Made To Measure - Support Center

Latest News from Made to Measure

26 January 2012

1. Take a backup

2. Please go apply the latest web update from the website:

3. From within your program import the tariff codes by clicking on TC> import> web update> Place a tick in the boxes at Medaid2010, Discovery & Medscheme. Then click on import. (You now have the 3 correct base rates)
The Tariff codes can only be download for PR types 072 Physio, 066 OT, 082 Sp therapy/ Audiology, 091 Bio, 086 Psych, 088 Nursing, 089 SocWork, 084 Dieticians, 083 Hearing Acousticians can import these Base Rates from our website. Other PR types will apply % increases to the Base Rates of last year. Increase discovery tariff rate by 5.5% and medscheme tariff rate by 5.5% using the increase button on the tariff code screen.)

4. To import the medical aid percentages & update your medical aid list click on Medical Aids in your program> click on import> click on web update> You now need to make the following import decision:

a.) do you want to get rid of all your "junk" medical aids that no longer exist according to the datamax list? (if yes, then uncheck the option "Update 3 numeric codes only".All the "junk" medical aids will now be merged into the medical Aid 0000 /NA. and patients on this should be checked and contacted for new valid medical aid details when you bill them. The only medical aids that will not be affected by this are the medical aids that have codes that start with Alpha.)

b.)You don't want to get rid of your "junk" medical aids - you want to update your medical aid list with the percentages for the valid medical aids you have and only add the missing medical aids to your list. Keep the tick in the box of the option "Update 3 numeric codes only".

5. Click on import
Option (a) is advised to clients using EDI to help get rid of invalid medical aid and synchronize your list with the official Datamax list.
When using the medical aid file for non medical aid purposes eg. Name of a group or business. You should create the medical aid code using ALPHA only.

6. Check the medical aid percentages are the same in your list of medical aids. The percentages should be the same as the actual 2012% column below. Please keep an eye on the list as the medical aids marked in green have changed.

MEDICAL AID PERCENTAGES

MEDCOD	MEDNAME	ADMIN	Base Tariff	2011 % on base	2012% increase	actual 2012 %	Notes	ROUND
027	AECI (Healthcare)	Medscheme	Medscheme 2012	100.00		100.00		10c
248	Afrox	MHG	MedAid2010	106.00	6.0	112.36		10c
224	Alliance Midmed	MMSA	MedAid2010	105.50	7.5	113.41		10c
033	Altron	Discovery Health	Discovery 2012	100.00		100.00		10c
037	Anglo America Scheme	MMSA	MedAid2010	106.00	6.0	112.36		10c
036	Anglovaal	Discovery Health	Discovery 2012	100.00		100.00		10c
042	Bankmed	MHG	MedAid2010	106.50	6.0	112.89		10c
043	Barloworld	Medscheme	Medscheme 2012	100.00		100.00		10c
045	Bestmed	Bestmed	MedAid2010	107.00	5.5	112.89	2012 assumed	R1
048	BMW Employees	Medscheme	MedAid2010	107.00	3.5	110.75		10c
050	Bonitas	Medscheme	Medscheme 2012	100.00		100.00		10c
056	BP Southern Africa	MHG	MedAid2010	107.00	6.0	113.42		10c
733	Building & Construc Ind	Status Medical Admin	MedAid2010	106.00	5.5	111.83	2012 assumed	10c
079	CAMAF	Eternity	MedAid2010	109.00	5.5	115.00	2012 assumed	10c
052	Cape Medical Plan	Cape Medical Plan	MedAid2010	107.00	6.5	113.96		10c
561	Carecross	Carecross	MedAid2010	106.00	5.5	111.83	2012 assumed	10c
009	Commed	Allcare	MedAid2010	106.00	5.5	111.83	2012 assumed	10c
129	Compcare	Status Medical Admin	MedAid2010	105.20	5.5	110.99	2012 assumed	10c
704	Compsol	Compsol	IOD	100.00		100.00		10c
066	De Beers	De Beers	MedAid2020	107.00	5.5	112.89	2012 assumed	R1
125	Discovery	Discovery Health	Discovery 2012	100.00		100.00		10c
410	Edcon	Discovery Health	Discovery 2012	100.00		100.00		10c
269	Engen	MHG	MedAid2010	107.50	6.0	113.95		10c
782	Eyethumed	Medscheme	Medscheme 2012	100.00		100.00		10c
160	Fedhealth	Medscheme	Medscheme 2012	100.00		100.00		10c
779	Fishing Industry	MHG	MedAid2010	107.00	6.2	113.63		10c
083	Foschini	MHG	MedAid2010	107.50	5.5	113.41	2012 assumed	10c
518	Genesis	Difiniti	MedAid2010	107.00	6.5	113.96		10c
349	Getmed	Getmed	MedAid2010	106.00	5.5	111.83	2011&12 assumed	10c
116	Gold Fields	Providence	MedAid2010	106.50	5.5	112.36	2012 assumed	10c
363	Golden Arrow	MHG	MedAid2010	107.00	6.2	113.63		10c
082	Good Hope	Status Medical Admin	MedAid2010	105.20	5.5	110.99	2012 assumed	10c
875	Gov Employ (GEMS)	MHG	MedAid2010	106.50	5.9	112.78	Physio 113.554	10c
259	Grintek GEMAS	Status Medical Admin	MedAid2010	105.20	5.5	110.99	2012 assumed	10c
597	Hairdressing Trade	Hairdressing Trade	MedAid2010	106.00	5.5	111.83	2011&12 assumed	10c
444	Horizon Medical Scheme	Medscheme	MedAid2010	106.00	6.0	112.36	was Medscheme	10c
523	Hosmed	Allcare	MedAid2010	106.00	7.0	113.42		10c
943	IBM	Discovery Health	Discovery 2012	100.00		100.00		10c
439	Impala	Providence	MedAid2010	106.50	5.5	112.36	2011&12 assumed	10c
364	Imperial Group	MHG	MedAid2010	106.00	6.0	112.36		10c
995	Investmed	VMed	MedAid2010	106.50	6.0	112.89	2012 assumed	10c
510	Keyhealth	MMSA	MedAid2010	105.00	6.0	111.30		10c
525	LA Health (LAMAF)	Discovery Health	Discovery 2012	100.00		100.00		10c
099	Libcare	VMed	MedAid2010	106.50	6.0	112.89		10c
008	Liberty Health Blue	VMed	MedAid2010	106.50	6.0	112.89		10c
101	Liberty Medical Scheme	VMed	MedAid2010	106.50	6.0	112.89		10c
945	Lonmin	Discovery Health	Discovery 2012	100.00		100.00		10c
104	Malcor	Allcare	MedAid2010	106.00	5.5	111.83	2012 assumed	10c
038	Massmart	Medscheme	MedAid2010	106.00	5.1	111.41	was Medscheme	10c
180	MBMed	Medscheme	Medscheme 2012	100.00		100.00		10c
256	Medihelp	Medihelp	MedAid2010	107.00	6.0	113.42		10c
265	Medimed	Providence	MedAid2010	106.50	5.5	112.36	2012 assumed	10c
250	Medipos	MHG	MedAid2010	107.00	6.0	113.42		10c
111	Medshield	Medshield	MedAid2010	106.00	6.0	112.36		10c
271	Metrocare	Medscheme	Medscheme 2012	100.00		100.00		10c
121	Metropolitan	MHG	MedAid2010	107.50	6.0	113.95		10c
378	Minemed	Providence	MedAid2010	106.50	5.5	112.36	2012 assumed	10c
362	MMED	Discovery Health	Discovery 2012	100.00		100.00		10c
822	Momentum Health	MMSA	MedAid2010	105.00	5.5	110.78		10c
940	Moto Health Care	MMSA	MedAid2010	105.50	7.0	112.89		10c
0000	N/A		MedAid2010	106.00	5.5	111.83	2011&12 assumed	10c
206	Namibia Health Plan	Medscheme Namibia	Medscheme 2012	100.00		100.00		10c
046	Nampak	MMSA	MedAid2010	105.00	5.0	110.25		10c
512	Naspers	Naspers	Discovery 2012	100.00		100.00		10c
010	NBCRFLI	Universal Health	MedAid2010	106.00	5.5	111.83	2011&12 assumed	10c
016	Nedgroup	Lethimvula	Medscheme 2012	100.00		100.00		10c
067	Netcare	MMSA	MedAid2010	107.00	6.0	113.42		10c
138	NIMAS	MHG	MedAid2010	107.50	6.0	113.95		10c
624	Nufawsa Sick Benefit	Eminent Wealth	MedAid2010	106.00	5.5	111.83	2011&12 assumed	10c
987	OcsaCare	Carecross	MedAid2010	106.00	5.5	111.83	2012 assumed	10c
012	Old Mutual Staff	Lethimvula	MedAid2010	106.00	6.0	112.36	was Medscheme	10c
859	Oneplan	Oneplan	MedAid2010	106.00	5.5	111.83	2011&12 assumed	10c
142	Opmed	Opmed	MedAid2010	106.00	5.5	111.83	2012 assumed	10c
143	Parmed	Medscheme	Medscheme 2012	100.00		100.00		10c
586	PG Bison	Allcare	MedAid2010	106.00	5.5	111.83	2012 assumed	10c
146	PG Group	MMSA	MedAid2010	107.00	5.5	112.89		10c
583	Pharos	Private Health Admin	MedAid2010	106.00	5.5	111.83	2012 assumed	10c
376	Pick 'n Pay	MHG	MedAid2010	107.50	6.0	113.95		10c
266	Platinum Health	Platinum Health	MedAid2010	106.00	5.5	111.83	2011&12 assumed	10c
219	Polmed	MHG	MedAid2010	107.50	5.5	113.41	2012 assumed	10c
642	Primecure Assorted	Primecure	MedAid2010	106.00	5.5	111.83	2011&12 assumed	10c
155	Pro Sano	Pro Sano	MedAid2010	106.00	6.2	112.57		10c
154	Profmed	PPS	MedAid2010	106.91	6.0	113.32		1c
162	Quantum	Discovery Health	Discovery 2012	100.00		100.00		10c
818	Rand Mutual	RMA	MedAid2010	106.00	5.5	111.83	2011&12 assumed	10c
607	Rand Water	Rand Water	MedAid2010	106.50	5.5	112.36	2012 assumed	10c
161	Remedi	Discovery Health	Discovery 2012	100.00		100.00		10c
061	Resolution Health	Agility GHS	MedAid2010	106.50	5.5	112.36		10c
608	Retail Meat Trade	Retail Meat Trade	MedAid2010	106.00	5.5	111.83	2011&12 assumed	10c
946	Retail Medical Aid Schem	Discovery Health	Discovery 2012	100.00		100.00		10c
581	RU Med/ TEMS	Providence	MedAid2010	106.50	5.5	112.36	2012 assumed	10c
179	SAB (SA Breweries)	MMSA	MedAid2010	105.50	7.5	113.41		10c
176	SABC / SAUK	Medscheme	Medscheme 2012	100.00		100.00		10c
611	SAMWUMed	MHG	MedAid2010	106.00	8.0	114.48	To confirm 6%	10c
174	Sappi	MHG	MedAid2010	106.00	6.0	112.36		10c
175	Sasolmed	Medscheme	Medscheme 2012	100.00		100.00		10c
004	Selfmed	VMed	MedAid2010	106.50	6.5	113.42		10c
177	Siemens	Medscheme	Medscheme 2012	100.00		100.00	2012 assumed	10c
178	Sizwe	Sechaba	MedAid2010	107.00	5.5	112.89	2012 assumed	10c
937	Sizwe Primary Network Op	Sechaba	MedAid2010	107.00	5.5	112.89	2012 assumed	10c
522	Spectramed	VMed	MedAid2010	105.50	6.5	112.36		10c
614	Spes Bona	Spes Bona	MedAid2010	106.00	5.5	111.83	2011&12 assumed	10c
072	Suremed	Providence	MedAid2010	106.50	5.5	112.36	2012 assumed	10c
240	Swazimed	Medscheme	MedAid2010	106.00	6.9	113.31		10c
769	Thebemed	Thebe Ya Bophela	MedAid2010	108.00	6.0	114.48		10c
228	Tiger Brands	Status Medical Admin	MedAid2010	105.20	5.5	110.99	2012 assumed	10c
003	Topmed	MMSA	MedAid2010	106.00	7.0	113.42		10c
194	Transmed	MHG	MedAid2010	106.00	6.0	112.36		10c
944	Tsogo Sun Group	Discovery Health	Discovery 2012	100.00		100.00		10c
615	Ultracare	Ultracare	MedAid2010	106.00	5.5	111.83	2011 assumed	10c
920	Umvuzo Health	Umvuzo	MedAid2010	107.00	5.5	112.89	2012 assumed	10c
198	Univ of Wits	Medscheme	MedAid2010	106.00	6.0	112.36		10c
431	Universal Worker Plan	Universal Health	MedAid2010	106.00	5.5	111.83	2011&12 assumed	10c
197	University of KZ-Natal	Discovery Health	Discovery 2012	100.00		100.00		10c
WCA	WCA / IOD		IOD	100.00		100.00		10c
201	Witbank Coalfields	Witbank Coalfields	MedAid2010	107.50	6.0	113.95		10c
202	Wooltru	MHG	MedAid2010	106.50	5.5	112.36		10c
910	World Bank	MMSA	MedAid2010	110.00	5.5	116.05	2012 assumed	10c
181	Xtrata	Medscheme	Medscheme 2012	100.00		100.00		10c

	2011 assumed increase is 6%
	2012 assumed increase is 5.5%
	Actuals in red are unconfirmed and will be changed to green when we get correct figures