Medprax provides access to a comprehensive Medical Scheme, Pharmaceutical and Tariff database that includes essential data for accurate coding, billing and error-free claim submissions. This speeds up the scheme adjudication and payment processes.
Healthcare
Extensive medicine, consumable and surgical device price files
Incorporating scheme-specific mark-ups
Comprehensive IH and OH rates
Day clinic rates
Specialist Consultation and Procedure Rates
GP network rates
Health Risk Assessment (HRA Rates)
Electronic Claims Switching
Up-to-date Medical Schemes Masterfile
Comprehensive tariff rates, ICD-10 codes and NAPPI codes
Fully integrated with all major switching platforms
e-Scripting
Single Exit Pricing (SEP) for all acute and chronic medicines
Identification of generic and therapeutic equivalents
Default dosage instructions
Active ingredient details
Allergy Indicator(s)
Drug classifications
Scheme exclusion criteria
Access to the Medprax Script Validation Tool
PBM (Pharmacy Benefit Management) feedback loops
e-Health Records
Supports back-end Clinical data record keeping
Adheres to Industry Standard data coding structures
Medical Scheme options and plans
Procedure codes
Nappi Codes linked to ICD-10 codes
Formulary per Scheme
Allergy flag linked to specific products and active ingredients
Drug-to-Drug and Drug-to-Disease integrations
By leveraging our pharmaceutical product and price file, healthcare practitioners can streamline medication management, enhance billing accuracy and optimise patient care delivery.
WHAT MEDPRAX DOES FOR YOUR PRACTICE
Brings a whole Industry’s worth of data to your fingertips
Covers every Scheme option of every patient who walks through your door
Core to accurate coding, billing and error free claim submissions
Essential data saves your practice time, money and resources
Accurate claim submissions speed up Scheme adjudication and payment processes
Innovative Billing
To meet the ever-evolving needs of Healthcare practices, PMAs have streamlined their integrations to ensure seamless access to the Medprax Data.
Complete Solution
Medprax is part of the automated data loop that connects patients to providers and funders by linking schemes to tariff rates, NAPPI codes and ICD-10 codes. This transforms a complex problem into a simplified data solution.
For a minimal monthly licence fee, the Medprax data files are seamless, accessed via the Medprax API which is integrated into all leading PMA’s.