Leading edge health technology
MediKredit is a South African healthcare company with over 80 years of experience in the industry, offering a wide range of healthcare claims management solutions.
With a focus on innovation and efficiency, MediKredit provides electronic health benefit management expertise in pharmacy benefit management (PBM), claims switching and processing, provider network management, and real-time connectivity to healthcare funders through its integrated healthcare technology platform.
The company’s claims processing solution is highly efficient, servicing around three million lives across 800 health plans, with over 200 million healthcare transactions processed annually. MediKredit also provides fully accredited managed care services, including an integrated chronic medicine management programme that ensures access to clinically appropriate, evidence-based, and cost-effective chronic medicine benefits.
The MediKredit PBM software manages costs in relation to inflation with a view of achieving cost savings rather than cost shifting to the patient. The PBM’s flexible patented rules engine enables medical schemes to manage and innovate benefit designs, formularies, pricing, reference pricing, pharmacy networks and ensuring patient compliance.
MediKredit also has its own proprietary Switch, HealthNet ST. It is integrated with the majority of the Practice Management Applications in South Africa thereby enabling integration with all pharmacies (nearly 5,000), over 22,000 doctor practices, over 300 private hospitals and 155 public hospitals. MediKredit’s PBM, clearing house and claims switching capability touches just over 11 million lives per annum.
MediKredit is the inventor, owner and custodian of the NAPPI® coding system, which identifies all medicines, medical devices, and healthcare consumable products in South Africa. This globally unique national coding system allows for the electronic transfer of information throughout the healthcare delivery chain, with forward-thinking functionality.
As a company deeply committed to the future of healthcare in South Africa, MediKredit continues to push the boundaries of technology to address the complex and evolving needs of stakeholders in the rapidly changing healthcare environment.
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