Solutions Together

Join the largest independent Pharmaceutical Benefit Manager in Southern Africa and set the benchmark

We care for more than 1.8 million lives and process in excess
of 150 000 transactions per day

 

World-class customised technological
solutions at your fingertips

Mediscor is a South African pharmaceutical benefits management (PBM) organisation. We specialise in electronic claims processing and the management of medicine benefits, covering more than 1.8 million lives and processing in excess of 150 000 transactions per day.

Our main offering is the ability to electronically adjudicate a medicine provider’s claim in real time against complex financial, clinical and pharmaceutical utilisation rules. We implement a customised set of rules for each client. Various electronic processing solutions are available, including real-time, electronic batch, web input and paper submissions.

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The 2017 edition of the Mediscor Medicines Review is now available.

Click here to request a copy.

We received three Diamond Arrow Awards from the PMR.africa Awards Committee in 2018, for being rated first in the following specialist service categories:

Technology services and electronic medicine management
(8.15 out of 10.00)

Chronic medication management
(8.10 out of 10.00)

Pharmacy network management
(8.30 out of 10.00)

OUR SOLUTIONS

We offer a high-performance real-time claims processing solution, consisting of the following key components

Real-time Electronic Claims Processing

  • Data integrity validation
  • Eligibility management
  • Utilisation management
  • Clinical management

Chronic Medicine Registration Services

Mediscor ChroniLine® is our comprehensive chronic medicine authorisation service. Authorisations are performed by qualified pharmacists and pharmacy assistants.

Pharmacy Network Management

Mediscor provides a comprehensive Pharmacy Network Management service. The service includes engagement with all levels of pharmacy.

Consulting and Advisory Services

  • Benefit-related clinical advice
  • Benefit design
  • What-if studies and impact analyses
  • Formulary selection

Data Analysis and Reporting Services

  • Analyzer
  • Patient Experience Monitor
  • Reports
  • Expenditure Overview Report

Client Support Services

  • Contact centres
  • Dedicated client support teams
  • On-line search facilities
  • SMS patient communication