Automated recon of claims
Having a medical aid in South Africa today is of paramount importance, but the complex nature of such schemes and the complicated processes required to obtain authorisations and submit claims can be confusing to both patients and healthcare professionals.
MediSwitch takes the hassle out of such issues, by facilitating relevant healthcare related electronic transactions that verify patients’ medical aid membership, requests for treatment pre-authorisation, submits medical aid claims and enables automated reconciliation of claims payments.
This is achieved by connecting healthcare professionals and medical aid administrators to the MediSwitch Virtual Private Healthcare Network (VPHN), enabling customers to securely interact with each other for predefined data interchanges.
Having pioneered Electronic Data Interchange (EDI) for healthcare in South Africa and revolutionised practice administration with its SwitchOn claim submission and management process, MediSwitch continues to achieve its goal of driving higher efficiencies in the businesses of both funders and healthcare professionals, by facilitating improved cash flow, reduced exposure to financial risk, reduced administration hassle and expense and tools that provide greater financial management control in the healthcare facility.
Tel: +27 (11) 265 5400