Healthbridge services a large proportion of the private hospital network, including Life Healthcare, Netcare and the National hospital network.
The Healthbridge hospital suite consists of integrated electronic messaging products. These products have been designed by Healthbridge in partnership with hospitals and medical aid administrators to enable standard system integrations between hospital information systems and medical aid processing systems.
Hospitals and administrators get the right information, at the right time, so that the most accurate, cost–effective decision is made
Here's how we assist hospitals to perform better:
- Pre-Authorisation Request
From the hospital to the administrator, providing the required information for the administrator to assess the authorisation request.
- Authorisation Information
From the administrator to the hospital, confirming what has been authorised or the reason for declining the authorisation.
- Re-Authorisation Request and Re-Authorisation Information
Same as above but catering for re-auth event.
- Processed Claim
A claim to the administrator as soon as all claim billing information has been captured.
- Claim Upfront Validation
An immediate claim response from the administrator to the hospital confirming claim receipt, and validating all claim data required for processing the claim.
- Claim Processed Response
A claim response from the administrator to the hospital, once full claim processing has been completed, indicating what will and what won’t be paid.
- Received Claim
Electronic claim sent to the administrator with up-front validation and confirmation of delivery responses back to the hospital.