SOLUTIONS

Electronic Claims Processing

Digitise the entire life of a claim — capture, coding, validation, submission, tracking and remittance — in one clean workflow that eliminates paper and the errors that come with it.

Digitize the process

From paper to digital

Digitize your claims journey with secure technology that connects providers, schemes, and healthcare facilities.

KEY CAPABILITIES

What Electronic Claims Processing gives you

Point-of-care capture

Capture claims digitally at reception or the dispensary — once, correctly, with no re-keying.

Smart validation

Mandatory fields, ICD-10 and tariff codes are checked as staff type, so incomplete claims never leave the building.

One-click submission

Send single claims or batches electronically to any connected payer.

Live claim tracking

See exactly where every claim is — submitted, adjudicated, paid or queried — in real time.

Remittance matching

Match payments to claims automatically and spot short-payments immediately.

Query management

Resolve queries and resubmit corrected claims electronically, with the full history attached.

THE DIFFERENCE IT MAKES

Benefits you can measure

GETTING STARTED

How implementation works

1. Workflow review

We document how claims are created and submitted today, and where they get stuck.

2. Configure & train

Templates, tariffs and payer rules are configured; your team is trained on the new workflow.

3. Optimise

We monitor acceptance rates with you and fine-tune validation rules after go-live.

See Electronic Claims Processing in action

Book a walkthrough with our team and see exactly how it would work in your organisation.