Nappi Codes and pricing

Each Medical Aid allows for different re-imbursement rates. How do we apply this

Medprax has a calculation table that works within most softwares to automatically adjust the mark-up to the correct amount that the medical aid will pay.

I cannot find the nappi code I need on the system

As Medprax supplies weekly updates, we will add any nappi codes you require in your practice to your next update, ready for you to bill.

My claim has been rejected due to missing / expired nappi codes

If a nappi code has been discontinued, the medical aid will no longer pay for it. Medprax will mark the item as discontinued to prevent you from using it, and can provide you with the new valid code for claiming if there is a new code available.

My claim has been short paid due to reduced Scheme rate

Medprax supplies you with reference pricing linked to the Schemes that require this. This ensures you are always billing the correct prices to the medical aid.

The medical aid won’t pay for a certain product

Medprax flags items that have exclusions, and the PMA will warn you should the scheme not pay for this, before the patient leaves your practice.

We are a clinic and can only charge NAP pricing

Medprax supplies the NAP prices, and should there be no NAP price applicable the list price will automatically be selected, ensuring 100% accuracy when claiming.

Where do you get your pricing from, can I be sure it is correct

Medprax obtains the pricing directly from the manufacturers and we receive the SEP pricing directly from DOH. Any price changes are applied directly to enable you to have the correct pricing with your next update.

Medical Aids

I cannot get through to the Medical Aid

Medprax supplies you with the correct contact details for each medical aid, as well as changes with scheme names or administrators.

My claim is not reaching the scheme

Medprax ensures that you have the correct switching codes linked to the schemes.

There is a co-payment, but the patient has already left

Medprax will notify you within your PMA to warn you if there will be a co-payment applicable.


How do I know if I am up to date

Medprax has a specific way to check if the update has run through successfully each week. We will show you how to do this check and this allows you to contact us immediately if there are any problems when updating.

I am not computer savvy, will Medprax work for me

The Medprax updates are easy to do. We offer step by step instructions, as well as telephonic and teamviewer support, at no additional cost. We are always available to assist.

I don’t know how to update my software

Simply give us a call, and we can assist in showing you how to update, step by step.

If I need to call you, will I have to hold for hours

With Medprax, your query is attended to immediately and we will follow through until the issue has been resolved.

My programme says my Medprax licence has expired. What does that mean

The Medprax licence automatically expires once a year. It is a simple process and at no extra charge. Just contact us for assistance.

Support Staff

Terms of Use


Privacy Policy


Medprax terms and conditions

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

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

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.


Privacy Policy


Ethical medicine

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.

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Material and injections

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.

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Medical aid schemes

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.

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