Discontinuation of claims boxes

Discovery has decided to remove all claims boxes across the country. This is because members seldom use the boxes.

To prove that point: only 10 Engen Medical Benefit Fund member used this service in the past 12 months.

How else can you submit a claim?

On the app

Follow one of these steps:

• Use the camera on your phone to take a picture of your claim. Submit picture on the app.
• Use your phone to scan the code on your claim provided by your healthcare professional.

By email

Scan and email your claim to claims@engenmed.co.za.

By post

Send your claims to Engen Medical Benefit Fund Claims: PO Box 652509, Benmore, 2010

What to remember

Ensure your claim has the following details:

• Full name of main member
• Membership number
• Name of patient (main member or registered dependant)
• Name of provider and practice number
• Treatment date
• Details of the service (tariff code, procedure code, and explanation)
• The diagnosis code (ICD-10 code)
• Proof of payment if you have settled your account

If your healthcare provider has already submitted the claim, you do not have to send us another copy.

Healthcare professionals, hospitals and pharmacies in our networks usually send us your claims directly. If you use a network provider, you do not have to send us a claim.

You only need to submit a claim if you have paid the healthcare professional and you need to claim the money back from us.

You must submit your claim within four months from the date of service. After this, the claim expires, and we will not pay you back for the claim.