Our Services
π§Ύ Medical Billing
Capture consultations, procedures, materials and modifiers; ICD-10 and tariff coding; generate invoices; submit claims electronically to medical schemes.
π₯ Medical Aid Claims
Real-time/EDI claim submission; monitor claims; investigate rejected claims; correct and resubmit claims; follow up unpaid and short-paid claims.
π° Debtor Management
Manage the age analysis; follow up outstanding medical-aid balances; follow up patient-liable balances; send statements and payment reminders; escalate overdue accounts according to the agreed collection process.
π³ Payment Allocation
Import electronic remittances/ERAs; allocate medical-aid and patient payments; identify unallocated payments; reconcile accounts.
π Financial Reporting
Monthly turnover; collections/cash flow; outstanding debtors; ageing (30/60/90/120+ days); collection rate; medical-aid vs patient debt; rejection reports.
π€ Patient Accounts
Patient invoices and statements; account enquiries; payment arrangements; communication regarding outstanding balances.
βοΈ Medical Aid Liaison
Contact schemes about unpaid claims, rejections, short payments, membership issues, benefits and claim queries.
β Authorisations
Obtain or follow up pre-authorisations; assist with PMB applications where applicable; track outstanding authorisations.
π’ Practice Setup
Assist new practices with billing setup, medical-scheme registrations, banking-detail updates and related administration.
π Practice Administration
Capture patient information; manage documentation; assist reception/admin teams; establish billing workflows and procedures.
π Staff Training
Train receptionists and administrative staff on patient capture, billing processes, medical-aid requirements, debtor management and practice-management software.
π Compliance & Records
Secure patient-information handling, record keeping, access controls and POPIA-conscious administrative processes.
How It Works
Simple for you. Comprehensive behind the scenes.
01 β We Understand Your Practice
We learn about your specialty, providers, patients and billing requirements.
02 β We Set Up Your Billing
We assist with registrations, configurations and billing requirements.
03 β We Manage Your Claims
Claims are prepared, submitted and monitored.
04 β We Follow Up
We identify outstanding, rejected and unpaid claims and take the appropriate action.
05 β We Reconcile
Payments and remittances are processed and accounts reconciled.
06 β We Report
You receive meaningful information about your billing and revenue performance.
