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How to submit a claim

Please submit your original claim directly to Bestmed if your healthcare provider does not submit claims. The following details must appear on all claim documents:

  • Name and contact details of member
  • Bestmed membership number
  • Name, contact details and practice number of the service provider
  • Details of treatment, including applicable tariff and ICD-10 codes
  • Details of patient
  • Whether to pay the service provider or the member

You will receive confirmation via email once your claim is received and indexed. Should you have any queries, you can send an email to service@bestmed.co.za. A complete claims statement (remittance advice) will be sent to you via email or post after each claims payment run. Please ensure that the details on the statement are correct.

Submit a claim process

  1. Make use of the Bestmed App, or
  2. Scan and email your claim to claims@bestmed.co.za, or
  3. Post your claim to Bestmed Medical Scheme, PO Box 2297, Pretoria, 0001, or
  4. Deliver your claim to the Bestmed offices, Block A, Glenfield Office Park, 361 Oberon Avenue, Faerie Glen, Pretoria