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How does ME+ handle the Discovery Health unique tariff rates?

Please take note:

  • ME+ caters for both a flat fee unique value as well as a Rand Conversion Factor (RCF) or unit rate.
  • These steps MUST be repeated for every medical aid that has a unique tariff rate. 
  • These steps could also be repeated for multiple charge rates per medical aid i.e. ANAESTHETICS.

Option 1: Configuring Unique Tariff Rates
You can have different tariff rates linked to different medical aids. To do this you need to:

  • From the Main menu select the Codes Maintenance option, select the Treatment codes and Drugs option and then select the Tariff rates option.
  • Locate the charge rate you would like to add a different rate for. For example Clinical procedure rate.
  • Press Shift + F4 to duplicate the highlighted charge rate.
  • With the Rates Maintenance screen displayed, move to the second Code field.
  • Select the medical aid you want to specify a unique rate for.
  • Type the appropriate unit price for each of the four (4) charge rates (Private, Med.Aid., Other and Special).  Also specify the rounding off rule.

Option 2: Configuring Unique Tariff Codes
You can have different flat fees linked to different tariff codes per medical aid option / plan. To do this you need to:

  • From the Main menu select the Codes Maintenance option, select the Treatment codes and Drugs option and then select Treatment Codes.
  • Locate the tariff code you would like to specify a unique flat price for.
  • Press F5 to edit the tariff code.
  • With the Add / Edit Tariff Code screen displayed, access the Tariff tab and select the (default) line
  • Press F4 to add a new tariff rule line to this particular tariff code.
  • Click on the Amount radio button.
  • Type the appropriate amounts in each of the Charge rate fields i.e. Private, Medical, Other, Special.
  • Locate and select the medical aid and plan for which these prices apply.
  • Press F10 to save the changes.

Please take note:

  • These steps must be repeated for each medical aid plan that requires unique amounts.



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