Tariff rates and codes

This Database has been created as the result of more than 10 years hands on experience acquiring the expertise to create a Master Tariff Rate data base, that caters for the needs and requirements of Medical, Allied and Dental professionals, applying Scheme Payment Arrangements and building business rules into the data set to calculate the most up to date, current and accurate Tariff rate data in the South African market. 

This unique solution will offer any Practice Management Software that competitive edge at addressing the tariff rate problems experienced year on year by healthcare professionals and Medical aids
Tariff Rates for 64 Disciplines
  • Fixed Published scheme rates
  • RCF rates
  • RCF units and values
  • NHRPL calculated rates

Medical Scheme Rate Tariffs (Base Rate as published by Medical Schemes)

Medical Scheme Contracted Rates for Specialists

GP Network contracted rates i.e. Keycare and Primary Healthcare tariff’s.
  • Includes IPA and Non-IPA rates included
  • Dispensing and non-dispensing rates
  • Contracted and non-contracted rates

Special codes and rates
  • OIDC
  • ICON
  • Discovery Vitality codes and rates
  • Day Clinic Endoscopy rate

Scheme Payment Arrangement Business Rules implemented across most medical aids

Modifiers

RCF Unit Type Applied  

Did you know our Medprax data consists of up to date:  Generic and Therapeutic Equivalents

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