Please find below the medical aid changes for 2018 2018 Medical Aid Changes Wishing all our clients a safe and happy festive season!!!
As per Government Gazette No. 1479 dates 29 December 2017 The dispensing fee has been amended as follows: Where the SEP of a scheduled medicine is less than R119.99 the dispensing fee must not exceed 30% of the SEP. Where the SEP of a scheduled medicine is greater or equal to R120.00, the dispensing fee […]
Please click on the links below for the updated tariff and Medical Aid changes 2017 Medical Aid Changes 2017 Medical Aid Tariffs Guide to Basic Tariffs for GP’s 2017 Wishing all our clients a Happy Festive season
Why doctors should consider having an online presence Welcome to the 21st Century where any information, from the sublime to the ridiculous, is available at one’s fingertips. No one is too old, too young or even too technophobe to access the world wide web where information as random as weather forecasts, stock quotes, movie reviews and […]
Medprax ladies went on a 4 day cruise in December. Loads of fun was had by all. Thank you to all our clients for your continued support!!
To All our Clients and Software Vendors Our Fax number has changed. The new Fax Number is 031-904 3545
The Ladies of Medprax enjoyed a fabulous evening of fun and laughter at Madame Zingara
2015 Dispensing Fee change for Doctors As per Government Gazette No. 38731 dated 23 April 2015 The dispensing fee has been amended as follows: Where the SEP of a scheduled medicine is less than R108.00 the dispensing fee must not exceed 30% of the SEP. Where the SEP of a scheduled medicine is greater or […]
For this edition we are focussing on some basic steps to follow when submitting an ICD 10 code to medical aid and it is advisable that this is always kept in mind when submitting ICD 10 codes. Always use Valid Primary codes in the Primary position. First of all a Primary code is defined as […]
A PMB condition refers to a set of defined medical conditions for which payment for the treatment is guarenteed by Medical aids. There are 270 stipulated conditions, medical emergencies and accidents INCLUDING 26 Chronic conditions. The classification of a PMB condition is based on the presenting symptoms and signs and not the aetiology of the […]
Both the software development company and owner of the software must sign a Non-Disclosure Agreement (NDA) with Medprax that will allow them to use the file layouts and demo data for the purpose of development and testing only. No licence will be granted to supply data to any third parties unless agreed upon by Medprax. Medprax will not supply a full data file for software development and testing purposes. Once the NDA has been signed you will receive demo data and file layouts and will then be able to develop the interface. Please note that you will be required to incorporate a Medprax security feature into your software. This will be supplied by Medprax for all desktop software.
File layouts will be supplied in Excel spreadsheets which indicate the different tables and how they link up. The data you use will be supplied in a text delimited format.
Contact us if you have any queries regarding the file layout.
An Interface can be written for the following core products
We require this feature to keep track of all users of our data files. This is a security feature that looks for an unlock key to activate the Medprax interface. Ideally it will be coupled to the Medprax update menu option. The component supplies a lock key that has to be mailed to Medprax or phoned through for Medprax to respond with an unlock key. If this application cannot be utilised, please contact Medprax and we will discuss alternatives.
Once the software is complete, the end user, doctor or pharmacist using the software will have to register with Medprax individually to receive their weekly updates. Medprax does not allow for the Software developer/owner to distribute the Medprax data on our behalf. All clients/end users using Medprax data will require registration with Medprax.×
The list of ethical medicine, which also includes reference pricing that is allocated to each product by the different medical schemes, is essential for all dispensing practices. It will also indicate whether a co-payment is applicable before the patient leaves your rooms. The correct SEP will be listed ensuring rejection free claims.×
The consumable and injection price file is very useful to both dispensing and non-dispensing practices. This file includes all the consumable materials used in your practice, from sutures to gauze to catheters and oxygen masks. These are supplied with current price lists and works with the calculation table within our Medical Aid File to ensure that the correct re-imbursement rates are billed.×
The medical aid file is a necessity in any practice as it contains all the current contact information for each medical scheme, as well as destination codes, switching codes, plans, options and administrators. The file also contains a calculation table that will automatically adjust the billing amount according to the re-imbursement rate of the medical aid you have selected.×