MEDISCOR (PTY) LTD 1257 South Street, Centurion PO Box 8796, Centurion, 0046 Tel: (012) 674 8000 Fax: (012) 674 8001	NOTIFICATION 43 OF 2011
		20 December 2011

Medical Scheme	Patient Assist
Administrator	Pharma Dynamics
Information Relevant to	Benefits and Options for 2012
Effective Date	1 January 2012

With effect 1 January 2012, Mediscor will be applying the scheme rules for Patient Assist (Pharma Dynamics) as outlined below.

Herewith the detail for submitting medicine claims to Mediscor:

1.	Scheme Code (PCN)	PDP0001
2.	Switch Destination Code	PDYN0001
3.	EDI Activation Code (Dispensing Doctors)	Not applicable
4.	Reference Pricing	Not applicable
5.	Maximum supply of medicine	30 Days
6.	Days supply of the dispensed medicine	Yes /Compulsory
7.	Membership number as per membership card	Yes / Compulsory
8.	Dependant code as per membership card	Not applicable
9.	Dependant first name as per membership card	Yes / Compulsory
10.	Dependant date of birth	Yes /Compulsory
11.	Dependant’s gender (male/female)	Yes / Compulsory
12.	Practice number of the prescriber	Yes / Compulsory
13.	ICD-10 diagnosis code	Yes / Compulsory
14.	9 digit NAPPI code of medicine dispensed	Yes / Compulsory
15.	Membership number requirements	Minimum 10 numeric
16.	Payments to Providers	Mediscor PBM
17.	Chronic pre-authorisation	Not applicable
18.	Reimbursement structure – Pharmacies	26%/R26

· SEP (VAT Incl.) and dispensing fee (VAT Excl.)

· Reimbursement structure will be applied on scheduled medicines (0 – 8) and unscheduled products.

· ICD-10 codes – information available on www.medicalschemes.com

If you require any assistance, please contact:

Mediscor’s Call Centre Mediscor E-Mail Kind regards JACK PEREL

: :

0860 113 238 or 0860 117 705 helpdesk@mediscor.co.za