Medscheme definition
Examples of Medscheme in a sentence
The Parties acknowledge that the processed data i.e. information shall be the property of Medscheme.
Medscheme shall advise the Doctor in writing by either e-mail, facsimile, SMS or postal mail, with at least ninety (90) days notice of any proposed changes to the Rules of the Scheme that may impact on this Agreement.
Medscheme shall ensure that medical schemes reimburse the Doctor for Relevant Health Care rendered to a Member in accordance with the Rules and within the Scheme tariffs and Scheme specific arrangements as set out in the Annexures to this Agreement, if applicable.
The Doctor is hereby appointed by Medscheme as a Participating Doctor to the Medscheme IPA Doctor Network.
Both legal relationships are structured in consultation with the IPA’s as the IPA’s role in facilitating and monitoring the Medscheme IPA Doctor Network is seen of crucial importance for the success of the network.
Medscheme has concluded Cooperation Agreements with various IPA’s and associations representing the IPA’s in South Africa or whereby the IPA’s associations representing the IPA’s will be remunerated to render certain services in facilitation, supporting and monitoring of the Medscheme IPA Doctor Network.
The managed health care services by Medscheme includes contracting on a network basis with Health Care Providers to facilitate, support and monitor the delivery of relevant health services to medical schemes.
This to be performed by a central peer management committee as utilised by the Medscheme IPA Doctor Network.
Unless these changes have a material effect on the outcome of this arrangement Medscheme reserves the right to make these changes without necessarily adding an addendum to this Agreement.
The details of the facilitation and monitoring role of the IPA’s are specified in the Cooperation Agreements between Medscheme and the IPA’s or associations representing the IPA’s.