2024 NETWORK CHOICE
15
How can I track my claims?
On the website or mobile app, as a member, with your
personal login details and password.
How frequently are claims paid?
In terms of the Medical Schemes Act all claims must
be settled within 30 days of receipt of the claim by the
scheme, unless there are queries on the account e.g.,
incomplete information.
CAMAF has weekly pay runs and payment is made
directly into the member's or service provider's bank
account and a detailed remittance advice is sent to
you. If you have asked for SMS communication you will
receive notification when your claim has been received
and when it has been paid.
What do I have to do to ensure that my
claim is paid in terms of PMB regulations?
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) in the
case of medication
• correct ICD10 code has been quoted on the
account.
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