Issue link: https://www.hub.camaf.co.za/i/1512927
2024 ALLIANCE PLUS & ALLIANCE NETWORK 14 TO ENSURE THAT THE ACCOUNT IS SUBMITTED TIMEOUSLY FOR PAYMENT, PLEASE SEE BELOW. How long do I have to submit a claim? You have four months from the end of the month in which you incurred the cost of service. What details need to be on the account? • The name and date of birth of the person treated. • Membership number. • Name and practice number of the service provider. • Date of service. • Amounts charged. • The consultation or procedure code and ICD10 code. • A separate Dental laboratory account, if appropriate. • Proof of payment if you have paid the account. • If you have been treated for an injury - domestic or otherwise, give details of the injury. How do I submit a claim to CAMAF? Most service providers submit claims electronically to the scheme, where they have your correct details. However, you should track the claim to ensure that it has been received. Where you as a member need to submit a claim, you have the following options: • Mail the original to P.O. Box 2964, Randburg, 2125 - keep a copy for your records • Deliver original to a mail box at our offices at Wedgefield Office Park, 17 Muswell Road South, Bryanston • Drop original into a CAMAF mail box in your employer's office (keep a copy for your records) • Via the CAMAF website or mobile app - enter the required details and upload all the relevant documents. OR • Scan and email to claims@camaf.co.za (do not send duplicates to this address) What claims should be scanned? First-time claim submissions only - no duplicates. You will be advised by SMS or email when an account has been received. Do not submit a duplicate if you have received this confirmation of receipt. You will be advised when the account has been processed/paid. What happens if the original claim is not clear enough to scan? Post the claim to P.O. Box 2964, Randburg, 2125. Where should my membership number be quoted? On the invoice and not just on the email header. If the member number is not printed on the invoice, please insert and sign the addition. What if I have additional information to be communicated? Write clearly, directly on the claim and not in the email. However, alterations to the printed detail on the claim cannot be accepted e.g, tariffs, ICD10 codes or names. What happens once I have emailed the claim? You will receive an acknowledgement of receipt but if your medical aid number was not visible on the invoice, the claim cannot be processed or followed up. Remember that you are liable to the service provider for payment of all medical accounts if CAMAF does not pay. Always keep a record of all accounts received from service providers. If you have not received an account or notification that an account has been paid, make enquiries at the service provider. Claiming BACK TO CONTENTS PAGE