Libcare Claims Process

  Download Claims Box Instructions - 15 December 2008

How to submit your accounts:

• Please deliver your account as quickly as possible, only claims received within four months of treatment will be paid.
• Send the first account you receive. Do not send statements as these do not contain the required information for claims processing.
• If you have already paid the account please attach your receipt and clearly mark the account "paid". DO NOT SUBMIT A RECEIPT ONLY - it will not be processed.
• Please do not submit accounts marked "FOR YOUR INFORMATION ONLY". These accounts are for your records, and should be used to check against payments reflected on your statements.
• The Medical Schemes Act requires that the supplier of service provides full details on all accounts. Please check that your account shows:
  • your name and initials;
  • your correct medical scheme number;
  • the treatment date;
  • name of patient (as indicated on the membership card, not a nickname);
  • amount charged;
  • tariff or nappi codes where applicable, and ;
  • the applicable ICD-10 diagnostic code (s)
  • the practitioner's name & Practice Number.

Without the above information Libcare will not be able to process the account.

To further reduce the turnaround time for processing of your claims, may submit your claim directly to us via email or fax. Please use one of the following submission routes:
· Libcare claim submission via e-mail: claims@libcare.co.za
· Libcare claim submission via fax: 021 673 9582

How will I know what was paid?

Libcare will send you an emailed mini-statement or SMS once the claim has been processed, provided we have your relevant contact details. You can inform us of changes or updates of your contact details by contacting the Libcare contact centre.
· Libcare Contact Centre via telephone 0800 12 CARE (0800 12 2273) [office hours]
· Libcare Contact Centre via e-mail enquiries@libcare.co.za