ONCE YOUR CLAIM HAS
BEEN RECEIVED
IF YOU HAVE ALREADY PAID
THE SERVICE PROVIDER
ENSURING YOUR CLAIM
IS PAID IN TERMS OF PMB
REGULATIONS
You will be advised by SMS or email. Do not
submit a duplicate if you have received this
confirmation of receipt.
You will again be advised when the account
has been processed or paid. If you have
not received notification that your claim has
been processed within 24 days of submission,
follow up immediately with the Customer Care
Department on 0860 100 545 or send an email to
custcare@camaf.co.za, to avoid a potential late
claim rejection.
Ensure that the statement reflects the
payment or include your receipt. Do not
place a receipt over important detail on
the invoice. All claims are paid directly to
the provider unless proof of payment
is indicated.
If you are sending your claim by email,
also scan your receipt and send it as an
attachment together with the relevant
claim or paste it onto the claim. Be
careful not to obscure any relevant data
printed on the claim.
Ensure that your PMB chronic condition is
registered with the scheme and that you
have followed the scheme requirements in
terms of:
• using a Designated Service Provider
(DSP) for medication;
• adhering to the formulary/protocol
applicable to your chosen option; and
• that the correct ICD10 code has been
quoted on the account.
