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

We care for more than 2.4 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 2.4 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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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.

Data Analysis and Reporting Services

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


Pharmacy Network Services

Mediscor provides a comprehensive Pharmcy Network Management service. The service includes engagements with all levels of pharmacy.

Consulting and Advisory Services

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

Client Support Services

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