What’s applicable to GEMS Dental Tariffs

Administrative and invoicing rules

Invoices:

a. A practitioner shall render a monthly invoice for every procedure which has
been completed irrespective of whether the total treatment plan has been
concluded.

b. An invoice shall contain the following particulars:

i. The surname and initials of the member;
ii. The first name of the patient;
iii. The name of the scheme;
iv. The membership number of the member;
v. The practice number;
vi. The date on which every service was rendered;
vii. The code number, description and fee/benefit of the
procedure or service;
viii. The name of the dentist rendering the service;
ix. The name of the general dental practitioner/specialist assistant
(when applicable);
x. The appropriate ICD-10 code(s) for the procedures performed.

Note: Photocopies of original invoices shall be certified by way of a rubber stamp
or the signature of the dentist.

Cost of direct materials:

The expenses incurred for direct materials identified in the Schedule may be
billed in addition to the procedure code. These expenses are limited to the net
acquisition cost of the materials and a handling fee. The price of the materials
should be VAT inclusive. Use Modifier 8025 for handling fee.

For this and more info, refer to our 2021-Dental Tariffs Pack