Our Services

‘Doctor Claim’ manages the medical billing function for doctor’s in-patient medical billing from preparation and submission of accounts, to follow-up, reconciliation and reporting.

‘Doctor Claim’ experts will assist you with the following as part of our medical billing service to you:

Registration with Medicare & health funds;
Submission of your no gap claim to Medicare and Health Funds;
No gap and known gap billing;
Follow up of all overdue or rejected accounts;
Reconciliation of accounts;
Monthly reporting of accounts; and
Record management – we maintain a file record of all information sent to us and this is available to you at your request at any time.

Steps we follow to have your In-Patient Medical claims promptly paid:

Step 1

Complete or provide us with the information on In-Patient Medical Billing Services form via fax, email or post.

Step 2

An email will be sent to you to acknowledge receipt of your Medical Billing Services form(s) and to confirm commencement of the preparation and submission process of your accounts. Accounts will be generated within 24 hours of being received and will be submitted to the respective health fund or mailed to your patient within 2 business days.

Step 3

Medicare and the Health Fund will process your accounts for payment. Direct billed patients will either pay the total account; or claim from Medicare and their health fund before finalising the account.

Step 4

’Doctor Claim’ will handle any account queries regarding the invoice or claim. Service-related enquiries will be referred to you.

Step 5

All benefit payments will be paid directly into your nominated bank account. Cheques will be made payable to you and sent to us for banking and reconciliation.

Step 6

Your remittance advices will be kept in a secure file for safekeeping and audit purposes. Our privacy policy ensures that your claiming information is secure at all times and no third party may access these records.