Rejected medical aid claims?
Stop the revenue leak.
esolutionprojects helps healthcare practices identify why medical aid claims are rejected, correct claim issues, strengthen follow-up and recover outstanding revenue.
What causes rejected claims?
Rejections can start with coding, patient or scheme information, submission requirements, authorisation or the follow-up that happens after a claim is returned.
When rejected claims are part of a wider backlog or billing problem, our revenue recovery and medical billing cleanup support can address the broader account.
Incorrect or incomplete medical coding can create avoidable rejections.
Incomplete patient or scheme details delay processing.
Incorrect submission details or scheme requirements can stop a claim from processing successfully.
Rejected or queried claims can remain unresolved when ownership and follow-up are unclear.
Breaks between billing, claims and follow-up make recurring rejection patterns harder to identify.
How it works
The first job is to understand the rejection. From there, the claim and the process around it can be addressed.
Tell us what is happening with your rejected claims.
We identify the rejection reasons and the claims that need attention.
We assess coding, billing, information and submission issues affecting the claim.
Corrected and unresolved claims move into the appropriate resubmission or follow-up process.
Recurring causes can be fed back into the billing process to strengthen future claim preparation.
MyKIT@esolutionprojects Connected practice management technology
MyKIT@esolutionprojects connects MyKIT practice management software with the wider esolutionprojects operational environment. Where relevant, this supports claims tracking and reporting while esolutionprojects remains focused on the operational work around rejected claims.
Rejected does not mean forgotten.
Put the claim back into action.
Identify the cause, act on the claim and strengthen the process that follows it.