MBYS Integration Guide: Step by Step for Clinics

MBYS (Medula Information Management System) is the central system that manages all healthcare billing and data exchange between the Social Security Institution (SGK) and private healthcare providers. It is also known as MEDULA. In Türkiye, every clinic that works with SGK is required to send data to MBYS.

Which Clinics Does MBYS Concern?

• Private hospitals contracted with SGK
• Physiotherapy and rehabilitation centers
• Dialysis centers
• Family medicine practices
• Imaging centers
• Dental clinics (if contracted)
• Oral and dental health centers

Operations Performed via MBYS

• Provision (Pre-authorization): Before treatment, approval is requested from SGK for the patient. If treatment is performed without an approved provision, SGK may reject the payment.
• Patient Registration: At an SGK-contracted institution, the patient is registered using their national ID (TC) number.
• Examination / Procedure Reporting: Every procedure performed (root canal treatment, physical therapy session, MRI scan, etc.) is reported with a MEDULA code.
• Invoice Submission: Invoices are submitted to SGK on a monthly basis and payment is collected.
• Rejection Handling: Correcting rejected records and resubmitting them.

Common MBYS Problems

Problems that clinic managers frequently encounter:

1. Missing provision: SGK not paying because no provision was obtained while treatment was performed in a hurry.
2. Incorrect SUT code: Rejection due to selecting the wrong MEDULA/SUT code.
3. Insurance limit exceeded: An automatic alert is required when a patient reaches their annual session limit.
4. Data format error: Submission fails when the XML/SOAP format is incorrect.
5. Manual workload: Entering each record into the system individually takes hours. Automated submission solutions reduce this time to seconds.

KRATS MBYS Roadmap (Q4 2026)

KRATS plans to bring its integration module for MBYS and MEDULA to its users in Q4 2026 as part of its planned scope. This module will include:

• Automatic provision: Automatic provision request when an appointment is created.
• SUT code library: Up-to-date code list, search, and automatic suggestions.
• Bulk invoice submission: Monthly invoices are sent to MBYS with a single click.
• Rejection analysis: Visualization of the reasons behind rejected records.
• SGK e-report: Automation of incapacity-to-work reports.
• e-Prescription: Direct integration with the prescription system.

Roadmap dates may change; the final feature scope may be refined during development.

New MBYS 2025 Regulation

In 2025, significant updates were made to the SGK MBYS protocol:

• e-Report became mandatory (paper reports are no longer accepted)
• The provision window was shortened (24 hours → 8 hours)
• New SUT codes (particularly for non-aesthetic dermatology)
• KVKK-compliant audit reports are mandatory

KRATS's Q4 2026 MBYS module is being designed with these updates in mind.

Conclusion

MBYS integration is not difficult; when managed with the right tool, it increases your clinic's revenue and reduces billing errors. KRATS plans to deliver this module to its users in Q4 2026.