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What is WEBDesk? • Web based claims management tool • Accessible from www.mediswitch.co.za • Detailed view on all claims submitted through MediSwitch • Various very handy reporting functions • Complete practice management at your fingertips – Username and password required for login – 0800 111 703

What is WEBDesk? Web based claims management tool Accessible from Detailed view on all claims submitted through MediSwitch Various

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Page 1: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

What is WEBDesk?

• Web based claims management tool • Accessible from www.mediswitch.co.za• Detailed view on all claims submitted through

MediSwitch• Various very handy reporting functions• Complete practice management at your

fingertips– Username and password required for login– 0800 111 703

Page 2: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

Click Here and then add in password details

Click on the Access Webdesk

Page 3: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

The WEBDesk Menu

Easy Navigation Buttons to find

any info required

Page 4: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

Your profile

Check and update your practice details effortlessly

Page 5: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

Claims Online

• View all submitted claims with Proof of Submission and various other important information about delivery status

- View all claims submitted between 2 dates- Proof of delivery per any one claim- Scheme responses and statements- If you didn’t receive it initially- Manage and minimise rejections

Page 6: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

Log Book

• Search and view all claims transmitted, with an option to select the exact period

Page 7: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

Logbook Screen….

Page 8: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

First 9 columns in logbook search…

• Patient details…

Page 9: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

Last 7 columns in the logbook search

• Additional patient details….

Page 10: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

Indicators• Track the details of claims delivery to Schemes

Click on the letter to see the details

C = ConfirmedU = UploadedM = MedresE = Payment Advice (eRA)

Page 11: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

Benefit Verification Continued…

Page 12: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

Verification continued….

• Select the relevant scheme from the drop down list available.

Page 13: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

Continued.....• If we do not have the Card Holder Files for the scheme you selected,

no patient info will appear. You have to add it in manually

Page 14: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

Continued……

• No information will appear, please enter this manually.

Page 15: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

Continued…..

• Once the scheme has been selected, add in the Membership number and the Dependant Code

Click here

Page 16: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

Continued…..

Click here

Page 17: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

Continued…..• Under the Treatment Type, select the drop down arrow for further options.

Depending on the option you choose, please add in the required information.

Page 18: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

Different screens on the different options

Page 19: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

Continued…..• Complete all required details below and then select “Add”

Click On Add

Page 20: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

Results

• Enter membership number

To edit benefit check information

To cancel entire benefit checkTo retrieve benefit search results

To add another tariff code item

Page 21: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

To add another Tariff.

• Complete the new tariff details and then select “Add”

Click On Add

Page 22: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

To obtain Benefit Results….

• From here, select the “Submit” option to retrieve benefit results.

Page 23: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

Benefit Verification Results.

Page 24: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

Points to Note of using the Benefit Checker

• It is only available for all MHG administered schemes

• It can be used by all discipline types (excluding hospital and pharmacy)

• Practices will be able to check the availability of benefits for specified treatments, procedures and /or medicines

• Cost will be R2.00 (excluding VAT) per claim enquiry.

Page 25: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

Submission Details

• Generate Proof of Submission and Delivery reports on all successfully transmitted claims

Page 26: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

Proof Of Submission……

Page 27: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

Monthly Rejection Reports…..

• Just change the date range and add a tick onto the “Rejections only” block….

Page 28: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

Rejection Report…..

• By Clicking onto the Rejection reason, it will explain how to resolve this rejection!!!

Page 29: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

Medres / eRA

• Search for all available Scheme Responses and Remittance Advices from participating Schemes

All

ERA Feedback

Medres Feedback

Realer Feedback

Realtime Feedback

Page 30: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

How to Regenerate Feedback Reports…

Page 31: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

Feedback reports Cont……• To select the batches you want to resend to your system, add a tick in the

tick blocks and the click on Regenerate Button.

Page 32: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

Monthly Management Report…..

• Select the month in the drop provided and click on “Show”

Page 33: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

Management Report

Page 34: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

MediSwitch Codes• MediSwitch submission codes• MediSwitch rejection codes

Page 35: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

MSV Online

• Validate patients Scheme Membership Details

Page 36: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

MSV Online

Patient Details Dependent Code & Benefit Option

Current Status

Page 37: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

MSV Continued….• If you selected a scheme we do not have Card Holder files for, the below search

result will appear.

Page 38: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

MSV Continued….• If you have the incorrect membership number for a scheme we do have Card

Holder Files for, the below search result will appear.

Page 39: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

Additional Options

• Remaining menu options include:

View Newsletter archives

End your browsing session on WEBDesk

Tell us what you think about MediSwitch

Links to the MediSwitch Home Page

Page 40: What is WEBDesk? Web based claims management tool Accessible from  Detailed view on all claims submitted through MediSwitch Various

What to do with which responses

MediSwitch Response received first

Outcome of validations done on claims ACCEPTED: Delivered to Schemes

REJECTED: Must be corrected and resubmitted

Follow up on rejections – correct and resubmit first

Scheme responses

Acknowledgement of Claims received

Electronic statements (eRA) from participating schemes

Follow up on payments – send statement to patient