Workflow

How billing work moves through AidFlow.

AidFlow structures the billing process from readiness checks and visit capture through claim handling, responses, exceptions, payments, shortfalls and reporting.

01Before billing
02Billing preparation
03Claim handling
04Responses and exceptions

Operational flow

From preparation to reporting.

Each stage gives billing teams a clearer view of what is ready, what is waiting, what failed and what still needs follow-up.

01

Before billing

Prepare the information needed before billing work starts, including patient details, dependant information, medical aid membership details and provider-supported verification where enabled.

The goal is to reduce preventable billing issues before the claim is created.
02

Billing preparation

Capture the visit and billing details that will become the working source for the claim.

This gives the practice a cleaner handover between consultation, admin capture and billing follow-up.
03

Claim handling

Create, submit and monitor claim records while keeping status changes visible to the team.

Provider-supported submission can be enabled according to integration availability, onboarding scope and applicable provider terms.
04

Responses and exceptions

Track responses, part-payments, rejected claims and items that need correction, reversal or additional follow-up.

The focus is not just whether a claim was sent, but what happened after it was sent.
05

Payments and shortfalls

Allocate payments, identify what remains outstanding and surface shortfalls that may need patient or practice follow-up.

This helps billing teams separate paid work, unpaid work and follow-up work more clearly.
06

Reporting and review

Use reports and exports to review billed amounts, payments, outstanding balances, rejections, shortfalls and month-end activity.

The workflow should end with usable visibility, not another spreadsheet cleanup exercise.

What changes operationally

Less chasing, more visibility.

AidFlow is designed to reduce the amount of billing work that gets buried in inboxes, spreadsheets and informal follow-up notes. The workflow keeps work grouped by stage so the next action is easier to see.

By the time billing reaches reporting, teams should be able to review what was billed, what was paid, what failed, what remains outstanding and what needs action.

Cleaner billing preparation
Visible claim status movement
Exception work that stays trackable
Payment and shortfall visibility
Reports for admin and management review
Exports for follow-up and reconciliation