Medshield Family Medical Aid Scheme Claim Process

Medshield Family Medical Aid Scheme Claim Process

Name of the Organization : Medshield

Type of Facility : Medshield Family Medical Aid Scheme Claim Process

Head Office : Johannesburg

Website : http://www.medshield.co.za/Members-HowToSubmitAClaim

Medshield Family Medical Aid Scheme Claim Process

How To Submit A Claim :

** It’s easy; we’ve made sure of that! Whether you’re more comfortable with the ‘old school’ mailing of your claims or by using electronic means – we’re happy to receive both. Just make sure the following information is included on your account.

Related / Similar Facility : Bestmed Medical Scheme Claim Process

Note :

** Please do this carefully to ensure that missing information doesn’t slow down your claims processing.

** Your membership number as it appears on your membership card

** The name of the Scheme and your benefit option

** Principal member’s name and surname

** A receipt (if you have already paid the account)

** The patient’s first name and surname

** The name and practice number of the supplier (e.g. doctor or pharmacy)

** ICD-10 Code

** Appropriate Tariff Codes

** Amounts

** Treatment date

** Account number

** You may submit your claim to the address below, fax to +27 10 597 4706 or email to member AT medshield.co.za.

Contact Address

Mail to:

General Claims submission

Medshield Medical Scheme

PO Box 4346

Randburg

2125

Drop off at:

Medshield Medical Scheme

288 Kent Avenue

Johannesburg

2000

Or any relevant office detailed on the Contact Us page

Hospital Claims submissions can be made at the addresses below, faxed to 086 636 9070 or emailed to Medshieldclaims AT mso.co.za.

Mail to:

The Medical Services Organisation

Private Bag X152

Bryanston

2021

Or drop off at :

The Medical Services Organisation

Building 15 Healthcare Park

Woodlands Drive

Woodmead

Johannesburg

2000

Note

** It is important to make sure that you include all of the required information (see above) to ensure that your claim is processed quickly and that you receive the full benefit of your claim.

** Missing information could delay processing and lead to a payment being made from the incorrect benefit limit.