Patient & medical aid readiness
Keep the information needed for billing organised before work reaches the claim stage.
- Patient profile management
- Medical aid membership details
- Dependant information
- Scheme and plan-ready records
AidFlow features
Medical aid billing tools in one focused workspace.
AidFlow brings together the operational pieces that billing teams need every day: verification readiness, billing capture, claims, corrections, payments, shortfalls, reports and exports.
Feature setBuilt for billing teams that need control and visibility.
AidFlow is not only about creating claims. It is about keeping billing work organised, reportable and easier to follow up.
Product modules
Each module solves a specific billing problem.
The feature set is structured around the real work done by practice administrators, billing teams and managers who need reliable billing visibility.
Provider-enabled verification
Support patient verification and benefit-checking readiness where provider integrations, onboarding scope and applicable terms allow.
- Patient verification direction
- Benefit-checking readiness
- Provider-supported validation
- Pre-claim billing confidence
Visit & billing capture
Capture visit and billing details in a structured way so admin teams are not relying on scattered notes or manual spreadsheets.
- Visit records
- Billing item capture
- Claim amount tracking
- Linked patient billing history
Claims management
Manage claim records with clear statuses, linked responses and visibility into what still needs attention.
- Claim creation
- Claim status tracking
- Submitted claim views
- Paid and part-paid claim visibility
Rejections & corrections
Keep rejected claims visible and actionable instead of letting them disappear into email threads or manual follow-up lists.
- Rejection queue
- Correction workflow
- Rejection reason tracking
- Linked correction history
Reversals & audit history
Reverse or adjust claim records while preserving the billing trail, so changes are visible instead of silently overwritten.
- Claim reversal support
- Editable claim records
- Change visibility
- Audit-friendly billing history
Payments & shortfalls
Track what was paid, what remains outstanding and what may need patient or practice follow-up.
- Medical aid paid amounts
- Payment allocation
- Outstanding balances
- Patient shortfall tracking
Reports & exports
Turn billing activity into usable reports for admin review, management visibility, reconciliation and follow-up.
- Claims reports
- Payment summaries
- Rejection reports
- Shortfall reports
- Outstanding balance views
- CSV and PDF exports
Reports & visibility
Reporting is part of the product, not an afterthought.
Practices do not only need to know that claims were captured. They need clear answers about billing activity, rejected work, payments received, outstanding balances and shortfalls that need attention.
AidFlow reports and exports are designed to support admin review, month-end checks, follow-up planning and management visibility.
Discuss reporting needsMonth-end reportBilling summary
PDF / CSV
BilledR128,450
PaidR96,210
OutstandingR32,240
ShortfallsR14,600
Claims summaryReady
Rejection report18 items
Payment allocationReview
Shortfall registerFollow up