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What is D.Comm? D.Comm is communications software. Datamax provides it free of charge to clients wishing to make use of our services. Once D.Comm has been installed you are able to send claims electronically via Datamax. Note that you must register with Datamax before trying to send claims.
Is my Practice Management Software Compatible? If you are already claiming electronically (with one of our competitors), then YES. Otherwise, give us a call and we will check for you.
Datamax is able to deliver claims to almost all the medical aids in South Africa. We can also deliver WCA claims to Compsol (but you must have a contract with them first!!) Datamax uses the same activation codes as our competitors, so if you try us there are no changes necessary in your practice management software. If you register with Datamax we will send you a list of medical aids and their activation codes. We also send updates of this list from time to time as changes are made. If you wish to obtain the list of medical aids without registering, send an email to activ@datamax.co.za or call Datamax on 086 051 5125.
It's FREE - for the first month!!! After that: Due to the unique circumstances of each medical discipline, it is common practice in our industry to charge different rates for each discipline. In general our rates are at least 10% below our nearest competitor. If you would like to find out exactly what we would charge, please give us a call on 086 051 5125.
Realtime vs Batch – which is better? Realtime: means that each claim is delivered to the medical aid immediately. Batch: means that many different claims are collected and submitted to the medical aid together (in a batch) - perhaps at the end of the day. Q: Realtime gets the claims there a few hours earlier, but does it ensure quicker payment? A: No, the medical aids make payments in cycles. However, consider that to provide a realtime infrastructure costs exponentially more. That's why some of our competitors are so expensive! Batch delivery ensures more reliability and accountability - which is why Datamax uses this method of delivery.
How does D.Comm connect to Datamax? D.Comm can be configured to make use of one of the following: Internet: Almost any kind of internet connection can be used, including dialup, ISDN, wireless broadband, ADSL, GPRS, 3G, WiFi and so on. Analogue modem: D.Comm can connect direct to Datamax (without the need for an internet account) using a standard analogue modem. ISDN: D.Comm can also connect direct to Datamax (without the need for an internet account) using a standard ISDN modem. (Note that most ISDN modems require "Com port emulation" software to be installed. This is usually supplied with the modem.)
Despite the claims made by our competitors, most medical aids will not provide this information. Similarly to our competitors we are able to verify the details of members before submitting claims. This ensures the type of accuracy required when submitting electronic claims and reduces the amount of time it takes before payment is received.
How reliable / secure is electronic claiming? Reliable: Datamax guarantees that each and every claim reaches its destination. We implement a host of checks and balances to ensure delivery. We also reconcile with the medical aids regularly as a final precaution. Secure: Encryption is used over non-secure connections (such as the internet). Datamax takes every precaution necessary to ensure the confidentiality of your claims.
How do we know if our claims have been received? For each batch you submit Datamax responds with an acceptance report and a rejection report. Delivery of claims reflected on the Acceptance report is guaranteed by Datamax. The Acceptance report also shows batch reference numbers for future follow-up if necessary. Claims shown on the Rejection report must be corrected and resubmitted. Reasons for rejection are also shown on this report. Only claims shown on the Acceptance report are charged for.
How quickly will I receive feedback? Datamax provides immediate response on which claims have been accepted (by Datamax) and which have been rejected (by Datamax). Feedback from the medical aids takes longer, but fortunately electronic remittance advices are being developed by many of the bigger medical aids. Either way, claiming electronically guarantees the fastest possible response time. Note that claims rejected by Datamax are not charged for.
How quickly will I receive payment? That depends on you! Practices that send accurate and timely claims can receive payment within 5 days!! However, remember that medical aids implement "payment cycles", so the time taken for payment will usually depend on the time of month. One thing you can be sure of is this: sending claims electronically is the most effective way to ensure the quickest possible payment.
I'm not sure about all this! What if I don't like it? That's perfectly understandable. Every day we are bombarded with offers that seem "too good to be true". Your scepticism is justified. The solution: your first month is FREE. That means you can try Datamax for a month without closing your account with your current electronic claims company. Leave everything as is until you are confident that Datamax is the better option! In the unlikely event that you want to go back to using your old vendor, simply uninstall D.Comm. That's it!!! No questions asked!
OK, I'm interested. What are the steps? Step 1: Install D.Comm - this is available on the D.Comm Info CD, or can be downloaded by clicking HERE. Step 2: Phone Datamax to register - 086 051 5125. Step 3: Carry on as usual! The entire process takes less than 5 minutes!!!
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