SOUTH AFRICA

Dear Dentalcare Provider

The various healthcare funders update their tariff schedules on mostly an annual basis.

As a dental practitioners it is recommended that you adhere to the applicable dental tariff codes schedules so that you are able to receive direct payment from medical aid schemes.

Notification of dental tariffs code changes is usually be provided via email to all active dental care providers on the various medical aid scheme databases.

This may be further supported by them publishing their schedules on their websites.

As a general principle, the tariffs listed do not consider scheme exclusions and scope of practice, and is by no means a commitment of funding.

Benefit entitlement is governed by the relevant scheme option and rules as well as risk management interventions and protocols.

The 2021 Dental Tariffs Pack is a brilliant, innovative and unique solution to the problem of uncertainty of the dental tariff codes.

It has all the dental tariff codes data you may need, together in one place.

Systematically organised and easy for you and your staff to use daily.

From our curated compilation you will get:

Accuratize your billing, claims & estimates with reduced schlepp today, for only R395.

Issues Around Dental Tariff Codes South Africa

All dental tariffs and rates are VAT inclusive.

The tariff schedules includes procedures and services for use by Oral Healthcare
Providers for purposes of keeping accurate patient records, reporting procedures
on patients, and processing oral healthcare related insurance claims.

The procedures are those performed by general dental practitioners, oral pathologists,
prosthodontists, periodontists, orthodontists, maxillo-facial and oral surgeons and
dental therapists.

The procedures codes listed in the dental schedule have, for the convenience in using
the schedule, been divided into categories of services, based on the branches
of clinical dental practice.

The procedures are grouped under the category of service with which the procedures
are most frequently identified and should not be interpreted as excluding certain categories
of Oral Healthcare Providers from performing such procedures.

Individual procedure codes consist of a procedure code, procedure description (nomenclature),
and when necessary, a descriptor, that provides further definition and/or guidelines to clarify
the intended use of the procedure code.

 

For further details and information consult the 2021 Dental Tariffs Pack