An account can be released by following the below instructions:

Click on Patient

Click on Patient Administration

Click on Patient Transactions

Click on Release Account

The user can select the relevant patient from the list that appears.

A window will appear indicating that the release status is set to No.

Click Yes

A message will appear asking if the user wishes to send the EDI claim.

Click Yes

The account will now be electronically submitted.

If the account was sent successfully a message will appear with a green tick.

Another message will then appear asking if the user wishes to send an end of case.

Click Yes

If the end of case went through successfully a message will appear with a green tick.

If the account had an error a message will appear indicating that the claim was either rejected completely, or that it contains errors that need to be corrected.

The user will now be taken to the MediKredit Control Panel where they will find their claim sitting under the Open Claims tab.

The MediKredit Control Panel can be accessed at any time by following the below steps:

Click on Patient

Click on Credit Control

Click on Statements

Click on Electronic Claims – MediKredit

Click on MediKredit Control Panel

The user can find out what the problem is with their claim by clicking on the View Errors button.

This will display the history of the claim from the moment the patient was admitted into the facility and an eligibility check was performed, to the moment the claim was first sent.

The error message can be self-explanatory (for example, invalid attending doctor, invalid membership number, etc.) or it can be trickier (for example, rejected at header level).

If the user understands the error message they can correct the information on the account, go back to the MediKredit Control Panel and try and re-submit the claim.

Once the claim has submitted successfully, the user can then do an End of Claim which will finalise the claim and move it to the Closed Claims tab.

If the user does not understand the error message, they are welcome to contact our office (021 689 8444) and we will investigate.

If a claim is sent but a correction needs to be made, the claim can be pulled back from MediKredit by clicking on the Reverse Claim button.

The account can then be Reverse Released (if need be) and any corrections made before re-submitting.

Please note that each medical aid has their own cut-off period for corrections – some only accept corrections made on the same day, while others allow for corrections to be sent within a lengthy period of time.

HOW TO REVERSE RELEASE AN ACCOUNT

Accounts can be reverse released by following the below instructions:

Click on Patient

Click on Patient Administration

Click on Patient Transactions

Click on Reverse Released Account