70
bounce
spring/summer’17
70
Useful information to have on hand when you call Bankmed
BANKMED
my benefits
Update your contact details and request
claim statements, savings balances,
membership cards and forms without
having to speak to an agent.
checklist
2
For account /
payment
queries (claims)
•
Copy of the account
and/or
Bankmed claims
statement
•
Service provider’s
name
and
practice
number
(This will appear
on the account.)
•
Date of service
(Actual
date on which the service
was rendered.)
•
Name of patient
(This
becomes necessary when
more than one patient was
treated.)
•
Tariff code/s
(These should appear
on the account.)
(The treating doctor
should be able to give
you the information
requested below.)
•
The
treating doctor’s
name and practice
number
•
The
n
ame of the
hospital
to which you (or
your dependant) will be
admitted
•
The
initials, surname
and date of birth
of the
patient
•
The
planned
admission date
and how
long your hospital stay is
expected to be
•
The
diagnosis code/s
(also referred to as ICD-
10 codes)
•
Any
tariff codes and
procedure codes
that
will be used
4
FOR BENEFIT
QUOTATIONS
(To avoid misunderstandings, we
prefer to respond in writing to
written quotations from treating
doctors but telephonic quotations
can be provided on request.)
•
A copy of the
doctor’s
quotation
(This will usually
contain all further details
mentioned below. Please tell us
if the doctor is going to perform
multiple procedures under one
anaesthetic.)
•
The treating
doctor’s name
and
practice number
•
The
diagnosis code/s
(also
referred to as ICD-10 codes)
•
Tariff and procedure code
for
each service that will
be rendered
•
The
number of times each
service will be performed
or each tariff code will be
charged (For example, if
the doctor will be removing
multiple lesions under one
anaesthetic, we need to
know how many lesions will
be removed.)
3
FOR
GENERAL
QUERIES
•
Your BANKMED
member number
(This is printed on
your membership
card.)
•
Your RSA identity
number
(For security
reasons, the agent
will need your ID
number to verify
that you are who
you say you are.)
Call centre
self-help facility
0800-BANKMED (0800-226-5633).
Have your membership number
and ID number on hand.
Web-based
self-help
facility (customer online)
www.bankmed.co.za
Log in with your membership number
and secure PIN. If you haven‘t
registered for a PIN, you’ll be
prompted
the first time
you log in.
1
FOR HOSPITAL
PRE-
AUTHORISATION
To save time when you contact us, have the following
information
ready:
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