Integrated Data Solutions for the Healthcare Industry
ENQUIRE NOW
Smart data for accurate Claim Submissions
ENQUIRE NOW
API solutions for seamless Integration
ENQUIRE NOW
Trusted Partner for High quality, versatile, Healthcare data
ENQUIRE NOW
The technical intelligence behind every data transaction
ENQUIRE NOW
Your partner in Healthcare Data Solutions
ENQUIRE NOW
‘fit for business’ data solutions
ENQUIRE NOW

YOUR PARTNER IN HEALTHCARE DATA SOLUTIONS

We supply essential up-to-date medical scheme, tariff, pharmaceutical and surgical product and price data to
practices, hospitals and Healthcare organisations throughout South Africa and Namibia.

OUR PRODUCTS

Medical Schemes Master

  • Medical Scheme Plan Options:
    • Claim Routing/ Switch Codes
    • Scheme Mark-Up Calculation Rules
    • Scheme Tariffs Linked on Option Level
    • Acute and CDL Formularies
  • Co-payment Advisory Information
  • Dispensing Rules and Conditions
  • Benefit Advisory Information
  • eHR and eScript Functions
  • Health Insurances
  • Scheme Contact Directory

Tariff Rates Master

  • 72 Healthcare Disciplines:
    • Medical 
    • Allied
    • Dental
    • Optometry
    • Orthotist
  • Specialist Payment Arrangements
  • Medical Scheme Tariff Rates
  • GP Network Tariff Rates
  • Custom Tariff Codes and Rates
  • RCF Tariff Rates
  • Billing Unit Values and Types
  • Billing Modifiers
  • Health Risk Assessment (HRA) Codes and Rates
  • COID Tariff Codes and Rates

Pharmaceuticals Master

  • NAPPI Code
  • Trade Name
  • Single Exit Price (SEP)
  • Medical Aid Reference Price
  • Active Ingredients
  • ATC Code Classification
  • Generic Equivalent Code
  • Therapeutic Equivalent Baskets
  • Manufacturer Name
  • CDL Indicator
  • Allergy Flags
  • Product Barcode
  • Scheme Exclusion Criteria
  • ICD-10 Code (PBM/CDL Mapping)

Consumables Master

  • NAPPI Code
  • Product Name
  • Manufacturer List Price
  • Product Classification
  • Scheme Exclusion Criteria
  • Product Barcode

MEDPRAX has been creating
‘fit for business’ data solutions for the South African Healthcare industry for over 3 decades.

HOW DO WE DO THIS?

home_zone buttons_v01_home_zone_Provider

PROVIDER SOLUTIONS

home_zone buttons_v01_home_zone_Corporate

CORPORATE SOLUTIONS

home_zone buttons_v01_home_zone_Partner

PARTNER SOLUTIONS

Medical Schemes Master

Scheme-Plan-Option tables
Billing Specific Data links

Tariff Rates

Per Scheme Option across 72 Disciplines
Medical Scheme and Network specific Rates

ICD-10 Codes

Cross referenced to treatment baskets, PMB conditions and Medical Scheme formularies

Pharmaceuticals Product and Price file

Single Exit Pricing, Active Ingredients, ATC Classifications and Equivalents

Consumables (0201) and Surgical devices product and price file

Ethical Drug and Surgical Pricing for Business Intel reporting

Clinical and Medicine decision support modules

Accessed seamlessly via the Medprax API

Data Integration and Mapping Solutions

Cross-mapped to International medicines data

Medprax interfaces with your Practice Management System

WHY CHOOSE MEDPRAX?

Tried, tested and trusted

Most up-to-date, valid and accurate data

Experience, expertise and established relationships

Aligned with industry leaders