Frequently Asked Questions

How does MASS handle the Discovery Health unique tariff rates?
Please take note:

  • Mass caters for both a flat fee unique value as well as a Rand Conversion Factor (RCF) or unit rate.
  • These steps MUST be repeated for every tariff code that has a unique Discovery Health rate.
  • Choose one of the three (3) proposed methods described below.

Option 1: Configuring Unique Tariffs:

  • Altering an Existing Tariff From the Main Medical Control menu, press on 1. MASS Medical Program.
  • Press on the Medical aids, Tariffs option.
  • Press on the Tariff information option.
  • Press on the Change existing tariff option.
  • Search for the relevant tariff code and press enter to select it. Mass caters for eight (8) different charge rates per tariff code. If you have an unused charge rate e.g. charge rate 8, we will add the new information for charge rate 8. With the Tariff Maintenance window displayed, press until you reach the Sell field for charge rate 8, type the full value of the charge rate as per the Discovery Health rates. Press until you reach the MA PR field for charge rate 8, type the full value of the charge rate as per the Discovery Health rates. Save the changes made to the tariff code.

Please take note:

  • If a new charge rate is added, this charge rate can be linked to all accounts that are linked to Discovery Health as the medical aid.

OR

  • When posting transactions for a patient that belongs to a Discovery Health medical aid option, the charge rate can be changed while posting the transactions.

Linking a Charge rate to an Existing Account

  • From the Main Medical Control menu, press on 1. MASS Medical Program.
  • Press on the Account maintenance option.
  • Press on the Change existing accounts option.
  • Search for the required account.
  • With the Account maintenance screen displayed, press down to the Charge rate field and type the charge rate number. For example, if a charge rate 8 has been added on the tariff code, type an 8 in the Charge rate field on the Account maintenance screen.
  • Save the changes made to the account.

Changing the Charge rate while Posting Transactions

  • From the Main Medical Control menu, press on 1. MASS Medical Program.
  • Press on the Transactions option.
  • Press on the Add new transactions and Payments option.
  • Search for the required account.
  • With the Transaction window displayed, post the debit transaction as you would normally. When you reach the fourth field, Charge rate field labelled C, type the charge rate number. For example, if a charge rate 8 has been added on the tariff code, type an 8 in the Charge rate field on the Transaction window.
  • Save the newly posted transaction(s).

Option 2: Configuring Unique Tariffs: Adding an New Tariff

  • From the Main Medical Control menu, press on 1. MASS Medical Program.
  • Press on the Medical aids, Tariffs option.
  • Press on the Tariff information option.
  • Press on the Add new tariff option.
  • You have to specify a unique abbreviation or lookup code for the new tariff code. We suggest you use DH e.g. 0181DH. Type all the information required for the new tariff code. Remember to type the published tariff code in the MASA field. In this example - type 0181. This will ensure that Mass uses the correct code when exporting an EDI file.Save the new tariff code.

Please take note:

  • When posting debit transactions for an account that has been linked to a Discovery Health option, type 0181DH in the Description / Abbr. field.

Option 3: Configuring Unique Unit Rates

  • From the Main Medical Control menu, press on 1. MASS Medical Program.
  • Press on the Medical aids, Tariffs option.
  • Press on the Tariff information option.
  • Press on the Change existing tariff option.
  • Search for the unit rates by typing *UNIT.
  • All Unit rates are contained within the Mass Tariff file.
  • All Unit rates’ lookup codes start with an asterisk (*) directly followed by the word UNIT.
  • With the list of unit rates displayed, search for and select the unit rate to change. For example * UNIT 3 Clinical Procedures.
  • Press on the required item.
  • Mass caters for eight (8) different unit values per unit rate.
  • Press to the Sell field for unit rate 8 and type the unique Discovery Health unit value.
  • Press to the MA Pr field for unit rate 8 and type the same unique Discovery Health unit value.
  • Save the changes.

After adding a new charge rate value ensure that the tariff code(s) are also referring to the correct information. In this example, ensure that the applicable tariff codes refer to 3 as the unit rate to indicate Clinical procedures.

Altering an Existing Tariff

  • From the Main Medical Control menu, press on 1. MASS Medical Program.
  • Press on the Medical aids, Tariffs option.
  • Press on the Tariff information option.
  • Press on the Change existing tariff option.
  • Search for the relevant tariff code and press enter to select it.
  • With the Tariff Maintenance window displayed, press until you reach the C8UN field and type a 3. The 3 refers to the *UNIT 3 for Clinical procedures.
  • Ensure that the procedure units, as published in the NHRPL, are contained within the Units field for charge rate 8.
  • Save the changes made to the tariff code.