Discovery ProPBM

Discovery Health's own pharmacy claim and benefit management system

Discovery ProPBM, our pharmacy claim management system was established to offer the medical schemes we administer a comprehensive range of managed care services. In keeping with this strategy, we have our own price file, which is key to the accurate functioning and benefits of using Discovery ProPBM.

Who to contact for ProPBM queries

Real-time medicine claim and price queries Discovery ProPBM call centre 0860 PROPBM (776726) ProPBM_QUERIES@discovery.co.za
Chronic medicine authorisation / confirming benefits Chronic Illness Benefit Division 0860 400 600 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 the schemes we administer, we need you to register with us. This also ensures we can communicate updates with you and give you information that is relevant to your practice.

Please send us:

  • Copy of your identity document
  • Copy of the Practice Code Numbering System (PCNS) form issued to your practice by the Board of Healthcare Funders
  • Completed Healthcare professional banking details for the payment of claims form
  • Completed Healthcare professional practice management and web access 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

Log in

Please click here to login into Discovery Digital Id

Please click here to login into Discovery Digital Id