- Foreign cover & overseas claims
- Tax certificates
- Request to change banking details
- Membership updates and deletion of dependents
- Gap claims
- PMB legislation and ICD codes
- Assist with internal, external prostheses and appliances quotation, authorizations and claims
- Assist members with CMS court cases
- Correction of claims in line with the Act
- Assist members with specialist networks and payment arrangement networks
- Hospital and related claims
- Day to day claims and refund of claims and dental authorizations
- Request of accounts (POPIA legislation requires providers to email patients’ accounts only to the patient himself, please email your detailed statement (account/invoice) and receipt for refund request)
- Chronic registration (email your prescription with ICD10 code/s, not older than 6 months)
Administration Fee Services to members regarding:
- PMB conditions authorization and PMB level of care extra benefits and claims
- Hospital authorization and assisting hospitals (email information received from doctor’s rooms / provide us with the necessary information needed to arrange for your authorization for hospital admission. Email your request with Principal member’s initials, surname and membership details WITH Patient’s initials, surname, contact details of email address of the patient with hospital and specialist details, practice numbers, ICD10 codes, procedure codes and prosthesis quotation if applicable)
- Specialist consultation authorization (email the GP referral letter with information of the Specialist)
- Specialised radiology scan authorizations (email information received from doctor’s rooms)
- Wellness benefits authorizations
- Oncology registration and assist with disease management programme
- Organ transplants pre-authorization and clinical protocols
- Renal dialysis authorizations and claims
- Oxygen authorizations and claims
- Private nursing and palliative care authorization and claims
- Assist with ambulance / air transport authorizations to transfer patients between hospitals
Email your request with Main member’s initials, surname and membership details with member/patient older than 18 years initials, surname, contact details and email address.
If no request is received from the member/patient regarding the email address of the patient and request to send information only to the patient regarding the POPI Act, then the outcome will be sent to the email addresses as you last updated with UNGERER HEALTH BROKERS. Personal information collected is limited and relevant in relation to the specific purpose for which it is processed.