MEDICAL AID AUTHORIZATION

We accept most medical aid funds, but should an account be rejected by your medical aid fund you will be personally responsible for the account.

Although we assist patients in obtaining authorization from their medical aid, the patient/member is ultimately responsible to obtain the authorization.

Authorization from the medical aid is not a guarantee for payment. Payment is subject to funds available. As accounts are submitted to the medical aid, funding which was available at the time of authorization might be depleted when processing the claim and the account then becomes the responsibility of the patient/member.

Patients remain responsible for any co-payments or balances not settled by the medical aid.

Specialised studies including CT scans, MRI scans, mammograms and bone densitometry studies must be approved by the medical aid prior to the examination being performed.

The medical aid funds are not open for authorization after hours, during weekends and on public holidays authorization must be done on the next working day. The patient or guardian must accept responsibility for the account before we can proceed with the examination.

PRIVATE PATIENTS

If you do not belong to an accepted medical aid fund, we require full payment of your account at the time of the examination.

ACCOUNTS

DRS provide services to patients on medical aid schemes as well as to private patients.

Our billing team is committed to providing the best customer service. Accounts will be submitted promptly to the medical aid funds. Should the medical aid fund not pay your claim or part thereof, for whatever reason, you will be required to settle the account with us. Notification will be sent to you by SMS and a copy of the invoice will be sent by email. A statement will be emailed to you for any outstanding amounts due as indicated by your medical aid fund.

Account payment information:

• For your convenience DRS accepts electronic transfers, credit cards, debit cards, cheques, cash and SnapScan as payment.
• Payment by foreign currency is not accepted.
• Always use your account number as reference.

WCA (WORKERS CONPENSATION ACT)

Patients injured on duty will be examined by us on condition that the following legal requirements are met.

IN TERMS OF THE WORKMENS COMPENSATION FUND ACT THE FOLLOWING DOCUMENTS ARE REQUIRED:

• All WCA cases need to have a 1^st medical report.
• Patient ID or Drivers License
• Non SA citizens must have a Passport containing a valid work permit.
• Referral Note from referring doctor
• Copies of all documentation will be made for every case.

Employer Report of an accident (W.CL. 2)

• Must be completed in full.
• Must be signed by the employer.
• The form must be legible.

CT requests

• The area requested must be related to the area indicated as injured on the WCA form.
• Must have a 1^st medical report attached.
• Motivation letter from the referring doctor.
• W.CL. 2 form (Employer Report).
• Patient ID.
• Referral note.
• If documentation is incomplete, the patient must take responsibility for the account.

MRI requests

• Only MRI spinal region is allowed and only one MRI scan is allowed. If a 2^ndfollow up MRI is requested,special approval from the WCA Council is required.
• Must have a 1^st medical report attached.
• Motivation letter from the referring doctor.
• W.CL. 2 form (Employer Report).
• Patient ID.
• Referral note.
• If documentation is incomplete, the patient must take responsibility for the account.

FAQs - Patient's Guide