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1. Short fall received from Scheme manual line allocation is now required Allocate Response TESTER 06 02 12 Med Aid DISCOVERY CORE COASTAL Membership No 154876526 Main Member MR IAM TESTING Patient MR JAM TESTING DOB 10 10 1970 Dep No 00 ld No Account Name TESTING MR Account No 5689 Tel Fax Bill No 25450 Status CONFIRMATION RESPONSE RECEIVED Bill Total Amt Initial Amt Expected 505 97 500 00 Date of Claim 28 11 2011 Service Date 28 11 2011 Auth No Switch Ref Funder Ref Response Code 43760 3 Current Benefit Amount Levy Discount 500 00 0 00 0 00 Claimed 505 97 Benefit Pay to Provider 500 00 Pay to Member 0 00 Balance 0 00 Provided in partnership with Healthbridge The Medical Ad has confirmed the receipt of your claim This claim may be affected by the reversal and processing of other claims Please be aware that benefits have not been reserved and payment is not guaranteed as a result of this claim submission Tipton Remaining 500 00 sri Aid Dat Tute 389 30 116 67 CONFIRMATION RESPONSE RECEIVED Bill Total Amt Initial Amt Expected 505 97 500 00 Claimed 505 97 Benefit Pay to Provider 500 00 Pay Provided in partnership with Healthbridge Cripion GMED CHRONIC MEDICINES DISPENSED Allocate Response e Short fall received from Scheme manual line allocation is now required Med Aid DISCOVERY CORE COASTAL Membership No 15487
2. Medical EDI Services PTY Ltd Practice integrated Electronic Health Recordsa PERF ERC HI MedEDI and Practice Perfect are proud to offer a You don t have to be an artist this incredibly easy to seamlessly integrated software system which use software will create accurate visual handles practice management billing and electronic representations of the injury and ailments health records You don t have to be a typist or computer boffin just Developed in South Africa under the guidance of simply click predefined options grouped in relevant medical professionals this easy to use logical sections so no typing is required Integration of your intuitive system creates accurate legible medical MedEDI Practice Management software with the records and referral letters Available at your Practice Perfect Electronic Health Record suite fingertips are various scoring tables i e Hamilton means you capture patient demographic information rating scale mini mental tests and lots more only once and this information is populated on all Clinical Sections Pathology Referrals and Reports documents General Section Generate requests forms and Manage incoming and iHome ICD 10 fims E an TESTING Home ICD 10 fims e Ian TESTING Zeg se saan gier n peli gt he BeLeremsrei sa iv Ginn Sate A Dike SLE emrei sa eters Cardiovascular from
3. dE 21 Record remittance Unlinked SUSPENSE record 22 Add payments for account VSO CUR GY cicero sce tee E eatin staan E EE Ea 22 Add suspense account payments SUSPENSE allocation record 23 Add payments for account Suspense record OM ACCOUN EE 23 Record remittance Linked SUSPENSE record 24 Record Allocate payments REMOVE saved remittance c cece eeccceecceeeeeeeeceeeeeeueesseeeeeeeueeteueeseeeaeetsueetneeanes 24 Main menu Choose an account Linked SUSPENSE account 25 General suspense account ccccceeeccsececeneecceneesseeeceueeseegeessageessueeeseeessentens 25 Suspense account transactions Reverse Iransachon 26 Record ere Mel EEN 26 eege Ee ell e E 26 Contents Contents ap UE 26 Age analysis SEISCHON DEE 38 Transfer credit to another account 26 Outstanding WCA report uk erence ee ENNER REENEN EEN NNN ENEE ENEE 38 show unlinked items only ccceeeceeeeee cere cece eeeeeeee seen nese seeeaaaeeeeeeeeeaaeeeeeseenees 26 Details debtors age ANALYSIS sii sccccacisnwessectaas naesereene nnnevaian snetniestenanetntwnseeaedeentenieete 39 SHOW TINKE ee EE 26 lee Ee Kine 39 Unlinked SUSPENSE em 27 P Damen tee nie noe Sr E ene ee ee 39 Linked suspense EE 27 ellene EE 39 Selected suspense record saw scaccisnicansianiiesarecacnrstecirmeiwedig hej ceeneperetdndidadandaawnectiecets 27 ACCOUNT ege le e EE 39 Kl 27 Ee Te EE 39 Transfer suspense account credit Detaile
4. eal Time nt solutions Ink eme mana9 edical e ims dical Scheme Claim 0861 633 334 www mededi co za
5. claim not match the amount claimed the claim response will immediately Bill No 25450 Date of Claim 28 11 2011 Service Date 28 11 2011 Auth No Notes navigate to the Allocate Response screen This screen notifies the operator Status Switch Ref Funder Ref Response Code of the difference between the amounts and asks the operator to confirm bid ee ii a Bill Total Amt Initial Amt Expected Current Benefit Amount Levy Discount allocation of the schemes proposed benefit amount at line level enka 500 00 eum 0 00 0 00 Claimed 505 97 Benetit Pay to Provider 500 00 Pay to Member 0 00 Balance 0 00 Provided in partnership with Healthbridge The Medical Aid has confirmed the receipt of your claim This claim may be affected by the reversal and processing of other claims Please be aware that benefits have not been reserved and payment is not guaranteed as a result of this claim submission Remaining 500 00 ert Aig Mie 0190 NEW AND ESTABLISHED PATIENT 389 30 389 30 389 30 i Funder Line Ref 2554c3 Billed 389 30 Overcharge 5 97 Funder 383 33 Pat 0 00 Reason Processed GMED CHRONIC MEDICINES DISPENSED 116 67 116 67 116 67 E Crip n i Ka gt A Exit Fi Allocate response Notes E gt Particulars of billed patient The billed patients details are displayed Claim references The unique identifiers which identify this particular claim are displayed alongside the status of the claim Cla
6. Accept Changes to continue A B TESTER View Account i Suspense Account Transactions 07 02 42 Information Suspense account transactions Account Fitter Only show items linked to the following Account s Use a comma to view mu Reverse Transaction f f i di Credit Journal As the linked Aa item was a ocale ante SR 07 02 2012 Credit Journal UNLINKED AMOUNT ON SUSPENSE ACCOUNT account on system it is no longer visible in the suspense item list Record Debit Note Notes A E P Transfer Credit to Hide reconciled items SAACAN The operator is able to review the allocated suspense Pi gt T item by unselecting this filter option The original record of the suspense item x x and its allocation information will then be displayed to the operator v Hide reconciled items v Hide reversed items Show All 28 New bill history The way in which the operator views the history of a bill has been fundamentally changed The new changes ensure that it is easier for the operator to view the processing of billed items at a line level The line level functionality extends to payments thereby enabling the operator to see which billed item links to an individual payment allocation 29 View Transaction History Notes Reverse transaction By selecting a transaction record here the operator is able to reverse it Reversals will reverse all allocation of the transaction For example wh
7. Add Suspense Account Payments asian Description Amount 100 Discard Changes UNLINKED AMOUNT ON SUSPENSE ACCOUNT z 21 Record remittance Notes Add payments for account Notes O Unlinked suspense record The suspense record displays the amount of the remittance which was allocated into the suspense account As it has only just been allocated into the suspense account it is not yet linked to any account on system thus it is an unlinked suspense item Click Add Payments for Account to continue S Shortcut key By selecting the S button on screen or by pressing S on the operator s keyboard the operator will be navigated to the suspense account screen Here the operator allocates the remittance to a suspense account which is linked to the currently selected account Amounts allocated to this linked suspense account do not change the financial details of the account itself they are temporarily stored until a final decision to publish Click S to continue TESTER Record Remittance 07 02 42 Description Ref No Date Check Total Total Difference DISCOVERY susrest 07 02 2012 300 00 200 00 Payments gt mm g s TESTER Choose an Option Add Payments for Account mae EE ES gout S7 30 60 90 Uni Cle 1108 57 Lat Amount to Alocate O le tems LLMM Date Desc Pat Chg Outst Amount WO MedAid PatDue Bal 0
8. 00 0 00 PT nn D Dn D Dn VT VT vk A H a otal 1101 TONSILLECTOMY DISSECTION OF THE TONSILS a HE e 31 Bill History Notes Reversed The word reversed is automatically stamped on the bill history window This visual representation makes for quicker reference of the bill details for the operator Invoice No 25474 Patient TESTING IAM MR Account TESTING IMR Medical Aid DISCOVERY CORE COASTAL A 07 Feb Bill L as Script Rem Bill History Service Date 07 Feb 2012 Practitioner SNYMAN PF D O B 10 Oct 1970 GenderM Dep No 00 ID No Account No 6556 Tel No Fax No Member No 123654789 Main Mem MR I TESTING Description Ref Amount Med Aid A Patient Am NEW AND ESTABLIS TONSILLECTOMY DI 660 40 ACUTE MEDICINES DI 58 87 CODEINE PHOS 30 M 58 87 389 30 389 30 DE 32 View outstanding accounts The outstanding accounts screen has had more functionality added to it Along with this functionality are more options for viewing and processing accounts The functionality includes writing off amounts from numerous accounts These changes have been implemented to ensure that the operator is able to process multiple accounts in more ways saving time and making the process easier 33 Outstanding accounts Notes Functions Selecting one of these options will change the operation the user is about to conduct The operation that the user selects will
9. 00 O 1076 864 00 864 00 0 00 864 00 0 00 O 3810 961 30 961 30 0 00 961 30 0 00 O 3937 948 14 948 14 0 00 948 14 0 00 O O 4017 3 639 42 3 639 42 0 00 3 639 42 0 00 go O 4105 560 08 560 08 0 00 560 08 0 00 O 0 00 Liab Final Notice 15 Apr 09 Claim Last Stmt 18 Jul 11 Last Remit None 35 Completed Notes Confirmation The confirmation screen will display details of how many accounts the operator is about to change At this point the operator can confirm to proceed and change the status of the selected accounts alternatively to make no changes and return to the outstanding accounts screen TESTER Outstanding Accounts 08 02142 View Einal Notice Charge Interest Make Patient Liable Add Admin Fee Write Off Change Status g 4 Included Accounts A C Normal Accounts V Suspended Accounts Handed Over Bad Debt _ include WCA Bills rAccounts Outstanding for Change Account Status Al 20 days 60 days 20 days 120 days Account Status Normal _ Print Statements imum Outstanding x 3 639 42 3 639 42 R 3 639 42 Out 9 SieB4 30 60 90 316184 Una Claim j Last Pat Pmt 12 Dec 08 R 100 00 Last Remit None Last Stmt 18 Jul 11 i CH 0 00 Liab 316 84 Final Notice 15 Apr 09 T4 Sg 36 Age analyses The entire age analyses creation screen has been changed These changes make the process of creating the
10. 25450 Date of Claim 28 11 2011 Service Date 28 11 2011 Auth No Status Switch Ref Funder Ref Response Code CONFIRMATION RESPONSE RECEIVED 43760 Current Benefit Amount Levy Discount 36 00 0 00 0 00 Claimed 505 97 Benefit Pay to Provider 500 00 Pay to Member 0 00 Balance 0 00 Provided in partnership with Healthbridge The Medical Aid has confirmed the receipt of your claim This claim may be affected by the reversal and processing of other claims Please be aware that benefits have not been reserved and payment is not guaranteed as a result of this claim submission Remaining 500 00 GO A Ha Due 389 30 116 67 0 00 GMED CHRONIC MEDICINES DISPENSED 505 97 TESTER Allocate Response ae Short fall received from Scheme manual line allocation is now required Med Aid DISCOVERY CORE COASTAL Membership No 154876526 Main Member MR IAM TESTING Patient MR JAM TESTING DOB 10 10 1970 Dep No 00 ld No Account Name TESTING 1 MR Account No 5689 Tel Fax Bill No 25450 Date of Claim 28 11 2011 Service Date 28 11 2011 Auth No Status Switch Ref Funder Ref Response Code CONFIRMATION RESPONSE RECEIVED 43760 3 Bill Total Amt Initial Amt Expected Current Benefit Amount Levy Discount 505 97 500 00 500 00 0 00 0 00 Claimed 505 97 Benefit Pay to Provider 500 00 Pay to Member 0 00 Balance 0 00 Provided in partnership with He althbridge The Medical Aid has confirm
11. 500 00 Autos ation No Magtgings Nr R received at So Li 30 12 2011 22 41 11 Claim Response Details Terugvoer Van Mediese Fonds Met tends DISCOVERY CORE COASTAL Ae MRITESTING ee 154876526 Patient Details Pasient Besonderhede Patent ame TESTING IAM MR Pasient Naam SZ am 10 October 1970 cw o KiNo id Nr Fonds Verw General 11 Medical aid remittance The layout of the remittance allocation screen has been amended to improve the display of the details and to lay the groundwork for future product enhancements When selecting an account all outstanding bills are now displayed at line level enabling the operator to allocate into individual bill items Included on this screen is a wide range of new functions and shortcut keys These amendments ensure that the remittance process is less time consuming and easier for the operator to perform 12 Record Remittance TESTER BS Record Remittance 96 02 42 O Description EE 06 02 12 SN Description Ref No Date Check Total Total Difference This is the name of the Scheme from whom the operator Add Payments for DIS1202063374 gema 000 00 1000 00 has received the remittance advice Account Payments Notes Reference number This number is transcribed from the remittance advice or is the receipt number allocated to the remittance advice by the operator Date Th
12. 52 40 0 00 0 00 0 00 OC OXYGEN DISC 352 40 0 00 0 00 0 00 352 4 POLMED 2 885 90 000 0 00 0 00 oc PRIVATE PATIENT 316 40 0 00 0 00 0 00 OC PROFMED SO 40 0 00 0 00 0 00 OC RETAIL MEDICAL AID 493 00 0 00 0 00 0 00 oc SAMWUMED 397 80 000 0 00 6 00 oc SASOLMED 1 737 60 0 00 0 00 0 00 ox SPECTRAMED 1 035 00 0 00 0 00 0 00 0 WORKMANS COMPENSATION 6 020 66 000 000 6 00 250 FE IK Page 33 of 33 kl AJ Z A B 41 Detailed debtors age analysis Detailed Debtors Age Analysis Final totals The final totals clearly display the full amount that is owing to the practice These final totals are also divided into age groupings Notes showing the totals outstanding and how long they have been outstanding for 491 526 67 133 140 95 431 526 67 133 190 95 2 200 91 27 03 0 46 42 Get YOUR MedEDI we EEN MemberCheck The MemberCheck enables you not only to compare your patients information against what is held by their medical scheme but also allows you to import the medical scheme information into your system Funds validation The Funds Validation process allows you to make a real time query to your patient s medical scheme to confirm that there are benefits available for the consultation before you see the patient This process reduces the costs of claim submission in the event that your patient is out of funds This means that you can import all the Main Members dependent details
13. Amount WO MedAid PatDue 18 Jan 12 0190 NEW AND MR IAM TES 389 30 389 30 69 30 0 00 300 00 18 Jan 12 1101 TONSILLE MR IAM TES 660 40 660 40 660 40 0 00 18 Jan 12 GMED ACUTE M MR IAM TES 92 70 92 70 92 70 0 00 19 Jan 12 0190 NEW AND MR IAM TES 352 40 352 40 0 00 352 40 19 Jan 12 GMED ACUTE M MR IAM TES 46 34 46 34 0 00 46 34 660 40 92 70 352 40 46 34 Eea aj i cf Ge Sk 1A i e e 16 Add payments for account Notes Patient due column This column displays the total amount for patient liable after the operator has made a medical aid allocation for a selected bill item Balance column OH The balance displays the total amount left outstanding on the bill item after an allocation amount has been made This feature is particularly handy when the liable amount is split between medical scheme and patient liable Allocation amount into bill item In this example an amount of the remittance has been allocated into this on claim liable bill item Remainder after allocation By default the amount remaining after allocation has automatically been transferred to patient liable Spacebar Shortcut key By pressing the space bar on the keyboard or clicking the Sp button on screen the operator can automatically allocate the amount outstanding to the currently selected billed item B Shortcut key By
14. WCA Bills Le Account Types Change Account Status Ai 30 days 60 days 20 days 120 days Account Status Normal E _ Print Statements Minimum Outstanding Minimum Patient Due Acc No Amount Outstanding Med AN Pat Due Unalloc ei Pm vsus R wl 606 316 84 316 84 0 00 316 84 0 00 E E ES T 619 1 628 56 1 628 56 0 00 1 628 56 0 00 0O gO gO 756 1 479 02 1 479 02 0 00 1 479 02 0 00 O g 1076 864 00 864 00 0 00 864 00 0 00 oO O 3810 961 30 961 30 0 00 961 30 0 00 oO gO 3937 948 14 948 14 0 00 948 14 0 00 O O O 4017 3 639 42 3 639 42 0 00 3 639 42 0 00 go Ci O 4105 560 08 560 08 0 00 560 08 0 00 O Si loug 316849 30 60 90 31664 Una Claim HD Liab 31684 Last Remit None Last Stmt 18 Jul 11 Final Notice 15 Apr 0 ae B C D Outstanding Accounts Accounts Outstanding for CO view QEinal Notice Charge Interest Q Make Patient Liable Q Add Admin Fee Q Write Off Change Status Included Accounts A C Normal Accounts Suspended Accounts Handed Over 1 Bad Debt _ include WCA Bills Le Account Types Change Account Status GA 30 days 60 days 20 days Q 120 days Account Status Normal E _ Print Statements Minimum Outstanding Minimum Patient Due Acc No Amount Outstanding Med AN Pat Due Unalioc V Emai je 606 316 84 316 84 0 00 316 84 0 00 o 619 1 628 56 1 628 56 0 00 1 628 56 0 00 O go 756 1 479 02 1 479 02 0 00 1 479 02 0
15. age analyses easier to accomplish Over and above the graphical changes there are numerous functional changes which enable the operator to make more customised age analyses based on their specific needs 37 Age analysis Notes Save Settings The operator is able to save any changes they have made as a new type of age analysis When saved the operator can simply select their choice from the drop down menu and the criteria will be populated with their selections Criteria There are multiple options available to the operator Each option will filter and sort all the patients on system and will provide a report based on specific patients with outstanding amounts This enables the operator to customise the age analysis to view only the specific information that they require The sorting options will group the output data according to the preference of the operator Age analyses selection This drop down menu allows the operator to select the type of age analysis to use All of the operators saved age analyses will also be located here The default types of age analyses are preloaded within the system and the operator can simply select and print them The operator can select any one of the defaults and simply alter the criteria options to customise or tweak the output The operators customised age analyses can be saved under a new name O Outstanding WCA report This button will ignore any of the criteria the operator
16. has selected for the age analyses and will run a separate analysis This specific analysis will be based on only the workman s compensation claims The document displays the account details of companies with outstanding amounts and is presented in numerical order Also displayed are subtotals for each company as well as a total summary for the WCA outstanding amounts Reports Settings ETN Save Settings Outstanding WCA Age Analysis el 08 02 2012 Le Al O30 days 680 days 20 days 120 days Include flagged accounts Je C Workmans Compensation _ Credit Balances amp unapplied Credits Only WIES Payment Details C Address C Phone Numbers C Account Notes C Outstanding Items Cl by Status C by Doctor Order by Account Name Order by Account Number TESTER Age Analysis 08 02 42 E 08 02 2012 Le All O30 days Qs0 days O90 days 120 days Include flagged accounts el C Workmans Compensation C Credit Balances amp wnapplied Credits Only C Last Payment Details _ Address C Phone Numbers C Account Notes C Outstanding Items Cl by Status C by Doctor Order by Account Name Order by Account Number 38 Age analysis Notes Detailed debtors age analysis The detailed debtors age analyses will show every patient account that has an outstanding amount It will also show how much of that outstanding is patient liable and how much is on claim to the medic
17. laboratories such as lt such as investigation and ENT ROUSEN ECS deren Eye Ear Nose and Throat Lancet Ampath and specialist reports Rapidly Gier OC i Cae ermatology athcare enerate referral letters to include CC D D tology Path g te referral letters t lud 4 gt Bsagenen Most nacene Woves i 4 mmm E wm mg g e De woe Gastro intestinal g patient s current and chronic medications Se it sasha a tim N NW seca wine reen Musculo skeletal Radiology as well as medical conditions allergies Bello ee ape TS d veto lt Urology Rapidly generated requests and more all en Breast upload radiology reports and P Sct sig E Gynaecology and Obstetrics images making future g H SC w Postion Sag zz Sir Pw E to E OS Phychiatry reference quick and easy Draw diagrams of a w en mite Neurology lacerations bruises and Gaeta ete eE Ee Paediatrics Rx other skin lesions using e Notes Generate a new prescription predefined tools or or simply re prescribe from customize your own Clinical history and i patient s list of current EB drawing The software creates legible notes create prescriptions etc Capture patient history by simply clicking pre defined options examination notes are Za chronic or past medication z Home ICD 10 eninng E am TESTING da a9 980B geng generated automatically by i MIMS A SMES BEL St emreiMa Oh 00m 26s j simply clicking the relevant Immunisations Optional e
18. process selected accounts on this screen Available accounts The accounts that successfully fill the filter criteria selected above will be displayed here There is a record for each account which displays all the financial information of the account Here the operator can pick and select the account to be processed from the list Accounts outstanding for The operator is able to filter the available accounts based on a specific time period that the account has had outstanding bills for Alternatively there are input fields where the operator can filter and only show accounts based on a Rand value amount which is outstanding on the accounts Selecting All will not use a time period filter and will show all accounts Function criteria On selecting this function the criteria for the function will be displayed here The criteria for the function will process the selected accounts in different ways Included accounts This section enables the operator to select whether to show or hide accounts by a specific account status Alternatively the operator is able to select account types This will then only show accounts which fall under the selected type and if any the selected account status Account types are set up by the operator in the MedEDI administrator Change account status In this example the criteria for the selected operation enables the operator to select the account status to change the selected account
19. the options for the transaction itself by double clicking the record here Description By selecting a transaction record if there is an applicable description for that record it will be displayed here For example if the credit journal came from allocating a suspense item the details of that allocation and the fact it came from a suspense account will be displayed here Double click Transaction Record to continue View Print Statement View Account Information vm View Print Statement View Print ransaction Report View Account Information View Print Transaction Report 4 Out 200 00 30 Rec Date Description 07 02 20 Bill 07 02 20 Medical Aid Payment 07 02 20 Credit Journal 07 02 20 Medical Aid Payment 07 02 20 Medical Aid Payment 07 02 20 Medical Aid Payment Out 200 00 30 Rec Date Description 07 02 20 Bill 07 02 20 Medical Aid Payment 07 02 20 Credit Journal 07 02 20 Medical Aid Payment 07 02 20 Medical Aid Payment 07 02 20 Medical Aid Payment View Transaction History Te TESTING IMR Tel Cel 0865456545 1308 57 Claim 0 00 Liab LINKED AMOUNT TO ACCOUNT 6565 ON SUSPENSE ACCOUNT D C View Transaction History Account 6565 TESTING IMR Tel Cell 0865456545 Claim 0 00 Liab Patient Bei No Amount VAT MRITESTING 25468 1 108 57 136 14 1
20. will delete all of the remittance allocations and remove all trace of that remittance view Over Paid hd ESS 11100 00 APEN Click Back to continue 24 Main menu TESTER Choose an Option i Main Menu 03 02 42 en Bill Debit _ BEE Date Priority Description 2 3 Feb 2012 11 59 PM There are active Reminders which require your attention Notes Record Allocate 49 jan 2042 7 56 AM Collect Payment from MR I TESTING Acc 5656 a 41 18 Jan 2012 3 59 PM Collect Payment from MR I TESTING Acc 5656 Register 30 Dec 2011 10 41 PM Confirmation Claim result received for TESTING I MR S689 New Patient 30 Dec 2011 10 41 PM Initial Claim result received for TESTING MR 5689 30 Dec 2011 10 41 PM Confirmation Claim result received for TESTING MR 5689 Patient Details 30 Dec 2011 10 41 PM Confirmation Claim result received for TESTING MR 5689 S Dec 2011 10 41 PM Initial Claim result received for TESTING MR 5689 Account Info 30 Dec 2011 10 41 PM Initial Claim result received for TESTING MR 5689 30 Dec 2011 10 39 PM Confirmation Claim result received for TESTING MR 5689 30 Dec 2011 10 39 PM Confirmation Claim result received for TESTING I MR 5689 30 Dec 2011 10 39 PM Confirmation Claim result received for TESTING I MR 5689 30 Dec 2011 10 39 PM Initial Claim result received for TESTING I MR 5689 Unsont Cama 30 Dec 2011 10 39 PM Confirmation Claim result received for WORKMA
21. 0 im oP lel s ei A C DD E A Add Payments for Account Account Details Account No Name Filing Ref S656 Out 1241 64 30 60 90 300 00 Claim 174240 Liab Amount to Allocate tens _ _ _____ Date Desc 1 Pa Cha Outet 1 Amount WO 18 Jan 12 0190 NEW AND MR IAM TES Med AN Pat Due 18 Jan 12 1101 TONSILLE MR IAM TES 660 40 660 40 660 40 0 00 18 Jan 12 GMED ACUTE M MR IAM TES 92 70 92 70 92 70 0 00 19 Jan 12 0190 NEW AND MR IAM TES 352 40 352 40 0 00 352 40 19 Jan 12 GMED ACUTE M MR IAM TES 46 84 46 84 0 00 46 34 1541 64 c 17 Add payments for account Notes TESTER O M Shortcut key Choasa an Option i Add Payments for Account LA By selecting SE M button on SE ERR or by pressing M on of Accept Changes gege F ng Ref the operators keyboard the remainder after allocation can be transferred back sss ESIE to medical scheme liable 9 Discard Gef Claim 1142 40 Liab Amount to Allocate P Shortcut key By selecting the P button on screen or by pressing P on the operators keyboard the remainder after allocation can be transferred back to patient liable S Shortcut key By selecting the S button on screen or by pressing S on the operator s keyboard the operator will be navigated to the suspense account screen Here the operator allocates the amount to
22. 0 00 150 00 ees jE IL Page 1 of 33 A 40 Detailed debtors age analysis TESTER 09 02 42 Grouped by medical aid Reports Detailed Debtors Age Analysis In this instance the selection criterion displays Ha A tin DBA outstanding accounts grouped by corresponding medical This grouping also Detailed Debtors Ana z Notes presents the total that is outstanding per medical scheme Debiteure Ouderdomsontled Dr Testing Ordered by account number Acc No Name ke Aid No Total Unallocated Cu S f Rek Nr Rekening Naam Med Fonds Nr Totaal VN toegeken Hui Based on the selection criteria the outstanding patient ALTRON 0860 445 566 accounts have been ordered numerically This ordering makes the age 3862 SWAN CJ MR 1 298 68 S i e ALTRON 0850 445 566 ECESIACEEI 0 00 analysis document easier to view and reference in the event that the operator KA O ML loakinat dividual pat ANGLO VAAL 0860 445 566 is looking for an individual patient account 1989 MAG GMR 128 61 ANGLO VAAL 0860 445 566 RG EIDRAGIEEI 0 00 0 BANKMED 0800 226 5633 186 BOSC TADY 150 00 150 00 172 SMIT E MRS 355 30 355 30 1787 RETIEF D MR 300 00 300 00 1945 EES MR 355 30 355 30 2050 VOSL W MR 788 40 788 40 2074 PETERSEN AV MR 200 00 200 00 2164 ANNIEKE MINA 23 31 2389 BLIGNAU PJ MR 355 80 355 80 2466 HITGE A MR 600 00 600 00 2558 BOTH EMR 600 00 600 00 2784 TLHOBO NMR 278 19 2795 MAROP
23. 005 005568 0 Contents Allocation response Bill details BINS BEE 7 Allocate response Shortfall received from scheme 7 Particulars of the billed pattent 8 CANT NS ONS EE 8 Claim response details 8 Bill total amount TE 8 Initial amount expected AA 8 Current benefit AMOUNL cece ceeccceeceeeeeceeeeeeeeteneeseeeeeueeteeeaecesecetsaeenaeetsueeasees 8 BE 8 ISCO EE 8 ODS E 9 ESS CUO ebe 9 E le Ea ae cise ocd acne oa ameter diner dite E T A 9 OSANA G Renee etn etree te mene are et E eter ee ET E 9 Set EE 9 SO IG QUIS EE 9 EEN Eege 9 RESPONSE information cccsccccssececeseeeceeeeeceeccccuececaueeecausessueeesaueeessueeesneessoneess 10 ST E 10 M dical ake EEN 10 EE 10 lee erter RE 10 Fil SMOMCUMK EE 10 Claim response details RHEIN EE 11 E UE 11 AE E EE 11 FP SES g EE 11 EE EE e 11 Select claim responses nannneenneeneneneoerrnoarrrrrenrrerrrrrrnrrrrnrrnrrrsrrernrrrrnererreenrerne 11 Claim response document 11 Medical aid remittance Record remittance EE a E p E E EAE E NE tpn E E AN A A E A A 13 Reference number 13 EE 13 CTC e EE 13 Ro EE 13 Bu Ce 13 Add payments for account Shortcut ccc cccccecceaeeeeeeeeeeeeeeeeeeeeaseeseeeeeseasaaeeeees 13 SSG ES E 14 S SHOMCUL KEY E 14 Add payments for account ACCOUNT NO EE 14 Financial OVervie W cccceccceeecesceteseeeucetenceaueeseeceseeeeeneeeaeeteneeseeessueeeeeessusensueeanes 14 Expand rt eer e T
24. 09 02 42 Detailed Debtors Age Analysis bpi DENA ellen ei Detailed Debtors Ana z Debiteure Ouderdomsontled Reports E Dr Testing Unallocated Cur AccNo Account Name Med Aid No Total Rek Nr Rekening Naam Med Fonds Nr Totaal VN toageken Hui ALTRON 0860 445 566 3862 SWAN CJ MR 1 298 68 Totals Totaal ANGLO WAAL 0860 445 566 Totals Totaal BOSC T ADV SMIT E MRS RETIEF D MR ELS M MR VOSL W MR PETERSEN AV MR VAN NIEKE MN MR BLIGNAU PJ MR HITGE A MR BOTH L MRS TLHOBO N MR MAROPEN S MRS DU TOIT JMR VAN NIEKERK J MR Page 1 of 33 TESTER Detailed Debtors Age Analysis Reports BR 09 02 12 _ Print Document ed DIDI eA si Export Document Sen etailed Debtors Analysis e Ouderdomsontledingsverslag Total Unallocated Current 30 Days 60 Days 90 Days 120 Days MA Due Liable Totaal VN toegeken Huidig 30 Dae 60 Dae 90 Dae 120 Dae Verskuldig Aanspreeklik 298 68 1 298 68 1 298 68 0 00 0 00 0 00 0 00 0 00 1 298 68 1 298 68 128 61 12861 28 61 0 00 0 00 0 00 0 00 0 00 128 61 28 61 150 00 150 00 150 00 355 30 355 30 355 30 300 00 300 00 300 00 355 30 355 30 1 30 788 40 788 40 88 40 200 00 200 00 00 00 23 31 31 355 80 355 80 5 80 600 00 600 00 00 00 600 00 600 00 0 00 278 19 171 36 2 293 97 2 293 97 15
25. 108 57 0 00 1 108 57 SUSTEST 0 00 0 00 0 00 0 00 SUSTEST 200 00 0 00 0 00 200 00 0 00 DIS1202073 389 30 389 30 0 00 0 00 DIS1202073 660 40 660 40 0 00 0 00 DIS1202073 58 87 58 87 0 00 0 00 B C 200 00 EAr MAA Pat Am MA AL Pat All Ee TESTER 07 02 12 Patient RefNo Amount VAT MAA PatAm MA All Pat All R MRITESTING 25468 1 108 57 136 14 1 108 57 0 00 1 108 57 0 00 BS E a E E E E SUSTEST 200 00 0 0 0 00 200 00 0 00 0 00 DIS1202073 389 30 389 30 0 00 0 00 0 00 DIS1202073 660 40 660 40 0 00 0 00 0 00 DIS1202073 58 87 58 87 0 00 0 00 0 00 TESTER 07 02 12 ap See 0 00 0 00 23 0 00 0 00 0 00 0 00 0 00 30 Bill History Selected bill linked item The operator is able to select a billed item by clicking on it When selecting the item any payments which could be allocated to that particular bill item will also be highlighted in yellow This process shows immediately what is allocated and to where it is allocated at line level Billed information By selecting an item if its available a description of that item will be displayed here This allows for a better understanding of the item by the operator Selected item linked bill By clicking on a payment it will be selected and highlighted blue The bill item that this selected payment was allocated into will now b
26. 4 46 84 EE A 0 IM P c S O Add Payments for Account ha Eas Account Details Account No Payment Details Amount to Allocate Items Date Desc Pa 1 Cp 1 Outst Amount 1 w0 Med Aid PatOue Bal _ 18 Jan 12 0190 NEW AND MR IAM TES 389 30 389 30 389 30 0 00 389 30 4 18 Jan 12 1101 TONSILLE MR IAM TES 660 40 660 40 660 40 0 00 660 40 18 Jan 12 GMED ACUTE M MR IAM TES 92 70 92 70 92 70 0 00 92 70 19 Jan12 0190 NEW AND MR IAM TES 352 40 352 40 0 00 352 40 352 40 19 Jan 12 GMED ACUTE M MR IAM TES 46 84 46 84 0 00 46 84 46 34 1585655 154154 TT 114240 399 24 541 64 sf ij SR A ajm P e SB T 15 Add payments for account Notes Amount to allocate The operator can enter the amount from the remittance advice for a specific account into this space to help with allocation to the bills outstanding Amount allocated As the operator allocates amounts into bill items the amount allocated will be updated here displaying the total amount allocated for this account Remainder amount The unapplied amount of the remittance after allocation will be displayed here This gives the operator a reference as to how much is left to allocate into bills on this account Charged amounts column This column displays the original amount charged for each bill item Outstanding amounts column This column displays the am
27. 6526 Patient MR JAM TESTING Account Name TESTING I MR Bill No 25450 Status The Medical Aid has confirmed the receipt of your claim This claim may be affected by the reversal and processing of other claims Please be aware that benefits have not been reserved and payment is not guaranteed as a result of this claim submission TESTER Main Member MR IAM TESTING DOB 10 10 1970 Dep No 00 ld No Account No 5689 Tel Fax Date of Claim 28 11 2011 Service Date 28 11 2011 Auth No Switch Ref Funder Ref Response Code 43760 3 Current Benefit Amount Levy Discount 500 00 0 00 0 00 to Member 0 00 Balance 0 00 Remaining 500 00 S 7 Hai Due 389 30 116 67 116 67 i I GC 4e Sp A DCH 505 97 505 97 504 97 Allocate response Notes O Response information Information is displayed at line level for each billed item where there is any discrepancy In this example there was a shortfall in benefits received from the scheme The information displayed at line level pin points where the scheme refuses to pay the full amount Here the operator over charged a consultation by R5 97 Information regarding the billed item and the benefit amount received is also displayed Benefit In this example the operator has allocated the new current benefit amount to all items on the bill This excludes the amount the medical aid stated as an overcharge Medical aid due Now that the allocation of t
28. 7 Feb 12 0190 NEW AND MR IAM TES 389 30 389 30 389 30 0 00 389 30 4 07 Feb 12 1101 TONSILLE MR IAM TES 660 40 660 40 660 40 0 00 660 40 07 Feb 12 GMED ACUTE M MR IAM TES 58 87 58 87 58 87 0 00 58 87 ee Ces 0 00 0 00 e ST ae e 3 22 Add suspense account payments Notes Add payments for account Notes TESTER Suspense allocation record Add Suspense Account Payments 07 02 12 ar ae SUSP9999 The operator is able to make multiple allocations into the Cha _ E SS Description Amount LINKED AMOUNT TO ACCOUNT 6565 ON SUSPENSE ACCOUNT 200 5 suspense account As there is an account selected in the add payments for account screen all suspense records made here will be linked to the selected account The description entered in this example reflects that the amount is linked to an account on system Having linked suspense items essentially means that the money is temporarily held in the suspense account until the operator is 100 certain that it should go into the selected account Click Accept Changes to continue TESTER 07 02 42 Add Payments for Account Account Details i Account No Name Filing Ref 6565 Choose an Option Suspense record on account em Once the linked suspense item has been created a en P t Detail B record will be displayed under the selected accounts items This record contains th
29. ACUTE M MR IAM TES 46 84 46 84 _____ E EE A B 14 Add payments for account Notes Outstanding The totals displayed here are the outstanding amounts for patient liable and on claim for the different date ranges On claim The totals displayed here are the amounts on claim from the scheme for the various days outstanding Liable The totals displayed here is the amounts liable by the patient for the different date ranges Unallocated amounts If there were any amounts not allocated to any bills the amounts will be displayed here under the unallocated column for the different time periods Bills The items are arranged in groups to make up the entire original bill Bills are distinguished by blue and white colour coding Bill items The individual items which were billed will be displayed here on a line level i e there is a record for each item Add Payments for Account ae Account Details Ee Account No Filing Ref 5656 Payment Details Amount to Allocate Items Date Desc Qutst Amount WO Med Ay Pat Due 18 Jan 12 0190 NEW AND MR IAM TES 18 Jan 12 1101 TONSILLE MR IAM TES 660 40 660 40 660 40 0 00 18 Jan 12 GMED ACUTE M MR IAM TES 92 70 92 70 92 70 0 00 92 70 19 Jan 12 0190 NEW AND MR IAM TES 352 40 352 40 0 00 35240 352 40 19 Jan 12 GMED ACUTE M MR IAM TES 46 84 46 84 0 00 46 8
30. Account to continue Account no Find a patient on the system using their Account no If the operator does not know the Account no press F3 and search for an account using other methods Financial overview The Financial overview displays the outstanding amount in more detail for a quick reference It reflects the amount outstanding from the medical scheme the patient liable amount and for how many days these amounts have been outstanding Expand financial overview The operator is able to expand the financial overview for a more detailed breakdown by simply clicking this button Choose an Option Add Payments for Account Save Remittance for Later J Discard Changes La Record Remittance Ref No Date Check Total Total _ DiS1202063374 06 02 2012 imi 1000 00 Description DISCOVERY Difference INAN D I 1000 00 Payments or Med Aid Pat Due 1 Add Payments for Account Account Details Account No 5656 Filing Ref Out 12411 64 30 50 90 300 00 Claim 1142 40 Liab Payment Details Amount to Items Date Desc 1 Pat 1 Chg Outst Amount 1 wo 18 Jan 12 0190 NEW AND MR IAM TES 389 30 389 30 18 Jan 12 1101 TONSILLE MR IAM TES 660 40 660 40 18 Jan 12 GMED ACUTE M MR IAM TES 92 70 92 70 19 Jan 12 0190 NEW AND MR IAM TES 352 40 352 40 19 Jan 12 GMED
31. EE 14 CUS TANI EE 15 VIG tI WEE 15 te 15 Unallocated AMOUNTS vice cecrecsecevensierscaanidescnsevintGaduesashecsnsavers ianacedvadiniasienanddeingsednen 15 Contents BillitemMS eee e E 15 falen r e E eler 16 Amount allocated cece cccecceceececceeceeeeeeeeeeeeeeeeeeeeeueseeeeuseeaeeeeeeeaeeeeeusevensaeaeeneners 16 Remainder AMOUNL 0 cccecceececceeeceececeeceeececeeeeeeeeeeeeeeueeeeeeeeeseeeeeeeeeeeeeeneeneneness 16 Charged amounts COMMUN NEE 16 Outstanding amounts column cecceeceeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeaaeeeeeeaeeeeeeeaneeeesaees 16 Amount column to enter payment nsnseesnooseseoertrerrrtorrrrererrreerrrresrnrresrrrrennne 16 Write off column BEE 16 Medical aid column 16 Patient due column E 17 Balance COMM ME 17 Allocation amount into Dill tem 17 Remainder after allocation ccccccecceececeeceeceeceeeeseeceeeeeaeeeeeeeeeeneeaueeeeeeaeentaneneeess 17 Spacebar SNOMCUL KEY E 17 B SNOrnCULKOY E 17 EE EE 17 RR Reien E 17 VK nter ere 18 Po SPONGCUEK CY Jierren a E E EE vatanianssesedmentsedewsawese 18 SONON OCKOV EE 18 G SROMCUEK E 18 ele dan En el 18 Record remittance Save remittance for E cc cidericccecncvcsicabasdecuccexncecunssnbibdcewdewpeecuncsnbheshendevnsucuncarbheanes 19 Allocation record BEE 19 vandalom WaN E 19 Remove allocation record 19 Suspense accounts Record remittance S SHOMCULINGY E 21 Add suspense account payments Re le le WEE 21 tute
32. EN S MRS 1 171 36 2800 DU TOIT JMR 2 293 97 2 293 97 2837 VAN NIEKERK J MR 150 00 150 00 K ZE E WW Tage tot 29 al TE A E By medical scheme This provides a summary record for each medical B Detailed Debtors Age Analysis e Dip ala m TESTER 09 02 12 scheme of monies outstanding to the practice The summary record for private E patients can be found under the heading patient due Detailed Debtors Analysis Debiteure Ouderdomsontledingsverslag Broken down by age mre Tot Unallocated Current D Days c The outstanding amounts for each scheme are broken Tanie Unatoceied Huiao Ss Si ce down into the date range for which they have been outstanding This function D PATIENT DUE 23297342 133 140 95 1 507 81 0 00 3 188 i a Ee BANKMED 352 40 0 00 0 00 0 00 od will assist in prioritizing debt management BESTMED 2 438 80 0 00 0 00 0 00 o BONITAS 948 00 0 00 000 6 00 bf COMMEDO 70 30 0 00 0 00 0 00 od COMPCARE 1 034 40 0 00 0 00 6 00 og DISCOVERY 124 086 79 0 00 753 10 0 00 21 528 amp EOCON 352 40 000 0 00 0 00 Oc FEDHEALTH 784 32 000 000 6 00 ag GEMS 16 226 50 000 0 00 0 00 bb HOSMED 502 40 0 00 0 00 0 00 bb HOSMED ENABLEMED 1 902 00 0 00 0 00 0 00 og UBERTY CARECROSS 2 40 000 0 00 0 00 od LIBERTY MEDICAL 19 178 80 0 00 0 00 000 Kb MEOHELP 3 635 40 0 00 000 0 00 OC E 582 60 0 00 0 00 0 00 OC MOMENTUM HEALTH 69 431 38 0 00 0 00 0 00 oc NEDGROUP 1 724 00 0 00 0 00 0 00 OC OP MED
33. I 07 02 2012 Credit Journal Record Debit Note Transfer Credit to another Account de L View Account Information Record Credit Journal Account Filter Suspense Account Transactions Only show tems linked to the following Account s C Show UNLINKED items only Rec Date Type Account Filter Only show items linked to the following Account s C Show UNLINKED items only Rec Date 07 02 2012 07 02 2012 Type Credit Journal Credit Journal inti KED AMOUNT ON SUSPENSE ACCOUNT LINKI D AMOUNT TO ACCOUNT 6565 ON SUSPENSE ACCOUNT A Suspense Account Transactions Description UNLINKED AMOUNT ON SUSPENSE ACCOUNT LINKED AMOUNT TO ACCOUNT 6565 ON SUSPENSE ACCOUNT TESTER 07 02 12 Use a comma to view mu Ref No Amount SUSTEST 100 00 SUSTEST 200 00 TESTER 07 02 12 Use a comma to view mu Ref No Amount SUSTEST 100 00 SUSTEST 200 00 26 Suspense account transactions Notes Unlinked suspense item This is an unlinked suspense record it is not linked to a patients account on MedEDI Double click the item to see a list of where its credit has been allocated From this new screen the operator can allocate the credit into any existing debt on the suspense account It can even be allocated into other suspense items on the suspense account Linked suspense item OH This is a linked suspense record it was created after an account was selected dur
34. NS COMPENSATION T MR 8956 30 Dec 2011 10 39 PM Confirmation Claim result received for TESTING MR 5689 30 Dec 2011 10 39 PM Confirmation Claim result received for TESTING I MR 5689 30 Dec 2011 10 39 PM Initial Claim result received for WORKMANS COMPENSATION T MR 8956 30 Dec 2011 10 39 PM Confirmation Claim result received for TESTING T MR 4309 30 Dec 2011 10 39 PM Confirmation Claim result received for TESTING I MR 5689 30 Dec 2011 10 39 PM Initial Claim result received for TESTING MR 5689 30 Dec 2011 10 39 PM Initial Claim result received for TESTING MR 5689 30 Dec 2011 10 39 PM Confirmation Claim result received for TESTING MR 5689 30 Dec 2011 10 39 PM Initial Claim result received for TESTING MR 5689 Click View Account Info to continue TESTER View Account Choose an Account SC Information em Choose an account Accountvenis E Seript History Account No Name GC Ref Linked suspense account akc stony Status a Contact atai gemeng The operator is able to select an account here either by EE s GER ER EE inserting the account number directly into the input field or by using the F3 er ea Sills Type GH RE Notes advanced search Upon selection the operator can press Esc on their rox DESS view keyboard twice to open the shortcuts menu On this menu select View Payment History Last Pat Pmi None Last Remit None Last Stmt None Final No
35. PO E 35 Financial TE EE 35 Display OP ee Sie Select EE 35 Select specific ACCOUNNS EE 35 ee All EE 35 EE 35 Completed ConinmatioN EE 36 Age analyses Age analysis SAVES SOUS EE 38 Clic ie ere ne ee ee ee ee ee ee ee 38 MedEDI CPS 3 1 is the latest release of the Medical EDI Services Pty Limited software It contains all the functionality of the previous version however in all cases this functionality has been improved and enhanced This new functionality is a mix of new innovative ideas and enhancements requested by valued MedEDI customers All of the changes are carefully planned and have been implemented to improve the general operations of your practice more successful claims billing and higher quality Practice administration This guide is a reference specifically to the new features of 3 1 For further information regarding this release please visit http www mededi co za release notes for mededi cps v3 1 For the MedEDI user manual amp online tutorials please visit http www mededi co za user manual Allocation response In the case of submitted claims should the benefit proposed by the medical scheme differ from the one originally expected the operator can now allocate the proposed benefit amount to the bill contents as required desired This process immediately displays the patient liable amount for that claim and the bill item from which that amount came Over and above this submission functionali
36. a suspense account which is linked to the currently selected account Amounts allocated to this linked suspense account do not change the financial details of the account itself they are temporarily stored until a final decision to accept and publish tens _ __ _ _ Amount WO MedAid PatDue 18 Jan 12 0190 NEW AND 18 Jan 12 1101 TONSILLE 18 Jan 12 GMED ACUTE M 19 Jan 12 0190 NEW AND 19 Jan 12 GMED ACUTE M MR IAM TES MR IAM TES MR IAM TES MR IAM TES MR IAM TES 0 00 753 10 699 24 Add Payments for Account z C Shortcut key Account Details By selecting the C button on screen or by pressing C on RW Account No the operator s keyboard a new window will be displayed on the operators e S656 screen Here the operator can split up the outstanding amount liable on the bill Out MASAE 2 50 o TE Ti z item between both medical scheme and patient liable Payment Details Amount to Allocate Split remainder In this example the liable amount has been split between patient liable and medical scheme liable This was done by using the C shortcut Items Outst Amount WO Med AN PatDue 18 Jan 12 0190 NEW AND MR IAM TES 18 Jan 12 1101 TONSILLE 18 Jan 12 GMED ACUTE M 19 Jan 12 0190 NEW AND 19 Jan 12 GMED ACUTE M EEE ett Sih ep St e perme Pe e pS Click Accept C
37. able amount for each medical aid displayed Patient liable amounts are listed under private patient The accounts in the groupings are listed numerically by account number making for easier reference Group by The group by option enables the operator to group the outstanding patient records on the document to either fulfill a different purpose or to make it easier to view For example the operator can group by treating doctor which in turn shows which patients medical aids owe that particular doctor money Click View Print to continue Outstanding WCA Report Reports Save Settings Outstanding WCA Report TESTER Age Analysis 08 02 12 Detailed Debtors Age Analysis x 08 02 2012 Le All 20 days 60 days 20 days 120 days Include flagged accounts V Workmans Compensation C Credit Balances amp wnapplied Credits Only Cl Last Payment Details C Address C Phone Numbers _ Account Notes O Outstanding tems L by Status by Doctor by Medical Aid Order by Account Name Order by Account Numb g TESTER Age Analysis 08 02 12 08 02 2012 Le Al 30 days Qs0 days 20 days 120 days Include flagged accounts Le V Workmans Compensation _ Credit Balances amp wnapplied Credits Only WIES Payment Details C Address C Phone Numbers C Account Notes C Outstanding Items C by Status C by Doctor by Medical Aid Order by Acco
38. al scheme This system will provide a document which shows whether it s a medical scheme or a patient that owes the practice money Include accounts with In this section the operator can select to include or exclude patient accounts under specific scenarios For example the age analyses can be based on flagged accounts or flagged accounts can be excluded or included The operator can select whether to include or exclude workman s compensation outstanding accounts from the document or accounts which have credit balances and unapplied credit Period In the period section the operator can select to display patients who have outstanding amounts on a specified day The day defaults to current day when the screen is opened Alternatively the operator can select to display patients who have outstanding amounts in a specified date range for example one could show all patients who have amounts outstanding for 30 days and more This particular selection includes an extended period beyond 30 days Show these details Here the operator is able to select the level of detail displayed on the document The detail will present additional information regarding each outstanding patient For example the operator could show the phone number relevant to the outstanding patient Account ordering The operator is able to group the outstanding patients displayed on the age analyses by medical aid in which case there is then a total on claim li
39. d debtors age analysis lee ge ae ee cacs ened acctsadesugesiel sada setons A 28 ee E ie lh Ven Le RE 40 Amount GO e 28 Outstanding information EE 40 Suspense account transactions Broken down DY QOS eccriene EE EE EET EEn 40 Linked SUSPENSE ITEMS iissicviicisvevinventinsaidnindvsinavinaodsovendnesvalibventsuesdwinduee evbanbaioveanial 28 Medical aid dUe EE 40 Hide reconciled ems 28 EDIE e E E A E E 40 Grouped by medical aid WEE 41 New bill history Order by acco nt nun 41 View transaction history BYNEA SORON O sesno 41 Reversed transaction EE 30 Broken down by E Lt 41 AEC SONG E 30 ele e e EEN 42 AllOGALS suspense teM xscsscncie sccacc cataissinastusivndicetadtein ana ecitelencesaamssinatnieveveneasesdedecenicues 30 e lan Ce E ne EE 30 EECH EA Transaction e e EE 30 TEE eege 30 Bill history Selected bill linked item sic cceicecsiesacciieseressccsasicdssesecvendeecceansisseece seedseaceasiedacteaeseteseceeas 31 Billed Bi Wee Ve In s naiexsanc0saceceienvedsrncnseesedosharsaadeseienctaamactass asdeduscadeadeabanesadaeetsacedeneaes 31 Selected item linked e TEE 31 EE 32 View outstanding accounts Outstanding accounts eloo CN 34 Available accounts rr rr rr rr nren r arara arrira rnnr rnnr 34 Accounts GUISTANGING TOM EEN 34 Function criteria MN 34 Included accounmte rtrt rtnn rtnn Era rE PEREPERE EERE EEEE E AEAEE EERE ennnen nee 34 Change account Statis eege 34 le e 34 Expand MEU erer ensen er e REE E EEEE EEEE 34 Ee EE 35 ACCOUNT FOCO
40. e 28 11 2011 Auth No Status Switch Ref Funder Ref Response Code CONFIRMATION RESPONSE RECEIVED 43760 3 Bill Total Amt Initial Amt Expected Current Benefit Amount Levy Discount 505 97 500 00 500 00 0 00 0 00 Claimed 505 97 Benefit Pay to Provider 500 00 Pay to Member 0 00 Balance 0 00 Provided in partnership with Healthbridge The Medical Aid has confirmed the receipt of your claim This claim may be affected by the reversal and processing of other claims Please be aware that benefits have not been reserved and payment is not guaranteed as a result of this claim submission Remaining 0 00 8 GH haraec 0190 NEW AND ESTABLISHED PATIENT 389 30 GMED CHRONIC MEDICINES DISPENSED 116 67 116 67 HEH 505 97 505 97 4 S A S T H 44 p TESTER Allocate Response Ge Short fall received from Scheme manual line allocation is now required Med Aid DISCOVERY CORE COASTAL Membership No 154876526 Main Member MR IAM TESTING Patient MR IAM TESTING DOB 10 10 1970 Dep No 00 ld No Account Name TESTING I MR Account No 5689 Tel Fax Bill No 25450 Date of Claim 28 11 2011 Service Date 28 11 2011 Auth No Status Switch Ref Funder Ref Response Code CONFIRMATION RESPONSE RECEIVED 43760 3 Bill Total Amt Initial Amt Expected Current Benefit Amount Levy Discount 505 97 500 00 500 00 0 00 0 00 Claimed 505 97 Benefit Pay to Provider 500 00 Pay to Member 0 00 Balance 0 00 Provided in partner
41. e descriptions of the suspense item that the operator previously a A 0 entered emmer Dg Outst Amount WO MedAid Pat Due LINKED AMOUN 200 00 0 00 0 00 0 00 AND MR IAM TES 389 30 389 30 389 30 0 00 389 30 07 Feb12 1101 TONSILLE MR IAM TES 660 40 660 40 660 40 0 00 660 40 07 Feb 12 GMED ACUTE M MR IAM TES 58 87 58 87 58 87 0 00 58 87 WR HLH RAA SIaigiwlsigeis rel Click Accept Changes to continue 23 Record remittance TESTER r Record Remittance 07 02 42 Linked suspense record Ss 2 GE 2 ER Description Ref No Date Check Total Total Difference The linked suspense record will display the account that Add Payments for 300 00 Ern T the allocation is linked to the description that the operator entered as well as Soe Deeg Notes the amount of the allocation The operator is able to double click this record to e Danesi return to the account that this suspense record is linked to Beales UNLINKED AMOUNT ON SUSPENSE ACCO LINKED AMOUNT TO ACCOUNT 6565 ON S Click Accept and Close Remittance to continue Record Allocate Payments Record Allocate payments 49 Apr 2011 19 Apr 2011 Remove saved remittance i In the case of remittance records that the operator saved 16 May 2011 17 May 2011 for later the operator is able to click to highlight them on this screen then Notes select this remove button to delete them This
42. e highlighted yellow This shows the relationships between bills and payments at line level Click Reverse Bill to continue TESTER 08 02 12 Service Date 07 Feb 2012 Practitioner SNYMAN PF E D O B 10 Oct 1970 Gender Dep No 00 ID No Account No 6556 Tel No Fax No Member No 123654789 Main Mem MR I TESTING Description _ Ref Amount Med Aid A Patient Am NEW AND ESTABLIS 389 30 389 30 ont Bill History Patient TESTING IAM MR Account TESTING IMR Medical Aid DISCOVERY CORE COASTAL Type Code Bu 0190 Bill TONSILLECTOMY DI 660 40 Bill ACUTE MEDICINES DI 58 87 CODEINE PHOS 30 M 58 87 Script Lem TONSILLECTOMY OI ACUTE MEDICINES DI Sub Total TESTER 08 02 42 Service Date 07 Feb 2012 Practitioner SNYMAN PF EN Bill History Invoice No 25474 Patient TESTING IAM MR D O B 10 Oct 1970 GenderM Dep No 00 ID No Account TESTING IMR Account No 6556 Tel No Fax No Medical Aid DISCOVERY CORE COASTAL Member No 123654789 Main Mem MR I TESTING Code 0190 NEW AND ESTABLIS Type Amount Med Aid A Patient Am IB 389 30 389 30 Bill ACUTE MEDICINES DI CODEINE PHOS 30 M NEW AND ESTABLIS DIS1202073384 TONSILLECTOMY DI DIS120207338 ACUTE MEDICINES DI 7 Script em Medical Aid Pa Medical Aid Pa Sub Total 0 00 0
43. ed the receipt of your claim This claim may be affected by the reversal and processing of other claims Please be aware that benefits have not been reserved and payment is not guaranteed as a result of this claim subinission Remaining 500 00 0190 NEW AND ESTABLISHED PATIENT 389 30 389 30 0 00 i Funder Line Ref 2554c3 Billed 389 30 Overcharge 5 97 Funder 383 33 Pat 0 00 Reason Processed GMED CHRONIC MEDICINES DISPENSED 116 67 0 00 505 97 505 97 0 00 505197 0 00 Aa ziel S A B C A Allocate response Notes Code Displayed as a reference the code of each bill item is displayed at line level Description The description for each code is displayed Charged The charged amount is the final amount submitted for that item to the medical scheme Outstanding If there have been any changes to the billed items between the time of submission of the bill and the operator opening the Allocate Response screen it will be displayed here Changes are for example payments into the billed item This field then displays the amount currently outstanding Benefit Here the operator allocates the amount of received benefit from the medical scheme to each bill item Medical aid due The Med Aid field displays the medical scheme liability for each billed item Patient due The Pat Due field displays the patient liable amount for each billed item
44. en a medical aid remittance is reversed all allocations of that remittance will also be reversed Date sort If a bill has had on claim changes made to it the bill s transaction record will retain the original bills details and all on claim adjustments will be displayed in separate transaction records Selection of this button will merge all the on claim adjustment records into their applicable bill record The detail of that bill record will now be updated with the on claim adjustments O Allocated suspense item When an account has had a suspense item transferred to it it will then contain two records of the transfer The first is the record indicating the origin of the suspense item in this instance it was a medical aid remittance The second is the actual transferred funds this is a credit journal Columns to show This option allows the operator to customize how many details they want to display for each transaction record by changing the number of columns that are displayed in the transaction history table Filter By selecting the filter the operator can select whether or not to display reversed transactions All reversed transactions are highlighted in red to distinguish them Transaction record For all types of transactions made to and from the selected account there will be a transaction record displayed here All the relevant information will be displayed for each record The operator is able to navigate to
45. ge Account Status QAI 30 days 60 days G 90 days G 120 days Account Status Normal E Minimum Outstanding L Print Statements Minimum Patient Due Acc No Amount Outstanding Med Aid Pat Due Unalioc ei Em ei aus B E Back Lou 30 60 90 Una Claim Liab el Last Pat Pmt None Last Remit None Last Stmt None Final Notice None d A B C D 34 Outstanding accounts Notes All Accounts When selecting all all of the accounts which satisfy other Update Status filter options will be displayed as there in no date range selected In this example all accounts which have been flagged as suspended are displayed Account record The accounts which satisfy the user selected filter criteria will have a record displayed Each record contains all relevant financial details regarding that account The operator can double click the record to be navigated to the View Account History screen where the operator can view the outstanding bills on that account Financial details On selection of an account record the financial details of that account will be displayed here The operator is able to expand the financial break down box to reveal full details of the type of outstanding amount on that account and for how long it has been outstanding Display options Selecting this option will show a list of available display options The operator can click to select which columns to display These settings custom
46. hanges to continue 18 Record remittance TESTER d hoose Record Remittance zm Save remittance for later A e 06 02 12 d Description Ref No Date Check Total Total Difference The operator can save the current remittance allocation Add Payments for Discovery p1s1202063374 06 02 2012 EN 1000 00 FEET All the information will be saved as a remittance record so the operator can Notes return and continue with the allocations at a later date TP Payments Acc DOS Description Patient 5656 18 Jan 2012 0190 NEW AND ESTABLISHE MR I TESTING Allocation record fp Save Remittance ET eee se E This reflects all the bills to which the operator has allocated funds All allocation records will accumulate here until the operator is finished and ready to Accept and Close the Remittance of Accept and Close Validation warning When the operator has forgot to enter something into a required input field or where there is something which requires the operators attention the validation warning will be displayed clearly showing the sections which require the operators attention In this instance the remittance cannot be accepted and closed until it has been fully allocated Remove allocation record Using this shortcut the operator can remove any allocation record that is currently selected 19 Suspense accounts The suspense account is an added functionality in the softwa
47. he medical aid amounts has been done the left over medical aid on claim for each item is not zero Patient due The amount that was over charged for the consultation is now shifted to patient liable The overall process now updates the on claim amount immediately displaying and giving the operator a better understanding of what is to be onclaim and what is to be patient liable Sp Shortcut key By clicking the Sp button on screen or by pressing the spacebar on the keyboard the operator will auto allocate the remaining on claim amount for the selected billed item If there is not enough of the benefit amount to cover this remainder of the benefit funds will be allocated A Shortcut key By clicking the A button on screen or by pressing the A key on the keyboard the operator will auto allocate the remaining on claim amount for all bill items This will continue until there is no benefit amount left to allocate Click Accept Changes to continue Allocate J Discard Changes of Accept Changes S Discard Changes TESTER Allocate Response 06 02 42 Short fall received from Scheme manual line allocation is now required Med Aid DISCOVERY CORE COASTAL _ Membership No 154876526 Main Member MR IAM TESTING Patient MR JAM TESTING DOB 10 10 1970 Dep No 00 ld No Account Name TESTING MR Account No 5689 Tel Fax Bill No 25450 Date of Claim 28 41 2011 Service Dat
48. im response details The claim response detail includes information regarding the schemes response and a justification of the response Bill total amount The bill total amount is the original total of the bill that the operator submitted to the scheme Initial amount expected The initial amount expected is generated by the MedEDI software during the creation of the bill It is based on the items the operator enters into the bill For each of these items the program cross references the pricing rules and regulations to the patient s medical scheme and then estimates the benefit amount that will return Current benefit amount The current benefit amount is the amount that the patients scheme agrees to pay for the submitted claim Levy The levy displayed here is calculated during the original creation of the bill The calculation of levies per item are done automatically based on scheme pricing rules Discount The discount displayed here is calculated during the creation of the bill The calculation of discounts per item is done automatically based on scheme pricing rules TESTER Allocate Response 06 02 12 Short fall received from Scheme manual line allocation is now required Med Aid DISCOVERY CORE COASTAL Membership No 154876526 Main Member MR IAM TESTING Patient MR IAM TESTING DOB 10 10 1970 Dep No 00 ld No Account Name TESTING I MR Account No 5689 Tel Fax Bill No
49. ing the left and right arrows below and with this button select the most appropriate response Claim response document The claim response document contains all of the information relating to the claim This information ranges from the initial bill details to the outcome of the claim It serves as a reference to information pertaining to the claim Claim Response Details Ra DEN Aa Fy 0200662 DR PF SNYMAN TESTING MR Current Cisim Statu Huidige Status Van Ca Date of Claim Eis Datum BE Toni Amt Totale Eis Auforis ation No Claim Response Details Terugvoer Van Mediese Fonds Med Canc DISCOVERY CORE COASTAL Ze MRITESTING en 154876526 Patient Details Pasient Besonderhede raseniName TESTING IAM MR Pasient Naam cee Damm 10 October 1970 m Ki No ki Nr ation Response Received englesch Se 90 11 2011 Tay 25454 Ze htd 43772 Mal Amt Expected 505 97 Current Bonett Amt adag Verwag Huidige Voomieie bedrag 500 00 Page 1 of 1 Claim Response Details 0200 662 DR PF SNYMAN Account No Rekening 2689 Tel No Tet Nr Fax No Faks Nr TESTING MR ROOM 1020 HILTON HEIGHTS DURBAN 4000 Current Cisim Status Huidige Status Van Els Confirmation Response Received Soph ees Ea Danm 3011 2011 e 30 11 2011 en 25454 ZZ 49772 B Ge 505 97 Saag Verusa 505 97 ven We searag
50. ing the medical aid remittance It is linked to the account that was selected this link to a specific account acts only as a reference to the operator by reminding them of their intention The suspense amount can be allocated into any account on system Double click the item to see a list of where its credit has been allocated From this new screen the operator can allocate the credit into any existing debt on the suspense account It can even be allocated into other suspense items on the suspense account Selected suspense record In this example the suspense record which was originally created and linked to an account will be processed The link itself is a reference to help the operator the funds can be allocated into any account in MedEDI Notes By selecting any of the records displayed the notes for that record will be displayed here giving the operator full information pertaining to the selected item Click Transfer Credit to another Account to continue 8 TESTER wew Account Suspense Account Transactions Kaes formation P Se e Account Filter E Only show items linked to the following Accounts l Use a comma to view mu Record C Show UNLINKED items only Credit Journal Rec Date Type Description Ref No Amount P 07 02 2012 Credit Journal UNLINKED AMOUNT ON SUSPENSE ACCOUNT SUSTEST 100 00 H 07 02 2012 Credit Journal LINKED AMOUNT TO ACCOUNT 6565 ON SUSPENSE ACCOUNT SUSTEST 200 00 Tran
51. is is the date of the remittance advice Check Total This is the amount paid to the provider by the Medical scheme as reflected on the remittance advice Tota l Description Ref No Date Check Total Total This is the total amount of the remittance that has been ameni p 00 allocated into outstanding bill items Difference The difference displays what is left of the remittance after allocation or the amount that is overallocated when allocations have exceeded the remittance check total Add payments for account Shortcut This short cut will navigate the operator to a new screen where one can select an account and allocate the remittance into outstanding bill items 13 Record Remittance Notes Add payments for account Notes G Shortcut key By clicking the G button on screen or pressing the G button on the operators keyboard the short cut will automatically generate a unique Ref No and insert it into the Ref No input field S Shortcut key By clicking the S button on screen or pressing the S button on the keyboard the short cut will navigate the operator to the general suspense account screen Here the operator allocates the remittance to a suspense account which is not linked to any of the patient accounts on system Amounts here do not alter financial amounts on system they are temporarily stored until a final decision to publish and where to publish Click Add Payments for
52. ize how much information is displayed for each account record View Outstanding Select all accounts Accounts This option allows the operator to select or de select all Update Status available account records Only selected accounts will then be processed by the selected options Select specific accounts The operator is able to select individual accounts to be processed by simply clicking on and ticking the tick box E mail If this option is selected when processing the account the account holder will be sent an e mail regarding the process together with an account statement A pop up window will be displayed allowing the operator to enter content to the e mail The e mail used by the operator will be the one selected under the account settings SMS If this option is selected when processing this account an SMS will be sent to the number set up in the account settings The operator will have a pop up window where they can enter the SMS message to be sent The SMS functionality needs to be set up in order to be able to carry out this function Click Update Status to continue View Outstanding Accounts Outstanding for Last Pat Pmt 12 Dec 08 R 100 00 E TESTER Outstanding Accounts een Q vView QEinal Notice Charge interest Q Make Patient Liable Q Add Admin Fee Q Write Off Change Status Included Accounts aA a C Normal Accounts Suspended Accounts Handed Over Bad Debt include
53. lectronic Mims browser for T i Diagrams dE ci ees check boxes in the appropriate Keep track of patient s D quick and easy reference Available D y an erno ef m ee a 3 F ek clinical section immunisation history and to Mims subscribers iS cals P RE EE SSC iach ho e el E S schedules aloo te lat Sd tl Diagnosis gt rer e GE gee Select from our IC10 code Conditions Ben Ha H Saale browser of make si ofa Easily review and manage i Wl oe amer ete re custom list of conditions the patient s current and past i Inclue Previous Detad i irage SG di isd r e ys Wi ell r Se la YZ SEI Procedures medical conditions as well as J WC l Z tal e the patient s surgical history d i A el el ls Easily record procedures Wi Ae Ch 5 Ba Sx SS Allergies HN A E Leien performed d gies hepsi 10 224 sc History Capture patien s allergies and Drag and drop icons to indicate lacerations wounds etc Easy to use development charts i i adverse reactions to drugs gt Se LA Easily review previous ingredients and non drug gs AN consultation notes capture allergies patient s social history and family history H lt Medical Certificates Generate medical mane DOE i Practice clicks ZK Practice Perfect Medical Software Pty Ltd Tel 0861 633 334 Fax 086 500 4929 PERFECT Contact your local MedEDI agents Email sales mededi co za PO Box 54015 Ramsgate 4285 Reg No 2
54. llocated to the debit note in order to pay it off Filter The filter gives two options the operator can select to show reversed suspense records and to show records which have had their credit transferred to accounts on the system Transfer Credit to another Account After selection of one of the suspense records and on selecting this button the operator can transfer the funding from the suspense account to an account on system This can be done for general suspense records and suspense records which are linked to an account The amount will be published to the selected account as a credit journal from which point the operator can allocate that credit journal into outstanding bill items Only once this process has been completed will the suspense credit make financial changes to the selected account Show unlinked items only Selection of this tick box will filter the suspense records and only display general suspense records which are not linked to any account on system Show linked accounts In this input field the operator can simply type out the account number of an account on system this will filter the displayed suspense records showing only ones linked to the selected accounts The operator is able to separate account numbers using a comma and enter multiple accounts to see their linked suspense records View Account Information Reverse Transaction Record Credit Journal 07 02 2012 Credit Journal UNL
55. ount outstanding for each bill item at the point of entry to the allocation screen Amount column to enter payment The operator can allocate the amount paid from the medical scheme to the selected bill by either typing in the amount paid or selecting enter to apply the full amount outstanding for that line Write off column The operator can write off an amount outstanding on a billed item Medical aid column This column displays the total amount of outstanding medical scheme liability after the operator has entered an allocation amount for the selected bill item Choose an Option Add Payments for Account Account Details E E Filing Ref Account No 5656 Out 1241 64 30 60 90 Ung 300 00 Claim 114240 Liab Amount to Allocate Items Date Desc ed AN Pat Due Bai 18 Jan 12 0190 NEW AND K 389 30 0 00 389 3 18 Jan 12 1101 TONSILLE MR IAM TES 6130 40 660 40 660 40 0 00 660 4 18 Jan 12 GMED ACUTE M MR IAM TES 72 70 92 70 92 70 0 00 92 7 19 Jan 12 0190 NEW AND MR IAM TES 352 40 352 40 0 00 35240 352 4 19 Jan 12 GMED ACUTE M MR IAM TES 5 84 46 34 0 00 45 84 46 8 SS a E LE 1142 40 _ 399 24 Ja Jf ie OR A i i fe it D B C A Add Payments for Account Account Details a Account No Filing Ref S656 Out 1241 64 30 60 90 jng 300 00 Claim 174240 Liab Amount to Allocate Items Date Desc bai Ch Outst
56. re product The suspense account itself is made available during the remittance process It is used for temporarily storing amounts of a medical scheme remittance This is particularly useful when the operator is unsure where the remittance should be allocated so the operator can store it for allocation at a later time 20 Record remittance Notes S Shortcut key By selecting the S button on screen or pressing the S button on the operators keyboard the short cut will navigate the operator to the general suspense account screen Here the operator allocates the remittance to a suspense account which is not linked to any of the patient accounts on system Amounts here do not alter financial amounts on system they are temporarily stored until a final decision on when and where to publish Click S to continue Add suspense account payments Notes Description The description will enable the operator to find and work on this suspense amount in the future Amount Here the operator can select how much of the medical scheme remittance to allocate into the suspense account Click Accept Changes to continue TESTER 07 02 42 Ref No Check Total Total Difference Record Remittance Choose an Option Description Date susrest egoclsl am 200 A t Payments 7 Account SUSP9999 Suspense Account Tel Cell 1 Med Aid Pat Due TESTER
57. s to There is also a function to print an account statement for each of the accounts changed by the operator In this example selected accounts will be changed to normal Change status Selecting these options will change the operation the user is carrying out The change status operation will change the operation criteria to alternative processing options This enables the operator to carry out the desired processing on the selected accounts Expand menu By clicking this button further filter options will be available TESTER 08 02 12 View Outstanding Accounts Outstanding Accounts View QEinaiNotice Charge Interest Make Patient Liable Q Add Admin Fee CH Write Off CO Change Status included Accounts lL v Accounts Outstanding for View QAI 30 days 60 days OQ0 days 120 days Print Statements Minimum Outstanding Minimum Patient Due Acc No Amount Outstanding Med Aid Pat Due Unalloc Je Ee ei aus R el Lou 30 60 90 Una Claim Liab Lei Last Pat Pmt None Last Remit None Last Stmt None Final Notice None ej aad B D TESTER View Outstanding Outstanding Accounts z Accounts OO view EinalNotice Charge Interest Make Patient Liable Add Admin Fee Write Off Change Status Update Status ee in O a C Normal Accounts Suspended Accounts _ Handed Over _ Bad Debt _ include WCA Bills Le Account Types Accounts Outstanding for Chan
58. selection of the B button on screen or by pressing B on the operators keyboard all of the medical scheme outstanding amounts for the currently selected bill will have their outstanding amounts allocated to them A Shortcut key on the operators keyboard all of the medical scheme outstanding amounts across all bills on the selected account will have their outstanding amount allocated to them O Shortcut key By pressing O on the keyboard or clicking the O button on screen the operator can automatically allocate all outstanding amounts for both medical aid liable and patient liable for this chosen account By selection of the A button on screen or by pressing A Add Payments for Account Account Details i d Account No Name Filing Ref Claim 1142 40 Liab Amount to Allocate 1000 00 tens _ Date Desc pa Chg Outst wO 1 Med AN 1 PatDue 1 Bal 18 Jan 12 0190 NEW AND MR IAM TES 389 30 389 30 0 00 300 00 op oo 48 Jan 12 1101 TONSILLE MR IAM TES 660 40 660 40 660 40 0 00 660 40 18 Jan 12 GMED ACUTE M MR IAM TES 92 70 92 70 92 70 0 00 92 70 19 Jan 12 0190 NEW AND MR IAM TES 352 40 352 40 0 00 352 40 352 40 19 Jan 12 GMED ACUTE M MR IAM TES 46 3 46 34 0 00 46 34 46 34 EES Sy of 1541 64 1541 64 SG Rail 0 00 re Ms eee of Ge Sp amp A 1
59. sfer Credit to another Account tarr Back L DM View Account l es Information e Account Filter Only show items linked to the following Account s Use a comma to view mu ios C Show UNLINKED items only Credit Journal Bee Date Type Description Ref No Amount 07 02 2012 Credit Journal UNLINKED AMOUNT ON SUSPENSE ACCOUNT SUSTEST 100 00 07 02 2012 Credit Journal LINKED AMOUNT TO ACCOUNT 6565 ON SUSPENSE ACCOUNT SUSTEST 200 00 Record Debit Note v f Transfer Credit to another Account Transfer suspense account credit i TESTER Select account Funds Transfer i Transfer Suspense Account Credit 670014 Account Details The allocation screen will default to the account that was linked to the suspense item The operator is able to change this account to another if required Account No Notes Amount to transfer In this input field the operator can select how much of the funds to allocate The amount will be displayed as a credit journal on the Last Pat Pmt None Last Remit None Last Stmt None Final Notice None selected account The operator is able to share the suspense amount Oul 4408570 30 60 90 T Ciaim CES Liab MEDOC between multiple accounts on system In this example the full suspense Free RW amount is allocated to this linked account Available Remaining Amount to transfer 200 00 0 00 Click
60. ship with Healthbridge The Medical Aid has confirmed the receipt of your claim This claim may be affected by the reversal and processing of other claims Please be aware that benefits have not been reserved and payment is not guaranteed as a result of this claim submission pean ed Aig H ue U FRAI Dn r n 0190 NEW AND ESTABLISHED PATIENT 389 30 389 30 383 33 i Funder Line Ref 2554c3 Billed 389 30 Overcharge 5 97 Funder 383 33 Pat 0 00 Reason Processed GMED CHRONIC MEDICINES DISPENSED 116 67 116 67 116 67 S C O oo oor sooo ool sor Sp A L 10 Claim response details Notes Print document The operator is able to print the claim response document E mail The operator is able create an e mail to the patient with this claim response document automatically attached Print invoice The operator is able to print a tax invoice based on the original created bill Print statement The operator is able to print the full statement of the billed account Scheme details Selecting this button will display a new window displaying the schemes contact details and all pricing rules of the patients medical scheme This includes the schedule of drug pricing tables and general pricing levies Select claim responses If this current bill has been submitted to the patients scheme multiple times the operator is able to browse through the responses received for that bill us
61. tice None suspense items to be navigated to the suspense account information window ewe Out 30 ep op Claim Here only the suspense items which are linked to the currently selected Transaction History ey account will be displayed SE baal tha Statement General suspense account View Print Selecting this will navigate the operator to the suspense Med Aid Statement account information window This account includes all suspense items for all Ge eer View Print History Outstanding Recent History Accounts Date View Suspense Click View Suspense Account to continue 25 Suspense account transactions Notes Reverse transaction Upon selecting a financial suspense record on the right the operator can reverse it by selecting this button If the suspense amount was allocated and published into an account the operator can simply find that credit journal on the account and reverse it from there Record credit journal OH The operator is able to record a credit journal into the suspense account This credit will sit as an unlinked suspense amount on the account until the operator allocates it Record debit note The operator is able to record a debit note into the suspense account These debit notes sit on the suspense account alone they cannot be transferred into an account on system They are there for the practice as a general debt recording purpose Credit journals on the suspense account can be a
62. ty the way the claim response is displayed has been changed for easier viewing and use Bill Details x 8 TESTER eu Patient Bill Details g Bill item oa 03 02 42 ee re a Account KH ue aic RECITES The operator can select an individual bill item by clicking patient DEET or Notes on it and by pressing A on the keyboard a new window will appear enabling Doctor SNYMAN PF den lop a j j 1 Pr ur p aae e d the operator to enter an authorisation code This occurs when the operator ocedures Chg Rate DISC Bil Date 03 02 2012 Le P 0 S ROOMS el wun has preauthorisation for individual billed items feud ina i Script Dispense 9 Acute Medicines 1 H ESSENTIAL PRIMARY HYPERTENSION i Bill Summary y Consultation 0190 389 30 0 00 Administration Fee 0 00 CHRONIC MEDICINES DISPENSED GMED 0 00 0 00 0 00 116 67 0 00 ACESYL 4 MG TAB 30 116 67 10 Bill Totals Click Submit Bill to continue II Allocate Response eas Allocate res ponse Short fall received from Scheme manual line allocation is now required of AcceptChanges ve Aid DISCOVERY CORE COASTAL 2 Di ici Membership No 154876526 Main Member MR IAM TESTING Shortfall received from scheme l D Patent MR JAM TESTING DOB 10 10 1970 Dep No 00 ld No Should the benefit amount for the operators submitted Account Name TESTING I MR Account No 5689 Tel Fax
63. unt Name Order by Account Number 39 Detailed debtors age analysis Notes Account information For each outstanding amount displayed on the report there is information regarding the corresponding outstanding account This includes information on the patient to whom the debt relates This information makes specifically references the individual who owes the practice money Outstanding information Information regarding the outstanding amount includes the total that is outstanding for that particular patient If there are unallocated payments on the account they will also be displayed Broken down by age The outstanding amounts for any particular patient are assigned to the date range in which they initially occurred For example an outstanding amount that is over 120 days old will be displayed in the 120 days field This break down by age enables the operator to view the priority of any outstanding amount Medical aid due In the previous software version the total outstanding for the patient was displayed Now the portion which is medical aid on claim is also displayed indicating to the operator how much the patients medical scheme owes Liable In the previous software version the total outstanding for the patient was displayed Now the portion which is patient liable is also displayed indicating to the operator how much of the outstanding total the patient is liable for TESTER
64. whilst ensuring i that the details are completely accurate and match the details held on the Scheme s SMS Facility computer systems This process substantially reduces the risk of claim rejections caused by incorrect patient data being transmitted to the Scheme Providing more options to you gf facilitates greater efficiencies in your Practice We bulk buy sms and are able to supply these to your Practice at discounted rates The facility allows you to inexpensively communicate with your patient in terms of greetings appointment reminders and recalls and further adds to efficient practice management nformation Please Phone Support on 0861 633 334 For More Improved accuracy with less room for human error Electronic Remittance Advices ERA Reduced staff frustration with manual remittances Software that electronically matches remittances from all More time to allocate to other important functions in your practice major medical schemes Nothing but benefits coming to you VERY soon Reconciliation at the push of a button with significant time saving and accurate payment allocations Real time the best time to collect Medical EDI Services PTY Ltd Regional Offices KwaZulu Natal Gauteng Eastern Cape Western Cape Free State Mpumalanga Limpopo A 2 D a gg e S kE D vw a e EI e bd GG r D y E e l de Se RS Ce i Cf i Ve g

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