Billing

Dr Matthew Dold is committed to providing clear and transparent billing for all anaesthesia services. The billing process adheres to South African medical billing standards and is designed to support patients through every stage of their care and financial responsibility.

The billing of this practice is administrated by ICAN Billing.

1. How Anaesthesia Billing Works

Anaesthesia billing in South Africa is based on a unit-based system that reflects:

• Base units: Determined by the type of surgical procedure.

• Time units: Based on the total duration the anaesthetist is involved in the patient’s care.

• Modifiers: Applied for additional complexity (e.g., age, emergency status, physical status).

• Consumables and drugs: Charged separately if not covered by the hospital.
  
  

I bill according to the South African Society of Anaesthesiologists (SASA) guidelines, using appropriate ICD-10 diagnostic codes and NHRPL codes or practice-specific rates, depending on the arrangement with the medical scheme.

2. Medical Aid and Private Billing

We submit accounts directly to most major South African medical aids, including:

• Discovery Health

• Momentum

• Bonitas

• Medscheme

• GEMS

• Fedhealth

• And others
  
  

Please note:

• Not all medical aids pay anaesthetic accounts in full.

• Patients remain responsible for any shortfalls, co-payments, or scheme exclusions.

• For procedures done on a private basis, you will receive a detailed invoice with payment terms.
  
  

As part of informed consent prior to the procedure, a discussion on financial consent will be had and a separate Billing consent form signed.

3. Patient Responsibility

You may be responsible for the following, depending on your medical aid plan:

• Shortfall between the medical aid rate and our billing rate

• Co-payments and deductibles

• Services not covered by your benefit option
  
  

We will send you a Patient Statement indicating any amounts due once the medical aid has processed the claim.

4. Payment Options

We offer several convenient payment methods:

• EFT (Electronic Funds Transfer)

• Payment arrangements (for qualifying patients)
  
  

Banking Details are provided on your invoice. Please use your invoice number or reference number when making payment, as per communication with ICAN Billing.

5. Queries, Disputes, or Financial Assistance

If you have questions about your invoice, wish to request a payment arrangement, or dispute a charge, please contact our billing team as soon as possible — preferably within 14 days of receiving your statement.

Billing Department Contact:
📧 Email: accounts@icanbilling.co.za
📞 Phone: 010 140 9040
🕘 Office Hours: Monday to Friday, 08:00–17:00

We aim to respond to all billing queries within 2 working days.

6. Important Notes

• You may receive separate accounts from the surgeon, hospital, and anaesthetist.
  
  

• All personal information is handled in compliance with POPIA (Protection of Personal Information Act).
  
  

• We comply with the Health Professions Council of South Africa (HPCSA) billing ethics and guidelines.