South African medical aid claims bureau

Every claim, billed, reconciled & remitted — without a leak.

MedicalBureau.co.za runs your practice's full medical aid pipeline: claim submission, fund adjudication, practice billing, remittance reconciliation and ERA/835 posting — in one light, fast, secure workspace.

What the bureau handles

Built for practices, clinics and dispensaries billing medical aid schemes.

Medical aid claims

ICD-10 coded claims submitted to every major scheme, tracked from draft through to remittance with a full audit trail.

Practice billing

Automatic debit notes generated for every approved or adjusted claim, with bureau commission calculated and payment terms applied.

Reconciliation

Line-by-line matching of fund remittances against adjudicated claims, with variance highlighting and dispute flags.

Remittance processing

Receive ERA/835 remittances, reconcile, post — claims flip to Remitted and practice invoices settle automatically.

ICD-10 search

Live search across 41,000+ ICD-10 codes so your coders attach the right diagnosis to every claim, first time.

Reports & compliance

Monthly pipeline, per-fund and per-practice performance, fees earned and outstanding balances at a glance.

How the pipeline works

One continuous flow — nothing falls through the cracks.

Submit

Claims drafted, coded with ICD-10 and submitted to the scheme.

Adjudicate

Fund responses recorded — approved, adjusted or rejected with reason.

Bill

Practice debit note generated with commission and terms applied.

Reconcile

Remittance lines matched to claims; variances flagged for dispute.

Remit

Post the remittance — claims close, practice paid, money accounted.