Built for South African healthcare billing workflows

Medical aid claims, finally organised.

AidFlow helps practices verify patient details, manage claims, track responses, correct rejections, handle reversals and reconcile shortfalls from one secure billing workspace.

Patient verificationClaim trackingRejection management
AidFlow dashboard showing billing snapshots, money flow, claims pipeline and shortfall reporting

Claims-first platform

Everything around the claim lifecycle.

AidFlow is not trying to be everything at once. It focuses on the billing work that causes the most admin pain: patient verification, claims, responses, rejections, reversals, payments and shortfalls.

01

Patient & dependant verification

Confirm medical aid membership, dependant details and scheme information before the claim workflow begins, with provider-enabled verification supported according to onboarding and integration arrangements.

02

Visit capture

Capture consultations, billing items and claim-ready visit records in a clean guided workflow.

03

Claims lifecycle

Create, submit, track and manage claims from capture through response, correction and reconciliation.

04

Rejection correction

Manage rejected claims, correct billing issues and preserve a clear history of what changed.

05

Reversals & audit trail

Reverse claim records without silently deleting billing history or losing accountability.

06

Shortfalls & payments

Track paid amounts, outstanding balances and patient shortfalls from one billing workspace.

Workflow

From patient verification to payment reconciliation.

The platform is designed around the actual flow of a medical aid claim, so the practice can see where each claim is, what needs attention and what still needs to be paid.

1Verify patient
2Capture visit
3Create claim
4Submit claim
5Track response
6Correct or reconcile

Billing visibility

Clear follow-up without spreadsheet chaos.

Keep claims, rejections, shortfalls and payment follow-up visible for admin review, reconciliation and practice decision-making.

Claims overview
Rejection trends
Shortfall tracking
Payment allocation
CSV and PDF exports

Billing Service

Use AidFlow with the level of support your practice needs.

AidFlow can support practices as a managed billing service or as a platform for teams that already have their own billing staff.

Flexible support model

Commercials are discussed privately based on billing volume, claim workflow and support requirements.

  • Managed billing support
  • Platform access for internal teams
  • Claims and response workflow
  • Rejection and shortfall follow-up
  • Exports for admin review
View billing service

Provider-enabled capabilities

Verification and benefit checks are part of the direction.

AidFlow is being positioned around provider-supported patient verification, benefit-checking readiness and claims workflow visibility. These capabilities can be enabled according to provider availability, onboarding scope and applicable legal or commercial terms.

Patient and dependant verification
Benefit-checking readiness
Provider-supported claim submission
Claim response tracking
Billing visibility after response

Book a demo

Ready to bring order to your claims workflow?

Tell us about your practice and we will show you how AidFlow can support your billing process.