Medical Billing Software and Claims for Private Practices

Medical billing software in South Africa is often judged on the claim, which is the last step. The expensive errors happen earlier, when the scheme, the membership number or the dependent code is captured badly, or captured twice by two people reading the same card.

Capture the scheme once

Put medical aid details on the patient record at registration or at the first visit where they are known. The claim should read those fields. If the software makes you type them again into a separate billing window, you have two sources of truth and you will eventually submit the wrong one.

Meditrac stores scheme, membership number and dependent code on the chart. Claims are raised from the dashboard while the visit is still the context. Switching is integrated with all major medical aids. The clinical record does not leave with the claim. The practice keeps the chart.

What claims software does not decide

Software can stop re-keying. It cannot decide that a scheme will honour a tariff, and it should not be sold as if it can. The practice is responsible for what it submits. A clear record of who worked the claim, and a chart that matches it, is what you want when a remittance does not match the day.

Keep billing inside the practice fee

A billing module with its own price, its own login and its own patient index will drift from the clinical system. On Meditrac, claims are part of Professional at R899 per month. There is a separate page for medical claims, and a shorter page on how switching works.