menu
Contact us Log in

Medical Aid

How to submit a medical aid claim


You can submit your medical aid claim, follow up on a claim, or provide us with additional required information in any of the following ways:

Momentum App

Learn more

Call (South Africa)

0860 117 859

Call (International)

+27 31 573 4008

Post

PO Box 2338, Durban, 4000

Business hours are Monday to Friday from 08:00 to 17:00.
Closed on Sundays and public holidays.

Information required to submit a claim

To make sure that we process your claim as quickly as possible, please include the following information when submitting your claim:

  • Your membership number.
  • The principal member’s surname, initials, and first name.
  • The patient’s surname, initials, and first name.
  • Date of treatment.
  • The amount charged.
  • The ICD–10 code (code to indicate what condition you’ve been diagnosed with), tariff (product-specific code for procedures and claims), and NAPPI code (unique identifier for a given ethical, surgical, or consumable product).
  • The service provider’s name and practice number.
  • Proof of payment, if you have paid the claim out of your own pocket.

Learn more about medical aid

How to make the most
of your benefits

How to get
pre-authorisation

Frequently asked
questions

Download the
Momentum App

Contact Momentum Health

Emergency services




Available 24 hours a day, 7 days a week, 365 days a year.

Client service, claims and authorisations






Business hours are Monday to Friday from 07:30 to 17:00. Saturdays from 08:00 to 12:00. Closed on Sundays and public holidays.

We use cookies to provide the best experience. View our Cookie Policy.

Internet Explorer is out of date. Update your browser to ensure our website functions correctly.

Your browser's cookies are disabled. Enable cookies to ensure our website functions correctly. View our Cookie Policy.