Current status
No medical aid scheme has joined ELMED. The platform’s scheme workflow has been built, but patients and professionals must not assume that claims are being submitted to or settled by their scheme.
Tools for an onboarding discussion
The scheme portal includes intended workflows for claim codes, pre-authorisations, member benefits, PMB checks and claim tracking. A scheme must complete a verified onboarding and integration process before operational use.
For patients and providers
Confirm benefits, authorisations and payment arrangements directly with the provider and scheme. Adding medical aid details to a profile does not activate scheme integration.
For scheme teams
Contact ELMED to review requirements, technical interfaces and a demonstration. The discussion should establish an agreed scope, validation process and operating responsibilities.