Kindly ensure that the following information reflects on the claim:
- Your membership number
- The Scheme name
- Your benefit option (for example Optimum, Custom, etc.)
- Your surname and initials
- The patient's name and beneficiary code as it appears on your membership card
- The name and practice number of the service provider
- The date of service
- The nature and cost of treatment
- The pre-authorization number, if applicable
- The tariff code
- The ICD-10 code
- If you paid for the service, attach proof of payment, and highlight it clearly. Proof of payment can be a receipt from the healthcare provider, an electronic fund transfer (EFT) slip or a bank deposit slip
To submit your claim, start a live chat with us by clicking the red ‘chat with an agent’ button on the bottom of this window:
Alternatively, WhatsApp us on 0861 000 300