“WE AIM TO CLAIM”

 

COMPANY BACKROUND

 

Upside In Business Solutions was formed in 2013 by a young aspiring youth Koketso Maboane. It is 100% black owned. It trades as Proprietary Limited.

 

The company’s possess experience in Marketing, Media, General Administration and Project Management.

 

The Company’s main specialties at the moment are Medical Billing.

 

VISION

 

It is this company’s vision to assist the Health Care Professionals to shift their focus from administration to allow them to concentrate on the wellbeing of their patients.

 

MISSION STATEMENT

 

Our mission is to assist Medical Practitioners to collect their medical aid claims quickly, efficiently, accurately and in the most professional manner while the daily operations of the practitioner are not disturbed. Our service will also help Health Care Professionals to reduce admin burden while paving a way for growth and have work life balance. We aspire to be the most reliable, accountable and give fast results.

 

Services

 

We process medical claims on your behalf. It is our task to complete the billing process in a manner that it will avoid denials from the medical aid companies. Claims are processed and forwarded to all relevant Medical Aid Schemes within the same day or week of receipt.

 

Payments (Reconciling Claims – Remittances)

 

At the end of the month, the Customer must ensure that all remittances are forwarded to the Supplier in order to reconcile the outstanding book-debt and to resubmit unpaid claims.

 

Credit Controlling

 

Credit Controlling will be carried out on a daily basis on the data that has been captured. Regular expediting and follow up on outstanding accounts will be carried out and the Supplier will retain all credit controlling notes for future reference.

The Supplier will liaise directly with the different Medical Aids to recover unpaid accounts, which was submitted before.

 

Patient Liable Claims:

 

Patient liable accounts will be mailed to members, only if instructed by the Customer. Claims can also be sent to the rooms in order for the member to settle their personal account directly.

 

Electronic Submissions:

 

Claims can be submitted via SWITCH or HEALTH BRIDGE with the permission of the Customer if it’s the preferred service provider.

 

Financial Reports:

 

Monthly turnover reports will be handed to the Customer, as well as complete reports

General

If there is information that the Customer needed to know that might not have been mentioned in this document or is not sure about any of the services being provided, The Customer should not hesitate to contact the Supplier .

 

We value your support and hope to be of service to you in the near future.