Elegent Billings
POPIA Policy | PAIA Manual | Terms of Service | HPCSA Compliance
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//complex //professional website
//supply goodx altron healthtech //ultra fintech // netcare supply chain management // langelihle ethekwini hospital
//book with a pen and moneybag financial //ambulance room //pathology n radio bedroom //good x hospital //software integration , occupational , discharge , zero balance//
Elegent Billings
Elegent Billings
Money Merchants
Promoting bespoke innovation mechanism that intergrates Financial Administrative Information Technological Systems.
www.elegentbillings.co.za
Administration
BHF Registration
Medical Scheme Reg
Patient Administration
Custom Practice Reports
Claims Management
Claims capture & submission
Rejection management
Billing coding advice
Electronic remittance reconciliation
Credit/Debt Control
Follow-up on outstanding amounts
SMS/email reminders
Legal collection letters
Credit bureau listings
Accounting Services
Monthly management accounts
VAT management
Tax returns
IRP5 submissions
Our Services
Financial Services
- MCA (Merchant Cash Advance) at 200%
- Billing Services
- Cash Flow Solutions
- Working Capital
- Startup Finance
- Bridging Finance
- Invoice Discounting (We purchase unpaid accounts)
- Medical Equipment Funding
Administration
- PMB /DSP /Funder Liason
- WCA COIDA accounts current & up to 15 years outstanding
- WCA Exempt accounts (SAPS IOD/RMA/SOE/Government Department)
- RAF Medical accounts (MOA payed in 90 days)
- PMB Corrective processes of up to 3 years on unpaid & unsettled accounts
- All of the above can be settled in 7 days wiwth our invoices factoring & Disconting collaboration
Mitigation | Legal Services
- Collection of all oustanding debt up to 6 years as per medical protocol
- Registered on debt collectors registry
- An authorized lead provider for FSPs
- Mitigation Claw Back matters, medical aid and fraud investigations, erroneous claims resubmission with their 100% sucess rate
- Fraud Risk Management
Patient journey from emergency to discharge
See how a medical bureau works silently behind the scenes, ensuring seamless billing, compliance, and peace of mind for patients, hospitals, and healthcare providers.
1
Emergency call & response
Patient experience: Family calls emergency number, ambulance dispatched with real-time GPS tracking via app. Paramedics stabilise the patient on scene.
🏥 Medical bureau (stage role)
No direct involvement — focus on acute medical care.
2
Triage & registration
Patient arrives at emergency unit. South African Triage Scale determines priority. Admin captures ID, medical scheme details, and financial consent is signed.
🏥 Medical bureau (stage role)
Starts verification: checks medical aid authorization, confirms PMB coverage for emergency, validates patient details for billing pathway.
3
Emergency treatment
Doctors consult, order diagnostics, perform procedures. All clinical notes & codes recorded in electronic health record.
🏥 Medical bureau (stage role)
Real-time coding oversight: CPT/ICD-10 codes captured, flags exclusions, ensures alignment between diagnosis and procedure for claim acceptance.
4
Admission or discharge
Patient either admitted to ward (inpatient) or discharged with medication & follow-up plan. Doctor issues discharge summary.
🏥 Medical bureau (stage role)
Consolidates all bills (facility, specialists, radiology). Prepares electronic claims to medical aid, creates patient-friendly statement.
5
Post-discharge & billing finalisation
Patient receives SMS with digital care summary via app. Medical aid processes claims; patient receives itemised bill for any shortfall.
🏥 Medical bureau (stage role)
Manages rejection & resubmission, answers patient queries, handles overdue accounts ethically, and provides financial reports to hospital.
🔍
Authorisation & compliance
Immediate eligibility check & PMB verification. The bureau ensures that the emergency admission meets Prescribed Minimum Benefits criteria — protecting the patient from unexpected costs.
⚙️ Software tools
Automated auth tracking, popia-compliant data handling, medical scheme rules engine.
📊
Live coding & error flagging
As doctors order CT scans, blood work, and procedures, the bureau’s system captures NAPPI/CPT codes in real-time and flags mismatches (e.g. procedure not linked to diagnosis).
✅ Impact
Reduces claim rejection rates by up to 30%, accelerates medical aid payment.
📑
Consolidation & electronic submission
After discharge, the bureau merges all invoices (facility, emergency physician, specialists) into a single statement, submits claims electronically, and tracks them until paid.
📎 Paperless efficiency
No missing invoices; reduced administrative burden for doctors & hospital staff.
📞
Patient billing support & collections
Call centre handles patient questions: "Why is my co-payment this amount?" "What is the status of my claim?" Payment plans arranged if needed.
🤝 Ethical debt management
Compliant with legal guidelines, preserves patient-provider relationships.
| Journey Stage | Clinical / Patient Action | Medical Bureau Action |
|---|---|---|
| 1. Emergency Call | Call for ambulance, GPS tracking | No direct involvement |
| 2. Arrival & Triage | Triage, registration, sign financial consent | Verifies medical aid & PMB coverage |
| 3. Emergency Treatment | Consultations, tests, procedures | Real-time coding, captures all billable items |
| 4. Admission/Discharge | Move to ward or discharge with summary | Consolidates bills, submits electronic claims |
| 5. Post-Discharge | Receives care summary, settles final bill | Manages rejections, patient queries, overdue accounts |
Integrated billing ensures transparency, compliance with POPIA, and lets clinicians focus on care.
Bespoke innovahou mechanisms integrating hospital information system
DSP-Funder Liason
PMB-CPT-D-DTP's
ICD-10-VCOOES-ZCODES
Accounts Receivable
Invoice Discounting
Invoice Factoring
Invoice Acquisition
PMB (Stable Claims)
WCA-Up to 15 years
RAF-Up to 15 years
About us
Bespoke innovation mechanisms integrating financial Administration advisory,IT solutions and working Capital Funding solutions
Our team is dedicated to crafting digital experiences that feel luxurious yet raw. We believe in contrast: the deep black that lets gold shine brighter.
services / what we offer
- ✦ Financial Services
- ✦ Administration
- ✦ Legal Services
contact / let's talk
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