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Data capturing and billing Process - Correct
submitting of all claims electronically via EDI. Correct data capture
including - membership validation details, member option and confirming
patient information.
- Billing
according to membership option, billing guide line and according to
medical aid contract billing (payment agreements).
Credit Controlling Process - Following
up with medical aid in confirming receiving account, confirm amount
accepted for processing. If any rejection on day to day benefits member
to be informed on outstanding accounts Following up on any rejections,
short payments and submitting any documents in regards of short fall on
account - i.e. Letter of Motivation, referral letters.
- Following
up with patients on any short payments because of day to day benefits
exhausted.
- Posting account to member informing member that account needs
to be settled in 30 days.
- Private accounts are
followed up on the day of billing Guarantor is informed on the day
about outstanding amount, requesting email address to email account and
informing them account needs to be settled in 7 days. If international
funds, all required documents are posted/emailed to Guarantor for quick
and easy payment result.
Debtors Process - Allocating
payments to correct service date as per remittances from the medical
aids and from patients on a weekly basis ( payment will be made to the
practice bank )
- Monthly
reconciliations on all accounts to ensure all account are processed correctly and
that account are on zero balance to close account.
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