Medical Aid Claims & Remittance

Collect against schemes at the till, track claims through review and approval, and post remittances - with patient shortfalls flowing cleanly to POS when cover does not meet the full amount.

Capture cover where the script is filled

At collect time, record medical-aid society, membership details, claim or authorisation references, and approved amounts. BasaRx keeps claims attached to the same invoice document as the dispense - so clinical, stock, and financial history never diverge.

Medical-aid societies are maintained as master data shared with the clinic module, so OPD billing and pharmacy claims speak the same scheme language.

Claim board and remittances

The Medical Aid Claims board shows totals for pending, remitted, and owed amounts. Filter by status and scheme. Move claims through submitted → review → approved or denied, then record remittance with reference so cash application stays auditable.

Clinic insurance claims with co-pay and deductible sit beside pharmacy claims on the shared billing backbone - one revenue-cycle story for facilities that do both. For real-time switching between providers and medical aid societies, see Pindah Claims Gateway.

Shortfalls without spreadsheet chaos

When medical aid covers only part of a dispense, unpaid balances surface on the POS shortfall queue with live updates. Cashiers close the gap without re-entering line items. That is the difference between pharmacy software that “exports to accounts” and an ERP where the counter and till are the same system.