Claim rejected?
Find the reason. Ask your scheme for answers.
Find a reason
- Not treated as a PMB
- Non-designated provider
- No pre-authorisation
- Medicine not on the list
- Benefit used up
- Benefit limit reached
- Co-payment required
- Charged above scheme rate
- Service excluded
- Waiting period
- Chronic condition not registered
- Claim submitted late
Free to use. Your notice stays on your device.
What this tool can and cannot do
Pryse does not decide whether a medical scheme was right to reject a claim. It explains the stated reason and helps you ask the scheme to answer in writing. Nothing you type is uploaded, stored or sent anywhere. Pryse is not a law firm and does not act for you.