Claims Hound Services for Medical Professionals

COLLECTION OF UNPAID PATIENT ACCOUNTS

Collecting outstanding money from patients who are not able to pay is unlikely to result in much success. Chances are the patient cannot afford to pay your account unless the Medical Scheme/ Insurer pays. 

A better approach may be to get the Medical Scheme/Insurer to increase the benefits they are willing to pay.

Claims Hound can help.

  • Claims Hound engages with the Medical Scheme/Insurer on behalf of your patient to get the outstanding amount approved.
  • No need for you to get directly involved in the dispute with the Medical Scheme/Insurer.
  • Once the Medical Scheme/Insurer agrees to pay the outstanding amount you and the member are informed of the extent of the payment.
  • The Medical Scheme is requested to make payment directly to you and not the member.
  • Simply refer the patient to Claims Hound.
CONTACT CLAIMS HOUND TO START THE PROCESS

INCREASED BENEFITS AND TARIFFS FOR MEDICAL EMERGENCIES AND PMBs

Medical Schemes often do not pay everything they should for Medical Emergencies and other Prescribed Minimum Benefit (PMB) treatments. 

 

Medical Emergencies must be paid for in FULL by the Medical Scheme, even if the medical service provider is NOT a Designated Service Provider (DSP) including related services such as pathology and radiology.

 

Under specific conditions non-Emergency PMBs are payable in FULL.

Claims Hound can help.

  • Claims Hound engages with the Medical Scheme on behalf of your patient to get the treatment classified as a Medical Emergency and accordingly paid in full as a PMB.
  • No need for you to get directly involved in the dispute with the Medical Scheme.
  • Once the Medical Scheme/Insurer agrees to increase the benefits you and the member are informed of the extent of the increase.
  • The Medical Scheme is requested to make payment directly to you and not the member.
  • Simply refer the patient to Claims Hound.
CONTACT CLAIMS HOUND TO START THE PROCESS

EXTENDED BENEFITS FOR HIGH-COST AND INNOVATIVE TREATMENTS

You are not able to provide the best treatment or medication for your patient because the Medical Scheme/Insurer refuses to approve the benefits at an appropriate level.

Claims Hound can help.

  • We engage with the Medical Scheme/Insurer on behalf of your patient to get the extended benefits approved.
  • No need for you to get directly involved in the dispute with the Medical Scheme/Insurer.
  • Once the Medical Scheme/Insurer agrees to increase the benefits you and the member are informed of the extent of the increase.
  • The Medical Scheme is requested to make payment directly to you and not the member.
  • Simply refer the patient to Claims Hound.
CONTACT CLAIMS HOUND TO START THE PROCESS
Shopping Cart