The Medprax Tariff Portal is for Doctors, Dentists and Allied Healthcare practioners and gives you exclusive access to Scheme Tariff Rates across 86 Schemes, 291 Plans and 1281 Options. This includes Contracted or Scheme Payment arrangement rates for GP’s and Specialists.
GP’s and Specialists: R950 per annum
Allied Practioners: R450 per annum
These codes and tariffs can be accessed via the Medprax Tariff Portal and exported in an Excel Spreadsheet. Compatible with your Practice Management System.
This will give you access to:
Fixed Medical Scheme Rates as published by Schemes
RCF Caclulated rates
Non Network Rates
Specialist Payment Arrangement Rates – Discipline Specific
Exclusion Codes and Rates for Specialist enhanced rates
Insured Benefits with In Hospital and Out of Hospital benefits
Medprax nor any of its agents or representatives shall be liable for any damage, loss or liability arising from the use or inability to use this web site or the services or content provided from and through this web site.
This web site is supplied on an "as is" basis and has not been compiled or supplied to meet the user's individual requirements. It is the sole responsibility of the user to satisfy itself prior to entering into this agreement with Medprax that the service available from and through this web site will meet the user's individual requirements and be compatible with the user's hardware and/or software.
Information, ideas and opinions expressed on this site should not be regarded as professional advice or the official opinion of Medprax and users are encouraged to consult professional advice before taking any course of action related to information, ideas or opinions expressed on this site.
When this site collects private information from users, such information shall not be disclosed to any third party unless agreed upon between the user and Medprax.
Medprax may, in its sole discretion, change this agreement or any part thereof at any time without notice.
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
Pharmaceutical product and price file - Nappi price file
Consumables product and price file
Medical Schemes data file
ICD 10 codes file
Tariff codes are outsourced to Medibox
Active X security feature
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.
Our Business model
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.