 |
01/01/2015 |
Universal Health WorkerPlan New Scheme Information |
028/2014 |
01/01/2015 |
Universal Health AECI Value New Scheme Information |
027/2014 |
01/01/2015 |
Profmed , Anglo AMS Year-end Changes |
026/2014 |
Dec/Jan2015 |
General Payment Date Amendment Notification |
025/2014 |
01/01/2015 |
SAB, Pick n Pay Year-end Changes |
024/2014 |
01/01/2015 |
Bankmed Year-end Changes |
023/2014 |
01/01/2015 |
Bankmed New Insured PAT Benefit for Core Saver Plan Members |
022/2014 |
01/01/2015 |
CAMAF Year-end Changes |
021/2014 |
01/01/2015 |
KeyHealth Year-end Changes |
020/2014 |
Immediate |
Compensation Fund Stale Claim & Reversal Period Change |
019/2014 |
28/10/2014 |
Genesis Scheme Termination |
018/2014 |
25/09/2014 |
General - Change of Physical Address September 2014 |
017/2014 |
Immediate |
CAMAF New Risk Management Response (RMR) Code (4812) |
016/2014 |
12/08/2014 |
New Product [email protected] Launch During August 2014 |
015/2014 |
01/08/2014 |
Compensation Fund Claims Processing |
014/2014 |
01/08/2014 |
Bankmed Nurses Tariff Claims and Option Name Change (Amended) |
013/2014 |
04/07/2014 |
Reminder – CareCross Bankmed Wellness Benefit, Vaccines & Membership Number Information |
012/2014 |
01/07/0214 |
MHG Bankmed Acute Psychiatry Medicine Management |
011/2014 |
01/07/2014 |
General All schemes ICD-10 Changes |
010/2014 |
01/07/2014 |
CareCross Medicall New Scheme Information |
009/2014 |
01/07/2014 |
SAB New Risk Management Response (RMR) Code 4781 |
008/2014 |
01/06/2014 |
Bankmed Tariff Claims for Administration of Injections (0021) |
007/2014 |
Immediate |
Platinum Health On-Line Reversal Period Change |
006/2014 |
01/05/2014 |
CareCross New Family Care Option Information |
005/2014 |
Immediate |
CareCross New Ocsacare Silver Plus (3 month waiting period) Option Information |
004/2014 |
30/04/2014 |
Afrox Scheme Termination (Merger with Discovery) |
003/2014 |
01/04/2014 |
Vanbreda World Bank Co-payment Changes |
002/2014 |
Immediate |
MHG Bankmed Oral contraceptive processing |
001/2014 |
Immediate |
Anglo AMS New Risk Management Response (RMR) Codes (4748, 4749) |
028/2013 |
01/01/2014 |
Anglo AMS Stale Claim Period Claims Management |
027/2013 |
01/01/2014 |
CareCross & ONECARE Year-end changes |
026/2013 |
31/12/2013 |
Resolution Scheme Termination |
025/2013 |
01/01/2014 |
SAB Year-end Changes |
024/2013 |
01/01/2014 |
Anglo AMS Year-end changes (New Options) |
023/2013 |
01/01/2014 |
Bankmed, Afrox & WCMAS Year-end Changes |
022/2013 |
01/01/2014 |
Profmed, Pick N Pay year-end changes |
021/2013 |
01/01/2014 |
CAMAF & KeyHealth Year-end changes |
020/2013 |
Dec/Jan |
General Payment Date Ammendment Notification |
019/2013 |
Immediate |
Rand Mutual Acute Claims Processing |
018/2013 |
Immediate |
Vanbreda International Schemes Dispensing Fee Change (Legislation) |
017/2013 |
30/06/2013 |
Rand Water Scheme Termination |
016/2013 |
01/07/2013 |
CareCross Essentialmed Termination |
015/2013 |
Immediate |
Vanbreda International Schemes Validation Change |
014/2013 |
Immediate |
Vanbreda International Confirmation of Options & Membership Info |
013/2013 |
Immediate |
SAB Wellness Benefit NAPPI Code Change |
012/2013 |
07/05/2013 |
MHG Bankmed Chronic Auth & Therapeutic Reference Pricing Phase 3 |
011/2013 |
02/05/2013 |
Vanbreda International Monetary Fund New Scheme Information |
010/2013 |
Immediate |
CareCross MotoHealth Essential & Custom Medicine Claims Processing |
009/2013 |
02/04/2013 |
VanBreda World Bank, UNV, UNDP, UNOPS, Unicef & Nestle New Scheme Information |
008/2013 |
Immediate |
CareCross Flu Vaccine Benefit Change |
007/2013 |
31/03/2013 |
SAPPI Scheme Termination due to Merger (with Bestmed) |
006/2013 |
Immediate |
WWitbank Coalfields Flu Vaccine Change |
005/2013 |
Immediate |
MMSA SAB Wellness Benefit Early Detection Claims Procedure |
004/2013 |
Immediate |
MMSA SAB Wellness Benefit Immunisation Claims Procedure |
003/2013 |
Immediate |
MMSA SAB & Anglo Flu Vaccine Claims Procedure |
002/2013 |
Immediate |
Bankmed CareCross Wellness Benefit & Membership Number Info |
001/2013 |
01/01/2013 |
CareCross ONECARE Confirmation of Nedgroup Traditional Plus Option Codes |
028/2012 |
01/01/2013 |
KeyHealth & Profmed Year-end Changes |
027/2012 |
01/01/2013 |
Resolution Health Year-end Changes |
026/2012 |
12/12/2013 |
General Payment Date Amendment Notification |
025/2012 |
01/01/2013 |
CareCross General Year-end Changes |
024/2012 |
01/01/2013 |
Bankmed & Bankmed CareCross Year-end Changes |
023/2012 |
01/01/2013 |
WCMAS, SAB & Anglo Year-end Changes |
022/2012 |
01/01/2013 |
CAMAF, Afrox, BIMAF, Anglo & Platinum year-end changes |
021/2012 |
02/11/2012 |
MHG Bankmed Chronic Auth & Therapeutic Reference Pricing Phase 2 |
020/2012 |
01/11/2012 |
Rand Mutual On-line Reversal Period Change |
019/2012 |
01/08/2012 |
NIMAS/RESOLUTION HEALTH SCHEME MERGER |
018/2012 |
05/07/2012 |
MHG Bankmed Chronic Authorisation & Therapeutic Reference Pricing |
017/2012 |
01/06/2012 |
General Notification of Change in Email address for Queries or Enquiries |
016/2012 |
01/06/2012 |
CareCross Platinum PAT Claims Processing Change |
015/2012 |
Immediate |
CareCross Rand Water Claims Processing Change |
014/2012 |
Immediate |
Agility Resolution Health New Risk Management Response (RMR) Codes (2729, 2730) |
013/2012 |
01/05/2012 |
CareCross Platinum Acute & PAT Claims Processing (RMR 2579 |
012/2012 |
06/04/2012 |
General Medikredit Payment Date Amendment Notification |
011/2012 |
01/04/2012 |
SABMAS Plan name changes |
010/2012 |
16/03/2012 |
General MediKredit Payment Date Amendment Notification |
009/2012 |
31/03/2012 |
World Bank Termination |
008/2012 |
Immediate |
SABMAS Wellness Benefit Immunisation |
007/2012 |
Immediate |
CareCross Various Schemes Flu Vaccines |
006/2012 |
Immediate |
Resolution Oncology and Renal Failure Medicine Claims |
005/2012 |
Immediate |
Rand Water New Plan Information |
004/2012 |
01/02/2012 |
Mamoth Health New Scheme Information |
003/2012 |
Immediate |
CareCross ONECARE Confirmation of Submitting option codes |
002/2012 |
01/02/2012 |
Rand Mutual Surcharge/MMAP Change |
001/2012 |
Immediate |
Anglo PAT Claims for Standard Plan Members incorrectly Rejecting |
042/2011 |
01/01/2012 |
Resolution Health & EMC Year-end Changes |
041/2011 |
01/01/2012 |
Carecross & Platinum Health Year-end Changes |
040/2011 |
01/01/2012 |
Bankmed & Afrox Year-end Changes |
039/2011 |
01/01/2012 |
KeyHealth, CAMAF & SAPPI Year-end Changes |
038/2011 |
01/01/2012 |
WCMAS, Rand Water & Foschini Year-end Changes |
037/2011 |
26/11/2011 |
SAMWUMED Scheme Termination |
036/2011 |
Immediate |
General Voluntary withdrawal of Xigris® 20mg & 5mg |
035/2011 |
01/11/2011 |
Profmed Option Code Consolidation |
034/2011 |
Immediate |
CareCross Prosano Procedure Oncology, Renal Dialysis & Organ Transplant Claims Processing |
033/2011 |
Immediate |
PMSA Profmed Famcheck Functionality |
032/2011 |
Immediate |
ProfMed Contraceptive Claims Processing |
031/2011 |
01/10/2011 |
Carecross Essentialmed Member Number Change |
030/2011 |
26/09/2011 |
Resolution Switch-out Project (CI116) |
029/2011 |
29/09/2011 |
Voluntary withdrawal of Avandia 2mg and 4mg |
028/2011 |
16/09/2011 |
General New Risk Management Response (RMR) Code (2426) |
027/2011 |
Immediate |
MHG Bankmed Healthcare Claims Processing |
026/2011 |
Immediate |
General New Risk Management Response (RMR) Code (2425) |
025/2011 |
Immediate |
PMSA KeyHealth Validation Change/Famcheck Functionality |
024/2011 |
Immediate |
General Changes to Claims Audit Procedures |
023/2011 |
01/08/2011 |
Anglo Medical - New Risk Management Response (RMR) Code (2423) |
022/2011 |
01/08/2011 |
MHG Medipos Scheme Termination |
021/2011 |
Immediate |
General All Schemes New Risk Management Response (RMR) Code (2420) |
020/2011 |
01/07/2011 |
MMSA Anglo Medical Standard Plan PAT Benefit |
019/2011 |
24/06/2011 |
MMSA KeyHealth Administrator Move to PMSA |
018/2011 |
30/04/2011 |
Cape Medical Plan - Termination |
017/2011 |
01/04/2011 |
Platinum Health PAT Claim Max Change |
016/2011 |
Immediate |
ONECARE Claims Processing |
015/2011 |
Immediate |
SABMAS Flu Vaccine Claims |
014/2011 |
01/03/2011 |
MHG Foschini Dispensing Fee Change |
013/2011 |
01/03/2011 |
Best Gold Select ONECARE Claims Processing |
012/2011 |
14/02/2011 |
Voluntary Withdrawal of Zamanon 100mg IV |
011/2011 |
28/02/2011 |
CareCross Medshield Essential Plan Termination |
010/2011 |
01/03/2011 |
SAMWUMED - Optipharm DSP for HIV Medication |
009/2011 |
01/01/2011 |
CareCross Prosano & Topmed PAT/OTC Benefit Change |
008/2011 |
04/02/2011 |
CareCross Day 1 Health & KeyHealth HIV DSP - RMR 2287 |
007/2011 |
01/02/2011 |
Platinum New PAT Option |
006/2011 |
01/02/2011 |
Option List for February 2011 |
005/2011 |
01/02/2011 |
General Summary of Circulars for January 2011 |
004/2011 |
01/01/2011 |
Option List for Mid-January 2011 |
003/2011 |
01/01/2011 |
General Summary of Circulars until Mid-January |
001/2011 |
01/01/2011 |
CareCross ONECARE Claims Processing |
001/2011 |
01/01/2011 |
Resolution Foundation Plan Claims Processing |
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