Medical Aid Claims
Submit claims to medical aid schemes, check patient eligibility, and reconcile remittance advice — integrated with the MediKredit switching network.
Start Free TrialKey Capabilities
Claim Submission
Submit claims electronically via MediKredit S2PI integration. Claims pre-populated from consultation data — no re-keying.
Eligibility Checks
Verify patient medical aid membership and benefits before treatment. Know coverage status upfront.
Family Checks
Query dependant and family details from medical aid schemes to confirm patient relationships.
Transaction History
View all submitted claims, responses, and reconciliation status in one place.
ERA Processing
Upload Electronic Remittance Advice files and automatically match payments to invoices.
Claim Reconciliation
Automated matching of ERA records to submitted claims. Identify short-payments and rejections instantly.
Dispute Management
Flag disputed claims, track dispute status, and document outcomes through resolution.
Who Uses This
Admin
Oversees claims workflow, processes ERA files, manages disputes, configures switching settings.
Receptionist
Submits claims after billing, checks eligibility before appointments.
Specialist
Views claim status for own consultations.
Works With
Medical Aid Claims connects seamlessly to these other features.
Ready to get started?
R500/month · All features included · Unlimited users
14-day free trial — no credit card required
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