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Circular 69 of 2022: Claims information for beneficiaries treated for COVID-19

In order to evaluate and keep track of the impact that the coronavirus (COVID-19) has had on medical schemes and their beneficiaries, the Council for Medical Schemes (CMS) request medical schemes to submit data quarterly instead of a weekly basis starting from 01 January 2023, through the CMS web portal and XML Schema Definitions.

Tables to be submitted:

  1. CV1: Membership
  2. CV2: Outpatient Claims Data
  3. CV3: Inpatient
  4. CV4: Vaccine Data

The submission for CV5 will continue to be on a monthly basis. Officials from the CMS will be at hand to address all technical queries relating to this data request on the email: covid19@medicalschemes.co.za.

Your co-operation will be highly appreciated.

Download the Circular here.