Fill in patient info, services, and ICD-10 codes with our guided form
We validate and format your claim per Medical Schemes Act requirements
Download and email to the scheme's claims address. We show you exactly where.
Switch providers charge R3-10 per claim. Email claims cost R0.
Discovery, GEMS, Momentum, Medihelp, Bestmed accept email claims.
Catch errors before submission. Reduce rejections by 50-70%.
Search and validate diagnosis codes as you type.
Discovery Health, GEMS, Momentum Health, Medihelp, and Bestmed all accept email claims. This covers approximately 70% of the South African medical scheme market.
Yes. Our PDF format includes all mandatory fields required by the Medical Schemes Act (131 of 1998) and its Regulations.
Switching providers charge R3-10 per claim. For a solo practitioner doing 50-100 claims/month, that's R150-1000 in fees. Email claims cost nothing and are processed the same way.
Email claims typically process within 3-7 business days, similar to EDI claims. We help you track claim status and follow up on delays.