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Medshield Family Medical Aid Scheme Claim Process

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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.

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