How to submit a claim - Medshield
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How to submit a claim

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.

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@medshield.co.za.

Mail to:Drop off at:
General Claims submissionMedshield Medical Scheme
Medshield Medical Scheme288 Kent Avenue
PO Box 4346Randburg
RandburgJohannesburg
21252000
Or any relevant office detailed on the Contact Us page

Hospital Claims submissions can be emailed to hospitalclaims@medshield.co.za.

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.