Claims Management
Is the number of claims lodged with the Commissioner increasing month on month with no indication of when settlement will take place.
You are not alone.
Many medical practitioners, out of sheer frustration, simply decide to write off their WCA claims as they lose faith in the system. They deem their efforts in attempting to receive compensation for services rendered as fruitless and a complete waste of time.
Why are claims not settled timeously?
Payment delays are often the result of in-complete submissions and/or missing supporting documentation. This makes the follow up process laborious and time consuming.
The typical reasons for delay in payment:
- Supporting documents required are missing
- Data on reports, especially dates, are incorrect
- Reports are incomplete or not signed
- Documents are illegible.
What we offer
We offer a holistic claims management solution.
- We validate your IOD patient accounts and supporting documents, informing you of any outstanding requirements.
- We submit all unregistered claims for registration and adjudication to the Compensation Fund.
- We submit your validated and accepted IOD patient accounts to the Compensation Fund after which your practice is paid directly
We visit the offices of the Compensation Commissioner on a daily basis to follow up on claims status, registration updates etc. This allows for direct communication with the Compensation Fund thereby ensuring real time updates and information is readily available. Personal consultations and contact with the Compensation Fund officials ensure that queries, problems and claims administration matters are attended to promptly and professionally.. .
We handle all IOD patient accounts no matter how long the accounts have been outstanding.
Our pre-adjudication procedures ensures that your practice is kept informed at all times and made aware of any risks and potential repudiations.
