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About us

We provide management oversight -

  • For the registration process to facilitate the collection of accurate patient demographic and establish quality control to ensure that the correct billing information is collected to produce and generate clean claims for submission.
  • Provide excellent customer service including problem solving, timely follow up, assisting in customer follow up via internet, phone and email.

Software

  • PANACEA medical billing software is used as platform.
  • The following link is available for further information.

Summary 
  • Capturing data.
  • Submission of all claims electronically via EDI.
  • Submission all international claims via emails.
  • Timely follow up on claims to ensure that  they are processed within 30 days (medical aids /private Funders) and 60 days (international Funders)
  • Timely follow up on short payments from beneficiaries and private portions if benefits are exhausted.
  • Ensure outstanding claims are resolved within 60 days.
  • Follow up with SAMA regarding reimbursement disputes.
  • Full administration support on practice administration of all accounts.
  • Minimize bad debt to 2% and below.
  • Invoice only on monthly payments received and not on accounts billed.

 
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