Discovery ProPBM

Discovery Health’s own pharmacy claim and benefit management system

Discovery ProPBM, our own pharmacy claim management established in 2009, embodies our business strategy of offering the medical schemes we administer a comprehensive range of managed care services.  In keeping with this strategy Discovery Health has our own price file, which is key to the accurate functioning and benefits of using Discovery ProPBM.

In using Discovery ProPBM, you also have dedicated call centres to support you with any questions you have.

Who to contact
Real-time medicine claim and price queries Discovery ProPBM call centre 0860 PROPBM (776726)
ProPBM_QUERIES@discovery.co.za
Chronic medicine authorisation or confirming benefits Chronic Illness Benefit Division 0860 44 55 66
Chronicqueries@discovery.co.za
Updating supplier price files Discovery ProPBM call centre 0860 PROPBM(776726)
PRICE_AND_PRODUCT_FILE@discovery.co.za
Registering your pharmacy at Discovery Health HealthPartners call centre 0860 44 55 66
Provider_administration@discovery.co.za
Remittance advices and payment HealthPartners call centre 0860 44 55 66
Healthpartnerinfo@discovery.co.za

Register your pharmacy to receive payment from Discovery Health

We settle claims promptly and with the highest possible level of accuracy. To ensure we pay your claims for dispensing medicine to members of any of the schemes that Discovery Health administers, we need you to register with us. It also ensures we can effectively communicate with you and give you information that is relevant to your practice.

Please send us:

  • a copy of your identity document
  • your practice code numbering system (PCNS) on the take on form
  • the completed Discovery Health take on form
  • the Discovery Health banking details form.

Note: if we do not have your banking details, we will pay the claims your practice submits to our members

You can email or fax the registration details to us

As soon as you have filled in these forms, you can fax all the information to us at 011 539 2784 or email it to Provider_administration@discovery.co.za

You can download the following documents:

Chronic Illness Benefit application form

Chronic Illness Benefit medicine list (formulary)

KeyCare acute medicine list (formulary)