Practice Code Numbering System
The Practice Code Numbering System (PCNS) of BHF is a list of unique practice billing codes for providers of healthcare services in South Africa, Namibia and Lesotho.
The practice number, allocated to all registered healthcare providers is a legal requirement for the process of reimbursement of a claim to either a medical scheme member or service provider. This is in accordance with the requirement of the Medical Schemes Act 131 of 1998 wherein it is stated that a medical scheme may only reimburse a member or a provider of relevant healthcare services for services rendered against a valid practice code number.
Important Notice to All PCNS Users and Subscribers
In line with regulatory changes such as POPI Act and to ensure ongoing running of the PCNS, various maintenance strategies have been implemented to ensure that the system continues without any failures. These interventions have attracted costs.
BHF is however a not-for-profit entity who administers the PCNS and provides this service as a value add for the healthcare industry as promulgated in terms of the Medical Schemes Act 131 of 1998.
In light of the above we have embarked on a cleansing exercise of the information and have geared the system to collect additional information which will assist the healthcare sector better understand the resources available in the country.
Furthermore, we have included the roll out of validation tools to ensure service provider details including ID numbers and banking details are validated before updated in the PCNS files. We are also formulating security tools to ensure that the information is adequately protected. Other facilities included the integration with the council’s datasets and geo-mapping.
BHF administers the Practice Code Numbering System (PCNS) according to criteria set out by the Council for Medical Schemes, among which is the stipulation of that all users and subscribers must contribute towards the running and maintenance of the system through the payment of annual fees.
We do acknowledge that the communication regarding the change of fee was not adequately communicated. We do not however foresee such and significant increase going forward. We would like to assure you of our commitment to meet the needs of the healthcare industry by maintaining the system and to provide efficient services to the industry.