MediSwitch provides robust and effective electronic claims switching solutions between healthcare professionals and medical schemes through the use of their Electronic Data Interchange (EDI). The solution facilitates in improving cash flow, reducing exposure to financial risk, reducing administration hassle and expense and allows greater management control. While the bulk of the interchanged data is medical scheme members’ claims they also provide electronic transactions for medical scheme membership verification, benefit checking and payment advice. WEBDesk is available via the MediSwitch website, giving access to these transactions as well as providing options to easily track and manage claims.

Where Implemented

MediSwitch is implemented in more than 12,000 healthcare businesses in South Africa that include retail pharmacies, general practitioners, specialists, pathologists, radiologists, dentists, opticians, auxiliary service providers, hospitals, clinics and laboratories. All leading Practice/Pharmacy Management Application (PMA) and Hospital Information Software (HIS) systems are accredited by MediSwitch.

Contribution to eHealth in SA

MediSwitch delivers claims to all electronically-enabled registered medical schemes and covers virtually all South African medical aid scheme members. The claims are delivered in a format and layout that complies with the requirements of each specific healthcare funder.

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