our services
Let Us Handle the Paperwork. Our experienced team stays up to date with medical aid requirements, billing regulations, and industry best practices to ensure every claim is handled with professionalism and accuracy.
Efficient
Through our expertise, attention to detail, and commitment to continuous improvement, we provide practitioners with a reliable and effective revenue management solution that optimizes collections and supports the financial health of their practices.
Effective
To maintain excellence in claims administration, our staff continuously keeps abreast of industry developments, medical aid requirements, and best practices relating to claim submissions. This includes staying up to date with the correct application of ICD diagnostic codes, procedure and tariff billing codes, and all relevant submission protocols to ensure compliance and minimize claim rejections.
Accurate
Fast
Dedicated
ClaimMed Solutions is a dedicated medical bureau committed to helping healthcare professionals streamline their administrative processes and maximize their revenue through reliable and professional claim administration.
WE ARE invested
We Value Your Time and Your Experience
We understand that managing medical aid claims, billing, and account administration can take valuable time away from patient care. That’s why we provide reliable, efficient, and compliant bureau services that allow healthcare providers to focus on what they do best.
Our Mission
Consultations
& Services
To provide reliable, accurate, and efficient medical bureau services that improve healthcare practice profitability while delivering exceptional client support.
Our Medical Billing Process
– Weekly billing is received by Claimed Solutions from the consulting rooms.
– Our team carefully reviews the weekly billing to ensure all information is accurate and complete.
– We submit claims electronically to medical aids using specialised billing software with a secure switching program.
– We capture and reconcile the initial payments received from medical aids.
– We follow up on underpaid claims, delayed claim payments, and rejected claims to maximise successful reimbursements.
– We charge healthcare practitioners a minimal percentage-based fee, calculated only on payments received from medical aids and patients.
Professionalism
At ClaimMed Solutions, we are supported by a highly trained and experienced team that takes pride in delivering services with exceptional diligence, accuracy, and professionalism. Our staff is committed to ensuring that claims are submitted correctly and efficiently, while maintaining the highest standards when reconciling and remitting accounts.
We actively monitor and manage unpaid, underpaid, and rejected claims, conducting thorough follow-ups and reviews to maximize reimbursement and ensure that practitioners receive payment at the highest rate to which they are entitled. Our dedicated team works tirelessly to recover outstanding revenue and resolve claim discrepancies in a timely and effective manner.
Claims Processing
Efficient claims management is essential for healthy cash flow. Our proactive approach helps minimise outstanding accounts and improve collections.
Revenue Improvement
:Improve collection period ,strengthen your practices financial performance and elevate operational standards.
Our team specializes in the recovery and reconciliation of unpaid, underpaid, and rejected claims. We also manage underpayment follow-ups and conduct comprehensive PMB reviews to ensure compliance and maximize claim reimbursement outcomes.