Payment run dates differ per medical aid. Most institutions process payments on a bi-weekly basis. Note that payments are only issued after successful claim submissions. If no payments have been received and no claims were submitted or billed in the system, please...
Procedure code payments vary by: Medical aid scheme Benefit option Contracted tariff agreement Whether the practice charges above or at medical aid rates
A short payment can occur due to co-payments, benefit limitations, or incorrect billing. Steps to resolve: Open the claim in your dashboard. Check the Remittance Advice for the reason code. If the reason is unclear or incorrect, log a Billing & Payments query and...
The system will automatically flag patient-responsibility amounts. You can then: Generate an invoice for the patient Send SMS/email reminders Add notes for payment arrangements If a shortfall seems incorrect, attach the remittance and log a Billing & Payments...
Reconciling statements and tracking unpaid invoices requires familiarity with the system. We recommend contacting us to book a training slot as the first step. Once trained, you can use the payment reconciliation feature to: Export the report for auditing or patient...
Navigate to the Reports section in the system. You can run: Claim Status Report Patient Age Analysis Collection Age Analysis Rejected Claims Report These help you track performance, unpaid claims, and practice cash flow trends. (Book training if needed for guidance on...
