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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:

Use the Momentum App to submit a claim

Available for iOS, Android users, and Huawei app gallery. Download the Momentum App, log in to your profile, and request pre-notification.

Download the Momentum App from the Huawei AppGallery today.

Or use any of our other channels

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Use the web chat facility in the bottom left corner.

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WhatsApp message

Send us a WhatsApp message.

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Call us

Call us at 0860 117 859, and a consultant will assist you, or use +27 31 573 4008 for international members.

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Send an email or post

Send an email to [email protected], or send normal mail to PO Box 2338, Durban, 4000.

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

Information required to submit a claim

To make sure we process your claim as quickly and as accurately 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 code (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’ve paid the claim out of pocket.

Learn more about medical aid

How to make the most
of your benefits

How to get

Frequently asked

Download the
Momentum App

Contact Momentum Medical Scheme

Client service, claims and authorisations

Click here to contact us via WhatsApp.
Join an online help session.

Business hours are Monday to Friday from 08:00 to 17:00. Saturday and public holidays from 08:00 to 16:00. Closed on Sundays.

For local emergencies

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

For international emergencies

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

Momentum Medical Scheme Ethics and Fraud line

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

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