STEP 1/5

YOU SEND US YOUR MEDICAL TARIFF CODES

You provide us with your procedure and ICD10 codes of your consultations and leave the rest to us!

STEP 2/5

WE CAPTURE FEES, PAYMENTS & PATIENT BILLING INFORMATION

We capture the following on your patient accounts system:

• Patient Information
• Procedure codes
• ICD10 codes
• Payments from medical aids and patients

STEP 3/5

WE SUBMIT MEDICAL ACCOUNTS TO FUNDS

We take responsibility for patient accounts by:

1. Submitting Medical Account Claims –

• Electronic submission via EDI to the medical aid schemes
• Dealing with rejection of claims relating to any information submitted to the medical aid schemes.

2. We receive automatic feedback from Medical Aids regarding –

• If the patient details are incorrect
• If the membership number is incorrect etc.
• Codes or combination of codes are incorrect.

In addition, where Healthcare accounts are overdue, we:

• Enquire with the Medical Aid as to the reason
• Contact patients where they are liable for all or part of the account.
• Liaise with you where needed

STEP 4/5

(follow up with funds & with patients about outstanding amounts)

WE APPLY CREDIT CONTROL TO YOUR PATIENT ACCOUNTS

We follow up on outstanding accounts with either medical aids or patients. We do this either by phone or Whatsapp.

We deal with all your patients’ queries regarding their patient accounts. Patients can phone us directly since our number is printed on the medical accounts as the first port of call for inquiries.

STEP 5/5

YOU RECEIVE MONEY INTO YOUR BANK ACCOUNT

Patient Accounts Administration is now easy, leaving you with time and resources to do what you’ve been trained for – to treat your patients.

We provide you with monthly reports regarding the fees billed for the month. Other reports include payments received, a list of outstanding accounts and a VAT report.