roject    xcalibur

 

"Excalibur is said to be the sword given to Arthur by the Lady of the Lake. Some say that Arthur gave it Gawain (one the Knights of the Round Table). After his last battle it was returned to the water where it was grasped by a hand and drawn under. Its scabbard prevented the user from losing blood. When Gawain fought the Mabon (a magician or a god) over the fairy Marsique, she obtained the scabbard for him but it later disappeared.”

We would like to inform all practices that we, EXACT MEDICAL SOLUTIONS, are launching PROJECT EXCALIBUR nation wide the next few months.

 

The purpose of the project is to enforce the medial schemes act quoted below.

 

Medical Schemes Act. (Act 131 of 1998)  Section 59(2)

A medical scheme shall, in the case where an account has been rendered, subject to the provisions of this Act and the rules of the medical scheme concerned, pay to a member or a supplier of services, any benefit owing to that member or supplier of services within 30 days after the day on which the claim in respect of such benefit was received by the medical scheme.

 

Medical Schemes Act. (Act 131 of 1998)  Regulation 6(2)

If a medical scheme is of the opinion that an account, statement or claim is erroneous or acceptable for payment, it must inform both the member and the relevant health care provider within 30 days after the receipt of such account, statement or claim that it is erroneous or unacceptable for payment and state the reasons for such an opinion.

 

Should you experience continuous Late Payments, non payment or part payment by the medical aid’s, we kindly request you contact us and by virtue of numbers, we can take on the medical aids and enforce the above mentioned act.

 

Problems found with regards to Medical Aid Claims submitted to the Medical Aids irrespective of the method used to submit is as follows:

 

  1. Medical Aids Declining receipt of specific Claim.
  2. No Proof of Delivery. (Of specific accounts) Other claims in batch were paid.
  3. Late Submissions.
  4. Late Payments.

 

We are seeking 1000 plus practices to participate in the project. Practices from all over South Africa are invited to contact us and take a stand against the Medical Aids.

 

 

P.S.      UNITED WE STAND, DEVIDED WE FALL. Please copy and forward to other practices.

 

Should you wnat to sent this page to another practice please follow the following steps:

  1. Click on "File" on the top left corner of the screen.
  2. Select "Send"
  3. Select "Page bu e-mail"
  4. Complete the recipient 's mail address and click send.

Information / Enlist  Request Form

Select the items that apply, and then let us know how to contact you.

Send product literature
Send company literature
Have a salesperson contact me

Enlist with Project Excalibur ( No Charge)

 

Name"
Title:
Practice Name
Postal Address
Physical Address
E-mail:
Phone:
Fax:
Cell:
Practice Number

 

 

 

 

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Last modified: 11/25/10
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