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edition two | twenty twenty
From the ME
edition two | twenty twenty
The world we live in has changed completely since the
last message I wrote for the newsletter. The implications of
COVID-19 have taken the world by storm and the impact on
healthcare has been profound. We can only applaud all
our brave healthcare workers who are working tirelessly in
the face of the pandemic.
While MediSwitch is not in the frontline of healthcare
delivery, we are a very important part of the healthcare
service delivery chain, particularly in this time, as a
substantial number of pharmacy claims are being
switched in South Africa.
From the ME | Account Managers | Training Tips | Did You Know | Scheme Updates | Industry Insights | Workshops | Information Update
During the lockdown MediSwitch remained open, but it was “business as
unusual”, with all our staff working remotely from home. It has been a very
interesting time for all of us, getting used to interacting exclusively via Microsoft
Teams for chats, teleconferences and videoconferences. I am proud of how our
team have adapted, and that we have managed to keep the Switch operating
flawlessly. Not only are we supporting our customers, we have also continued
to work on new projects.
Working remotely has not been without its stresses for our staff, be it coping
with home schooling, having network and data issues and, of course, dealing
with the general levels of uncertainty we are all feeling.
The World Health Organisation has published a series of messages to support
the mental and psychosocial wellbeing of healthcare professionals during the
COVID-19 outbreak. Three of these posts are relevant to the rest of us as well,
and I urge you to take note of them as part of your plan to look after yourself
during this time:
1. It is quite normal to be feeling under pressure in the current situation.
Stress and the feelings associated with it are by no means a suggestion
that you are weak. Managing your mental health and psychosocial
wellbeing during this time is as important as managing your physical
health.
2. Make sure you get sufficient rest and respite during work or between
shifts, eat sufficient and healthy food and engage in physical activity.
3. If possible, stay connected with your loved ones, including through digital
channels.
‘Till next time, take care, stay safe and stay healthy
-Andrew
© World Health Organization 2020. Some rights reserved. This work is available under the CC BY-NC-SA 3.0 IGO licence.
WHO reference number: WHO/2019-nCoV/MentalHealth/2020.1
PG|01
Meet our Account Managers
edition two | twenty twenty
In this edition of our newsletter, we introduce two more account managers,
Kimay Chinnappen and Vaughan Smuts - both based in KwaZulu-Natal..
Kimay Chinnappen
“No task is too daunting when you can
find excitement and motivation - even
under pressure.”
From the ME | Account Managers | Training Tips | Did You Know | Scheme Updates | Industry Insights | Workshops | Information Update
Kimay brings a combination of
exuberance, determination and attention
to detail to her client interactions.
“I believe in taking the time and effort
required to deliver optimal results.”
If you are on the KZN North Coast,
including Richards Bay and surrounding
areas up to Pongola you can contact
Kimay on Kimay.Chinnappen@altron.com.
Vaughan Smuts
“I’m a sales professional of substance
and style.”
Vaughan takes ownership of the roles and
opportunities assigned to him.
“I value integrity and a can-do attitude
and am passionate about leading from
the front while encouraging participation
from all my colleagues.”
Vaughan serves clients in the KZN mainline
areas starting from Westville all the way
up to Ladysmith including Newcastle. You
can contact him on
Vaughan.Smuts@altron.com.
PG|02
Training Tips
edition two | twenty twenty
Three easy steps to create your own one-page quarterly
action plan for your medical practice
To grow your medical practice in the right way, you must be flexible on the
one hand with the ability to adapt your plan as you go.
On the other hand, if you change your focus too frequently, you will lose
momentum and your staff will lose focus.
The answer to execution lies in the quarter
Three months is a long enough period to get meaningful units of work done,
From the ME | Account Managers | Training Tips | Did You Know | Scheme Updates | Industry Insights | Workshops | Information Update
bringing you closer to your long-term goals. It is also a short enough to
course correct while holding your focus.
Step 1: Pick your top three focus areas for the quarter
Potential focus areas for your practice can be:
Improve collections
Increase your clinical capacity
Increase patient volume
Recruit another provider
Conduct a margin analysis by procedure type or by payer category
Hire an operations manager
Mitigate a key legal exposure for your practice
Negotiate a new contract with the hospital
Find a location to build your surgical centre
You should only choose three focus areas per quarter to ensure that you
don’t spread your practice too thin.
Step 2: Determine the success criteria for your focus
Once you’ve chosen three focus areas, take a moment to pause and
clarify what you see as being a successful outcome for each area. Ask the
following questions to make it easier:
What do you want to accomplish during this quarter to consider it
being successful?
How will you measure whether it’s successful? You should have a
clear sense of how this will work and what it will look like.
Choose three or four definite criteria of success for each of your focus areas.
PG|03
Training Tips
edition two | twenty twenty
Step 3: Lay out the key action steps and milestones for the quarter
Finally, determine the key actions and milestones required to meet your
success criteria for each of your chosen focus areas during the quarter.
To do this, break each focus area into five to seven action steps. Your plan
should be detailed enough to guide your actions while not getting lost in
infinite detail.
Now, for each of the action steps, choose a specific team member that
will be responsible for executing that step by a specific date. If you have
From the ME | Account Managers | Training Tips | Did You Know | Scheme Updates | Industry Insights | Workshops | Information Update
multiple people contributing to specific step(s), you should appoint one
person who will “own” the task. They will be responsible to get it done and
have the authority to do so.
-Paul Saunders, Product Manager
PG|04
edition two | twenty twenty
Did you know?
During this time where we are all trying to stay safe; our webchat is one of
the most convenient ways to contact us.
How do I use the webchat?
From the ME | Account Managers | Training Tips | Did You Know | Scheme Updates | Industry Insights | Workshops | Information Update
Log on to www.mediswitch.co.za and click on the chatbot:
Please give us your name and
contact number in the name
field, so we can give you a
call back if necessary.
PG|05
edition two | twenty twenty
Did you know?
Click on Start Chat and give us as much information as possible to
accurately assist you:
Your practice number
Additional contact details where we can get hold of you
From the ME | Account Managers | Training Tips | Did You Know | Scheme Updates | Industry Insights | Workshops | Information Update
State if there is a preferred time for us to reach you
The software programme you are using
The problem encountered
Please do not close the window of the chat until someone responds to you
unless the chat is conducted outside business hours.
When is the webchat manned?
Monday to Friday 7am to 6pm
Saturday 8am to 1pm
What are the benefits of using the webchat?
The convenience of communicating with us in- or outside of
business hours.
It saves you time instead of holding on the phoneline to our Support
Centre which can be very busy at times.
If you give us enough information, it allows our support consultants
time to investigate and understand your enquiry which increases
query resolution.
- MediSwitch Support
PG|06
edition two | twenty twenty
Destination Updates
Below are the latest activation and destination codes.
For your convenience, you can remove these pages and file them for your
ease of reference.
VERY IMPORTANT
The media used by MediSwitch to submit your claims to the destinations are
Real-Time, EDI (electronic) or Printed Statements.
PLEASE NOTE: An * (Asterisk) in front of a Code indicates a change to an
existing destination or a new destination on the list.
MEDISWITCH
QEDI DESTINATION DESTINATION NAME ADMINISTRATOR NAME
CODE CODE
460P EMED0005 1 DOCTOR HEALTH 1 DOCTOR HEALTH
From the ME | Account Managers | Training Tips | Did You Know | Scheme Updates | Industry Insights | Workshops | Information Update
027P SHAE0000 AECI MEDICAL AID SOCIETY MEDSCHEME
215P AMAS0002 AECI MEDICAL AID SOCIETY VALUE OPTION UNIVERSAL HEALTHCARE ADMINISTRATORS (PTY) LTD.
290P ABRO0001 AFA BROADREACH MEDSCHEME
304P ACOR0001 AFA CORPORATE MEDSCHEME
276P AHEA0001 AFFINITY HEALTH PAN AFRICAN MANAGED CARE (PTY) LTD
836P AAWM0001 AFRICAN AND WORLDWIDE MEDICAL ASSISTANCE SERVICES (PTY) LTD AFRICA ASSIST
224P MSAM0002 ALLIANCE MIDMED MEDICAL SCHEME PRIVATE HEALTH ADMINISTRATORS (PTY) LTD
037P NPAM0000 ANGLO MEDICAL SCHEME DISCOVERY HEALTH ADMINISTRATORS
390P AAME0002 ANGLOGOLD ASHANTI EMPLOYEES SCHEME MOMENTUM THEBE YA BOPELO (TYB)
036P DIAV0000 ANGLOVAAL GROUP MEDICAL SCHEME DISCOVERY HEALTH ADMINISTRATORS
771P AMIN0002 ASTERIO MEDICAL INSURANCE ASTERIO MEDICAL INSURANCE
042P BKAC0000 BANKMED MEDICAL SCHEME DISCOVERY HEALTH ADMINISTRATORS
043P MSBR0000 BARLOWORLD MEDICAL SCHEME MEDSCHEME
733P BCIM0001 BCIMA (BUILDING AND CONSTRUCTION INDUSTRY MEDICAL AID FUND) UNIVERSAL HEALTHCARE ADMINISTRATORS (PTY) LTD.
045P BEBE0000 BESTMED MEDICAL SCHEME BESTMED
048P MSBW0000 BMW EMPLOYEES MEDICAL AID SOCIETY DISCOVERY HEALTH ADMINISTRATORS
595P BSBO0000 BOMAID BOMAID MEDICAL AID
877P BHSB0001 BOMAID HIV SPECIAL BENEFIT FUND BOMAID MEDICAL AID
050P MSBS0000 BONITAS MEDICAL FUND MEDSCHEME
571P BHPL0001 BOTSOGO HEALTH PLAN MOMENTUM: HDS MEDICAL MANAGEMENT
081P BPOM0002 BOTSWANA PUBLIC OFFICERS MED AID SCHEME (BPOMAS) AFFILIATED FUND ADMINISTRATORS BOTSWANA
056P BKAJ0000 BP SOUTHERN AFRICA MEDICAL AID SOCIETY MOMENTUM HEALTH SOLUTIONS
593P INPE0000 BUILDING INDUSTRIES P.E. INDUSTRIAL COUNCIL P.E.
079P CAAA0000 CAMAF CHARTERED ACCOUNTANTS MEDICAL AID FUND
(CAMAF)
052P CMPL0000 CAPE MEDICAL PLAN CAPE MEDICAL PLAN
561P CARE0006 CARECROSS CARECROSS
254P CARE0009 CAREWORKS CAREWORKS
389P CFDA0001 CENTRE FOR DIABETES AND ENDOCRINOLOGY (CDE) MEDIKREDIT
129P SSCC0000 COMPCARE MEDICAL SCHEME UNIVERSAL HEALTHCARE ADMINISTRATORS (PTY) LTD.
454P CFIO0001 COMPENSATION FUND (IOD) COMPENSATION FUND (IOD)
704P CIOD0001 COMPSOL (IOD CLAIMS) IOD CLAIMS: COMPSOL
066P DBDB0000 DE BEERS BENEFIT SOCIETY DE BEERS BENEFIT SOCIETY
570P DTIO0001 DEBT TEC IOD DEBT TEC
483P DSGM0004 DEEP SOUTH GOLD MINE MOMENTUM THEBE YA BOPELO (TYB)
406P DRCC0001 DENTAL RISK COMPANY DRC DENTAL RISK COMPANY
125P DHEA0000 DISCOVERY HEALTH MEDICAL SCHEME DISCOVERY HEALTH ADMINISTRATORS
226P DOME0001 DOMESTICARE CARECROSS
PG|07
edition two | twenty twenty
Destination Updates
MEDISWITCH
QEDI DESTINATION DESTINATION NAME ADMINISTRATOR NAME
CODE CODE
700P DRUM0001 DRUMMED PAN AFRICAN MANAGED CARE (PTY) LTD
695P ECOM0004 EEB COMBINED NATIONAL HEALTH GROUP
683P EESS0002 EEB ESSENTIAL NATIONAL HEALTH GROUP
289P EMCC0008 EMERGING MARKET HEALTHCARE EMERGING MARKET HEALTHCARE
269P BKAI0000 ENGEN MEDICAL BENEFIT FUND DISCOVERY HEALTH ADMINISTRATORS
776P EEBE0001 ESSENTIAL EMPLOYEE BENEFITS (EEBS) NATIONAL HEALTH GROUP
516P EMED0006 ESSENTIAL MED ESSENTIAL MED
*873P ECOR0001 ESSENTIALMED CORPORATE AFROCENTRIC
690P EGMI0001 EVANDER GOLD MINE MOMENTUM THEBE YA BOPELO (TYB)
From the ME | Account Managers | Training Tips | Did You Know | Scheme Updates | Industry Insights | Workshops | Information Update
160P OPLA0001 FEDHEALTH MEDICAL SCHEME MEDSCHEME
837P FEMM0003 FEMA MEDICAL SCHEME FEMA
779P FISH0001 FISHING INDUSTRY MEDICAL SCHEME (FISHMED) MOMENTUM HEALTH SOLUTIONS
*489P FAAW0001 FOOD WORKERS MEDICAL BENEFIT FUND FOOD WORKERS MEDICAL BENEFIT FUND
083P BKAL0000 FOSCHINI GROUP MEDICAL SCHEME DISCOVERY HEALTH ADMINISTRATORS
470P FURN0001 FURNMED EMINENT WEALTH CONSULT PTY LTD
518P GMSC0001 GENESIS MEDICAL SCHEME GENESIS MEDICAL AID
504P GETS0001 GETSAVVI BLACKBIRD GROUP (PTY) LTD
181P XTRA0001 GLENCORE MEDICAL SCHEME DISCOVERY HEALTH ADMINISTRATORS
363P GARR0000 GOLDEN ARROW EMPLOYEES MEDICAL BENEFIT FUND MOMENTUM HEALTH SOLUTIONS
918P BGOP0001 GOVERNMENT EMPLOYEES MEDICAL SCHEME (GEMS BERYL OPTION) METROPOLITAN HEALTH GROUP
875P GEMS0001 GOVERNMENT EMPLOYEES MEDICAL SCHEME (GEMS EMERALD METROPOLITAN HEALTH GROUP
OPTION)
925P GEOP0001 GOVERNMENT EMPLOYEES MEDICAL SCHEME (GEMS ONYX OPTION) METROPOLITAN HEALTH GROUP
926P GROP0001 GOVERNMENT EMPLOYEES MEDICAL SCHEME (GEMS RUBY OPTION) METROPOLITAN HEALTH GROUP
917P SGOP0001 GOVERNMENT EMPLOYEES MEDICAL SCHEME (GEMS TANZANITE ONE) METROPOLITAN HEALTH GROUP
259P STGR0000 GRINTEK ELECTRONICS MEDICAL AID SCHEME UNIVERSAL HEALTHCARE ADMINISTRATORS (PTY) LTD.
597P IDHA0000 HAIRDRESSING SICK BENEFIT FUND CAPE TOWN HAIRDRESSING SICK BENEFIT FUND
018P HHSE0001 HARMONY HEALTH SERVICES AFROCENTRIC
421P HSMS0001 HEALTH SQUARED MEDICAL SCHEME AGILITY
472P HEAL0002 HEALTH4ME MOMENTUM HEALTH SOLUTIONS
684P HHMA0001 HERITAGE HEALTH MEDICAL AID FUND JANUS INVESTMENTS (PTY) LTD
444P HMSC0001 HORIZON MEDICAL SCHEME MEDSCHEME
523P THHM0000 HOSMED MEDICAL AID SCHEME MEDSCHEME
439P IMPL0001 IMPALA MEDICAL PLAN MOMENTUM THEBE YA BOPELO (TYB)
364P OMIM0000 IMPERIAL MOTUS MED MOMENTUM HEALTH SOLUTIONS
221P ICOP0003 IMPILO CARE OPTION UNIVERSAL HEALTHCARE ADMINISTRATORS (PTY) LTD.
407P ICPS0020 IMPROVED CLINICAL PATHWAY SERVICES IMPROVED CLINICAL PATHWAY SERVICES
510P MUNI0000 KEYHEALTH PPS HEALTHCARE ADMINISTRATORS (PPSHA)
525P LHEA0001 LA HEALTH DISCOVERY HEALTH ADMINISTRATORS
099P MSLI0000 LIBCARE MEDICAL SCHEME LIBERTY HEALTH ADMINISTRATORS
008P LBLU0001 LIBERTY BLUE MEDICAL SCHEME LIBERTY HEALTH ADMINISTRATORS
945P LMSC0001 LONMIN MEDICAL SCHEME DISCOVERY HEALTH ADMINISTRATORS
302P MCAP0002 MAKOTI COMPREHENSIVE AND PRIMARY ENABLEMED
104P NMMD0000 MALCOR MEDICAL SCHEME DISCOVERY HEALTH ADMINISTRATORS
255P MODD0001 MALCOR OPTION D ENABLEMED
247P MHPL0002 MAMOTH HEALTH PLAN MAMOTH EMPLOYEE BENEFITS (PTY) LTD
*898P MEMS0004 MASSMART EMS UNIVERSAL HEALTHCARE ADMINISTRATORS (PTY) LTD.
PG|08
edition two | twenty twenty
Destination Updates
MEDISWITCH
QEDI DESTINATION DESTINATION NAME ADMINISTRATOR NAME
CODE CODE
038P MSSS0000 MASSMART HEALTH PLAN UNIVERSAL HEALTHCARE ADMINISTRATORS (PTY) LTD.
180P DCME0003 MB MED MEDSCHEME
542P MEDI0034 MEDIBUCKS EDCON MEDIBUCKS ADMINISTRATOR
543P MSAC0001 MEDIBUCKS SAVINGS ACCOUNT MEDIBUCKS ADMINISTRATOR
562P MSOC0001 MEDICAL SOCIETY AFFINITY FINANCIAL SERVICES (PTY) LTD
418P MHEA0011 MEDICALL HEALTH MEDICALL HEALTHCARE NETWORK PROVIDERS
256P MGFM0001 MEDIHELP MEDIHELP
265P MSDI0000 MEDIMED MEDICAL SCHEME MOMENTUM THEBE YA BOPELO (TYB)
250P OMDP0000 MEDIPOS MEDICAL SCHEME AFROCENTRIC
From the ME | Account Managers | Training Tips | Did You Know | Scheme Updates | Industry Insights | Workshops | Information Update
540P MESW0003 MEDSCHEME ESWATINI MSO
111P MSMS0000 MEDSHIELD MEDICAL SCHEME MEDSHIELD ADMINISTRATORS
754P MEDS0003 MEDSTART MEDICAL SCHEME MEDSTART
535P MHLE0001 METROPOLITAN HEALTH LESOTHO MOMENTUM: HDS MEDICAL MANAGEMENT
628P MMED0040 MIDI MEDICAL MIDI MEDICAL GROUP
362P MMSC0001 MMED OPTION OF THE NASPERS MEDICAL FUND DISCOVERY HEALTH ADMINISTRATORS
237P MHAF0001 MOMENTUM HEALTH AFRICA MOMENTUM: HDS MEDICAL MANAGEMENT
822P MHEA0007 MOMENTUM HEALTH MEDICAL SCHEME MOMENTUM HEALTH SOLUTIONS
940P MHCA0001 MOTO HEALTHCARE MOMENTUM HEALTH SOLUTIONS
292P MINT0001 MSO INTERNATIONAL MSO
206P MSAS0000 NAMIBIA HEALTH PLAN MEDSCHEME NAMIBIA
600P MSAU0000 NAMIBIA IND MEDICAL AID MEDSCHEME NAMIBIA
214P NHGR0001 NATIONAL HEALTH GROUP NATIONAL HEALTH GROUP
010P NWFH0001 NBCRFLI WELLNESS FUND HEALTH PLAN PAN AFRICAN MANAGED CARE (PTY) LTD
016P OMNE0000 NEDGROUP MEDICAL AID SCHEME MEDSCHEME
067P NPMS0000 NETCARE MEDICAL SCHEME DISCOVERY HEALTH ADMINISTRATORS
455P NOHE0001 NETCARE OCCUPATIONAL HEALTH NETCARE OCCUPATIONAL HEALTH
624P NSBS0001 NUFAWSA SICK BENEFIT SOCIETY EMINENT WEALTH CONSULT PTY LTD
401P OMHP0001 OLD MUTUAL HEALTH PLAN UNIVERSAL HEALTHCARE ADMINISTRATORS (PTY) LTD.
012P OMOL0000 OLD MUTUAL STAFF MEDICAL AID SCHEME UNIVERSAL HEALTHCARE ADMINISTRATORS (PTY) LTD.
468P OPMI0001 ONEPLAN MEDICAL INSURANCE ONEPLAN MEDICAL INSURANCE
142P NASE0000 OPMED OPMED (NIA)
143P MSPA0000 PARMED MEDICAL AID FUND MEDSCHEME
650P PEPL0002 PEPKOR EXECUTIVE PLAN OPTION (EEBS) NATIONAL HEALTH GROUP
146P NMPS0000 PG GROUP MEDICAL SCHEME MOMENTUM HEALTH SOLUTIONS
376P DEAO0000 PICK N PAY MEDICAL SCHEME MOMENTUM HEALTH SOLUTIONS
266P MSAP0001 PLATINUM HEALTH PLATINUM HEALTH
219P MHPO0001 POLMED MEDSCHEME
703P PIOD0001 POLMED (IOD CLAIMS) MEDSCHEME
417P PAEC0001 PPN AECI MEDSCHEME
432P PCAR0001 PPN CARECROSS CARECROSS
457P PMED0018 PPN MEDIMED MOMENTUM THEBE YA BOPELO (TYB)
419P PPOL0001 PPN POLMED MEDSCHEME
642P PCUR0001 PRIME CURE PRIME CURE
154P PFPO0000 PROFMED PPS HEALTHCARE ADMINISTRATORS (PPSHA)
627P PLAP0002 PROSPERITY LIFE ACCIDENT PROTECTOR PROSPERITY HEALTH NAMIBIA
626P PLPP0001 PROSPERITY LIFE PRIMARY PROTECTOR PROSPERITY HEALTH NAMIBIA
359P PLIF0001 PROSPRITY LIFE PROSPERITY HEALTH NAMIBIA
PG|09edition two | twenty twenty
Destination Updates
MEDISWITCH
QEDI DESTINATION DESTINATION NAME ADMINISTRATOR NAME
CODE CODE
474P PROT0001 PROTEKTA MOMENTUM THEBE YA BOPELO (TYB)
084P PULA0002 PULAMED AFFILIATED FUND ADMINISTRATORS BOTSWANA
162P QMAS0002 QUANTUM MEDICAL AID SOCIETY DISCOVERY HEALTH ADMINISTRATORS
818P RMAS0001 RAND MUTUAL ASSURANCE RAND MUTUAL ASSURANCE
607P RAWB0000 RAND WATER MEDICAL SCHEME RAND WATER BOARD
632P RWPL0001 REEBOKRANT WORKERS TRUST UNIVERSAL HEALTHCARE ADMINISTRATORS (PTY) LTD.
645P RFMC0001 REGULAR FORCE MEDICAL CONTINUATION FUND (RFMCF) PPS HEALTHCARE ADMINISTRATORS (PPSHA)
161P MSRM0000 REMEDI MEDICAL AID SCHEME DISCOVERY HEALTH ADMINISTRATORS
257P RHMF0001 RENAISSANCE HEALTH MEDICAL AID FUND PROSPERITY HEALTH NAMIBIA
From the ME | Account Managers | Training Tips | Did You Know | Scheme Updates | Industry Insights | Workshops | Information Update
608P REMT0000 RETAIL MEAT TRADE RETAIL MEAT TRADE
946P RMSC0001 RETAIL MEDICAL SCHEME DISCOVERY HEALTH ADMINISTRATORS
581P TEMS0001 RHODES UNIVERSITY MEDICAL SCHEME (RU MED) MOMENTUM THEBE YA BOPELO (TYB)
780P RHSC0001 ROSHMED HOSPITAL SCHEME RISKAID (DIGIDATA)
179P MSBI0000 SA BREWERIES MEDICAL AID SOCIETY DISCOVERY HEALTH ADMINISTRATORS
176P MSAG0000 SABC MEDICAL AID SCHEME MEDSCHEME
611P SAMW0001 SAMWUMED SAMWUMED
118P SWEL0001 SAPS WELLNESS METROPOLITAN HEALTH GROUP
175P MSOI0000 SASOLMED MEDICAL SCHEME MEDSCHEME
022P SMSC0003 SEDMED MEDICAL SCHEME SEDMED MEDICAL SCHEME
631P SHEM0002 SHEMHEALTH PAN AFRICAN MANAGED CARE (PTY) LTD
188P GFHS0001 SIBANYE GOLD MOMENTUM THEBE YA BOPELO (TYB)
116P DIME0000 SISONKE MEDICAL SCHEME MOMENTUM THEBE YA BOPELO (TYB)
178P SZWE0000 SIZWE MEDICAL FUND 3SIXTY HEALTH
*958P RWEL0001 SMOLLAN HEALTH REJUVE WELLNEES
614P SPSB0000 SPES BONA SPES BONA
072P DEAC0000 SUREMED HEALTH MOMENTUM THEBE YA BOPELO (TYB)
240P MSSW0000 SWAZIMED PRIVATE HEALTH ADMINISTRATORS (PTY) LTD
769P TBEN0001 THEBEMED MEDICAL SCHEME MOMENTUM THEBE YA BOPELO (TYB)
228P TIGE0000 TIGER BRANDS MEDICAL SCHEME UNIVERSAL HEALTHCARE ADMINISTRATORS (PTY) LTD.
194P TRTR0000 TRANSMED MEDICAL FUND MOMENTUM HEALTH SOLUTIONS
229P TSPN0001 TRANSMED STATE PLUS NETWORK OPTION UNIVERSAL HEALTHCARE ADMINISTRATORS (PTY) LTD.
778P TRUC0001 TRUCARE UNIVERSAL HEALTHCARE ADMINISTRATORS (PTY) LTD.
944P TSGM0001 TSOGO SUN GROUP MEDICAL SCHEME DISCOVERY HEALTH ADMINISTRATORS
920P UHMS0001 UMVUZO HEALTH MEDICAL SCHEME UMVUZO HEALTH MEDICAL SCHEME
233P UHSA0001 UMVUZO HEALTH STANDARD AND ULTRA OPTION UNIVERSAL HEALTHCARE ADMINISTRATORS (PTY) LTD.
381P GSWA0001 UNITED GENERAL INSURANCE (SWAZILAND) GETMED SWAZILAND
484P AUHE0001 UNITY HEALTH AMBLEDOWN FINANCIAL SERVICES (PTY) LTD
431P UHEA0001 UNIVERSAL WORKPLACE HEALTH PLAN UNIVERSAL HEALTHCARE ADMINISTRATORS (PTY) LTD.
197P MSAV0000 UNIVERSITY OF KWAZULU NATAL MEDICAL SCHEME DISCOVERY HEALTH ADMINISTRATORS
552P WTOW0001 WATCH TOWER UNIVERSAL HEALTHCARE ADMINISTRATORS (PTY) LTD.
286P WYMO0001 WCMAS: YEBO MED OPTION WITBANK COAL MEDICAL AID SOCIETY
998P WESM0001 WESMART MEDICAL SCHEME PAN AFRICAN MANAGED CARE (PTY) LTD
201P MKWC0000 WITBANK COALFIELDS MEDICAL AID SCHEME WITBANK COAL MEDICAL AID SOCIETY
845P WCMO0001 WITBANK COALFIELDS MIDMAS OPTION WITBANK COAL MEDICAL AID SOCIETY
855P WCNO0001 WITBANK COALFIELDS NTSIKA OPTION WITBANK COAL MEDICAL AID SOCIETY
202P DIWO0000 WOOLTRU HEALTHCARE FUND MOMENTUM HEALTH SOLUTIONS
028P YARO0001 YARONA SAPS
PG|10Scheme Updates
edition two | twenty twenty
01 April 2020
01 April 2020
Dear Valued Provider
From the ME | Account Managers | Training Tips | Did You Know | Scheme Updates | Industry Insights | Workshops | Information Update
Dear Valued Provider
APPOINTMENT OF ENABLEMED AS SIZWE COPPER CORE CAPITATION PARTNER
FOR THE EASTERN CAPE
APPOINTMENT OF ENABLEMED AS SIZWE COPPER CORE CAPITATION PARTNER
FOR THE EASTERN CAPE
Sizwe Copper Core (formerly Gomomo) members have recently experienced service
Sizwedisruptions
CopperinCore (formerly
the Uitenhage Gomomo)
area and members
more recently have
in the greater Portrecently experienced
Elizabeth area. To this
service disruptions in the Uitenhage area and more recently in the greater Port
end Sizwe Medical Fund (Sizwe) had created a number of temporary service solutions to
Elizabeth area. To this end Sizwe Medical Fund (Sizwe) had created a number of
ensure service
temporary the delivery of essential
solutions tomedical
ensureservices to its members.
the delivery of essential medical services to
its members.
Throughout this time Sizwe remained committed to formulating a viable long-term solution for
Throughout this time Sizwe remained committed to formulating a viable long-term
affected
solution healthcare service
for affected providers.
healthcare service providers.
SizweSizwe
is thus pleased
is thus totowelcome
pleased Enablemed
welcome Enablemed as itsas its contracted
contracted capitation capitation network
network partner for
partner for the Sizwe Copper Core Plan, with effect from 1st of April 2020.
the Sizwe Copper Core Plan, with effect from 1 of April 2020.
st
In its appointment, Enablemed will coordinate all out-of-hospital benefits for our
Copper Core
In its members
appointment, in the Eastern
Enablemed Cape
will coordinate province. benefits for our Copper Core
all out-of-hospital
members in the Eastern Cape province.
Enablemed will similarly receive and process all applicable provider claims with
service date 1 April 2020 onwards. Enablemed staff will contact your practice, and
relevant Hubs and
Enablemed Switches
will similarly to confirm
receive claims
and process submission
all applicable providerdetails.
claims with service date
1 April 2020 onwards. Enablemed staff will contact your practice, and relevant Hubs and
Sizwe wishes to thank and continue to reimburse all healthcare providers that
Switches to confirm claims submission details.
continue to support its members. We further wish to audibly applaud all providers
who continue to offer service in uncertain times brought about by the COVID-19
pandemic.
Sizwe wishes to thank and continue to reimburse all healthcare providers that continue to
support its members. We further wish to audibly applaud all providers who continue to offer
service in uncertain times brought about by the COVID-19 pandemic.
With Care,
Sizwe Medical Fund
With Care,
Sizwe Medical Fund
PG|11Scheme Updates
edition two | twenty twenty
February 2020
From the ME | Account Managers | Training Tips | Did You Know | Scheme Updates | Industry Insights | Workshops | Information Update
Dear Provider
Due to the separate listing of Imperial Limited and Motus Holdings Limited on
the JSE, the Scheme is changing its name to better represent both participating
entities.
As from 1 April 2020 the new name of the Scheme will be Imperial and Motus
Medical Aid, with the abbreviated name being Imperial Motus Med.
Please note that all membership numbers will remain the same and that our
members’ current membership cards will remain valid until they receive their
new cards. The Scheme will endeavour to issue new membership cards that
reflect our new name before 1 April 2020.
Kindly update your records with the new name.
For more details, you can contact the Client Service Department on 0860 467 374.
Please note that Imperial and Motus Medical Aid (Imperial Motus Med)
continues to be administered by Momentum Health Solutions (previously known
as MMI Health).
Kind regards
Imperialmed Scheme Management
PG|12Scheme Updates
edition two | twenty twenty
PHISC Trust: IT2091/21012
Email: phiscsecretariat@confco.co.za
Website: www.phisc.net
07/04/2020
Dear PHISC members,
From the ME | Account Managers | Training Tips | Did You Know | Scheme Updates | Industry Insights | Workshops | Information Update
URGENT COMMUNICATION REGARDING THE CLINICAL CODING OF
NOVEL CORONAVIRUS: COVID-19
COMMUNICATION 3
Based on information received from the Medical Research Council (MRC),
designated as the WHO-FIC Collaborating Center for the Africa Region, and
reported media releases from the World Health Organisation (WHO) on 25th
March 2020. Please familiarise yourself with the content below. PHISC suggest
that these guidelines are strictly followed.
Communication about the use of U07.1 Emergency code to be used for Corona
virus was sent to all on 13/02/2020. Further to this the WHO also authorised the use
of U07.2. For more detail about when to use U07.2, please see information below
ICD_Code WHO_Full_Desc Valid_ICD10_Clinical Valid_ICD10_Primary
use
U07.1 Emergency use of Y Y
U07.1
U07.2 Emergency use of Y Y
U07.2
Please follow the coding guidelines as communicated by the WHO below:
PG|13From the ME | Account Managers | Training Tips | Did You Know | Scheme Updates | Industry Insights | Workshops | Information Update edition two | twenty twenty
Scheme Updates
PG|14Scheme Updates
edition two | twenty twenty
From the ME | Account Managers | Training Tips | Did You Know | Scheme Updates | Industry Insights | Workshops | Information Update
The existing ICD-10 sequencing guidelines contained in the SA ICD-10 Morbidity
Coding Standards and Guidelines documents should still be adhered to, hence
the U07.1 and U07.2 codes can be used in either the primary or secondary coding
position(s), as relevant to the main condition treated.
System software updates:
While the ICD-10 Master Industry Table (MIT) descriptions will continue to be as
per the column above on the NDoH website, we suggest that all internal software
is updated to be in line with the updated descriptions for U07.1 and U07.2 as
provided by MRC and WHO.
The description of ICD-10 coding is not sent out electronically, and it should
therefore not impact on any accounts sent and / or received, but will allow the
user to be able to easily identify, code and draw statistical data as needed.
Discharge disposition: In the case of a death, reminder to use the PHISC
discharge disposition 20 (Mortuary) for a hospital event.
Erna van Rooyen
PHISC | Clinical Coding subcommittee chair
E-mail: phiscsecretariat@confco.co.za
Website: www.phisc.net
PG|15Industry Insights
edition two | twenty twenty
Unbelievable times, but there are positives…
Who would have had an idea that, when President Cyril Ramaphosa publicly
urged South Africans on 25 February to mobilise behind the NHI to ensure that
it is implemented, not four weeks later he would be on national TV formally
announcing that each and every individual in the country would have to
“lockdown” in their homes for three weeks to safeguard not only their own
health, but the health of others…?
Such has been the way of the world! At the time of the NHI plea, the local
healthcare community was becoming somewhat weary of the ongoing
bickering over aspects of the NHI Bill as it moved through its final phases.
From the ME | Account Managers | Training Tips | Did You Know | Scheme Updates | Industry Insights | Workshops | Information Update
Public hearings on the Bill were wrapped up in the same week in what
appeared to be a cooling off period as most resigned themselves to simply
waiting for it to take its course.
Finance Minister Tito Mboweni’s concurrent budget speech did little to help
the prevailing mood. In a media report at the time it was noted that despite
the president’s plea, “it seems as if the country’s precarious economic
position will push government into reconsidering its current timeframe of
full implementation (of NHI) by 2026”: “Both yesterday’s Budget Speech and
the State of the Nation address earlier this month were surprisingly silent on
what Ramaphosa earlier described as the most far-reaching act of social
transformation this country has experienced since 1994.”
And that’s how things were until 5 March when the following statement was
released: “The Department of Health has confirmed South Africa’s first positive
case of the coronavirus, COVID-19. The patient is a 38-year-old male who
travelled to Italy with his wife. They were part of a group of 10 people and
they arrived back in South Africa on Sunday.” Dare it be said “and the rest is
history”…?
While impossible to dwell on specifics with COVID-19 dominating literally all
media until who knows when, there have been some notable observations in
the context of healthcare accessibility and delivery in South Africa. Probably
the most prominent - and obvious at that - must be the opinion of one
commentator that “any NHI plans have now pretty much been scuppered for
the next decade. The South African government’s lending costs and interest
payments will increase by as much as 50% due to the downgrade (Moody’s),
leaving a fiscal hole that leaves no hope for a tax funded NHI”.
Not good news for the disciples of NHI, but on the other side of the coin: a
nation pulling together in the interests of the health, welfare and safety of all
its peoples.
COVID-19 has unleashed a collaborative effort of “in your wildest dreams”
proportions. Health Minister Dr Zweli Mkhize, who has led this effort in
PG|16Industry Insights
edition two | twenty twenty
exemplary fashion from the outset, has been blatant in stressing the need for
the public and private sectors to “become one” – a classic example being his
early April meeting with the private hospitals, after which he announced to
the media that hospital services, as with laboratory services, would become
a single operational entity in facing the virus challenges.
Unable to spend too much time elaborating on the prospects of this due to
COVID-19 response commitments, Dr Nicholas Crisp, the Ministry of Health’s
NHI Fund Officer, was able to tell one media representative: “But it is clear why
NHI is essential and I think that this experience will make it easier for us all to
work together after the epidemic.”
From the ME | Account Managers | Training Tips | Did You Know | Scheme Updates | Industry Insights | Workshops | Information Update
Similar sentiments were shared by well-known health sector critique, Dr
Johann Serfontein, who in a 1 April media opinion piece wrote: “The COVID-19
outbreak has already done more in two weeks to acquire public sector
patient access to private facilities than 10 years of National Health Insurance
(NHI) planning and pilot projects have done. This is a clear indicator that
political will was the lacking element in making progress with NHI.”
Also showing that it was possible for government to negotiate access to
beds and facilities in the private sector “without a massive overhaul of the
entire healthcare sector” and the willingness of the private sector to step
up and treat public patients when called upon, Serfontein added: “These
interim agreements during the time of COVID-19 may well become permanent
arrangements between government and the private sector to ensure
continued access.”
Another potential positive COVID-19 spin-off, this time more on the clinical
side, came from the minister himself in a pre-disaster/lockdown live stream
presentation. Acknowledging that while it was both “unfortunate and bad
luck” that COVID-19 had reached pandemic proportions at a time when
South Africa was already grappling with concomitant disease issues such
as HIV and tuberculosis, there was a silver lining: “There is no other country in
the world that can give us much information about the response of various
individuals to an infection of this nature (COVID-19) in the presence of, for
example, HIV infection and concomitant TB. So there is space and scope
for new research,” he said, stressing the “huge opportunity” to discover the
conduct of concomitant viral infections and ultimately research into their
management and treatment.
And to end on a sad note: the death of well-known IPA pioneer, “diving
doctor”, practice management specialist and medicines formulary architect,
Dr Daan (Danie) Struwig (64), at his home in Richards Bay on 14 February.
Well-known among provider group, funding and pharmaceutical industry
representatives particularly for his unifying Circle of Friends initiative in the
early 2000s, he continued to run his practices in Richards Bay, KwaMbonambi
and Empangeni until his passing.
RIP.
PG|17edition two | twenty twenty
QEDI & IOD claims management
workshop
MediSwitch is committed to deliver ongoing training to our customers.
From the ME | Account Managers | Training Tips | Did You Know | Scheme Updates | Industry Insights | Workshops | Information Update
Classroom training in all regions will continue as soon as travelling is
allowed again.
We are investigating options to deliver online training and will communicate
further details via our website and email as soon as the dates and times
have been finalised.
Important Notice: Effective 1 May 2020, an amount of R350 per person will be
charged for the Claims Management training to enable us to continue the
delivery of training to the highest standard that adds value to your practice.
Please visit our website www.mediswitch.co.za for further information
regarding training related news and updates.
PG|18Contact Information Update
edition two | twenty twenty
Have your contact details changed?
Our Customer Service Team is constantly striving to provide great service,
please assist us by confirming your contact details.
UPDATE YOUR DETAILS BELOW
Practice name:.............................................................................................................................
BHF Practice numer:.................................................................................................................
From the ME | Account Managers | Training Tips | Did You Know | Scheme Updates | Industry Insights | Workshops | Information Update
PHYSICAL ADDRESS POSTAL ADDRESS
Street:.............................................................. Street:..............................................................
Building:......................................................... Building:.........................................................
Suite:................................................................ Suite:................................................................
Town:............................................................... Town:...............................................................
Code:............................................................... Code:...............................................................
PRACTICE CONTACT DETAILS
Contact Person:..........................................................................................................................
Cell Number:..................................................................................................................................
Tel Number:.....................................................................................................................................
Fax Number:...................................................................................................................................
Email 1:...............................................................................................................................................
Email 2:...............................................................................................................................................
2nd email for confidentiality
............................................................................. .............................................................................
Full name Signature
Please send us your update details
POST EMAIL
P.O. Box 7045, Halfway House, MediSwitch.Info@altron.com
Gauteng, 1685
PG|19COLOUR IN AND WIN!
Overall Winners
Overall Winner of iPhone X
Sandy Moodley
First Place Second place Third place
Cinzia Deiana Tanya Rich Mandy Nel
PG|20FEBRUARY WINNERS
Congratulations!
First Place
Estelle Murray
Second Place Third Place
Elmarie Shenae Naidoo
PG|21Help us Celebrate Endless Possibilities on our journey
edition two | twenty twenty
through colour, creativity and collaboration.
This issue of the MediSwitch newsletter contains the second graphic of 2020 on the back
page for you to colour in and WIN! You could even walk away with a brand new iPhone 11!
New Competition! Time to WIN big!
Add to the fun by entering your masterpiece into our Endless Possibilities
Competition and stand a chance to win amazing prizes.
This issue marks the start of a brand new competition and
your first chance to express your creativity. All final entries
will be judged and a 1st, 2nd and 3rd prize will be drawn
comprising of Woolworths gift vouchers to the sum of
R1000, R750 and R500 respectively, The grand prize winner
walks away with a new Apple iPhone 11! So enjoy colouring
in and stand a chance to win big.
How to enter
You have two easy ways to enter this incredible competition:
a. Snap & send
Simply take a picture of your masterpiece with your phone
and email your entry to: MediSwitch.Info@altron.com.
b. Send by post
If you’d prefer to post your entry, simply fill your details in the
form below and post your submission to:
Mediswitch Marketing, PO Box 7045, Halfway House, 1685
To post your entry, please complete the following:
Name:__________________________________________________________________
Practice Name:__________________________________________________________
Practice Number:________________________________________________________
Phone Number:__________________________________________________________
Email Address:__________________________________________________________
Your client liason officer’s name:_________________________________________
Terms and Conditions:
The judges decision is final. The competition is open to any customer of MediSwitch and of their employees. Entry
in the competition can be by cell phone photograph which needs to be sent to the following email address:
MediSwitch.Info@altron.com. Alternatively, you can complete the form above and post your entry to MediSwitch
Marketing, PO Box 7045, Halfway House, 1685. The winners of this round will be announced in the next newsletter.
Entries must reach MediSwitch a month after this publication. That is 30 June 2020. This competition is not open
to employees or suppliers of MediSwitch and the Altron group of companies. Your completed illustration must be
submitted in one of the means described above. You may submit as many entries as your wish. Good Luck!Your Full Name:______________________________ Practice Number:___________________________
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