Billing & claims
Billing and medical-aid claims
Capture services, prepare statements and follow up claims through the installed Medistat software.
Tools for your practice accounts
- Enter billed services and check the details before saving.
- Accounts and statements.
- Medical-aid claim submission and rejection review.
- Automatic processing of electronic payment breakdowns from medical schemes when the connected claims service supports it.
What you can do in the browser
The doctor browser includes selected quotation and reporting tools. Use the installed Medistat software to finalise account entries, record payments and make financial adjustments where required. Browser access does not replace every billing workflow.
Claims acceptance, payment and provider connectivity are separate outcomes. Review returned claim statuses; access to a feature does not guarantee a claim will be accepted or paid.
Billing terms, explained
- Medical-aid claim
- A request sent to a medical scheme for payment. Sending a claim does not mean it has been accepted or paid.
- Electronic remittance advice (ERA)
- An electronic payment breakdown from a medical scheme. It helps practice staff check how an account was processed.
- Reconcile an account
- Compare the account entries with payments and returned information, then investigate differences.
A clearer workflow
Check billed services
Check the account and captured information in the installed Medistat software.
Send through your claims provider
Claims workflows depend on the installed release and connected provider.
Check the result
Review returned statuses and follow up exceptions; submission does not guarantee payment.
Discuss your practice’s needs
Ask our software team about availability, installation and a demonstration.
Call 011 854 8012. Contact your healthcare practice for appointments, patient accounts or medical advice.