Rejected claims are the most common cause of slow medical scheme revenue. DocuHealth validates claims against scheme tariffs and member data before submission, dramatically improving first-pass acceptance.
Claims submit electronically with live status tracking, rejection codes and one-click resubmission. Scheme-specific billing rules and authorisation tracking keep every claim compliant.
Reconciliation between claims, payments and scheme statements is automated, giving your practice a clear and current view of receivables.
The problems we remove for you
- High rejection rates from coding errors
- Manual claim submission and chasing
- No visibility into outstanding claims
- Scheme statement reconciliation nightmares
What you get with this plan
Pre-Submission Validation
Check tariffs, member status and coding before submission.
Electronic Submission
File claims electronically to supported schemes.
Status Tracking
Live claim status with rejection codes and reasons.
One-Click Resubmission
Fix the issue and resubmit in seconds.
Authorisation Tracking
Track pre-authorisations against claims and procedures.
Scheme Reconciliation
Match scheme payments and statements automatically.
Outcomes you can measure
Higher acceptance rates
Validation before submission slashes rejections.
Faster settlement
Electronic claims and tracking speed up payments.
Full visibility
See every claim's status in one dashboard.
Less admin
Automated reconciliation ends statement chasing.
Frequently asked questions
All major South African medical schemes and international insurers via configurable gateways.