All Panacea accounts have the ability to aportion responsibility for amounts charged between the person responsible (usually the patient or member) and the medical aid.  This can be done manually or it can be automated using Panacea's Split Billing functionality.

The benefits are obvious.  By calculating precisely who owes what it becomes practical to ask patient's to settle their portion after each treatment.  The medical aid's portion can be claimed using eClaims  or statements .

Automatic Split Billing
Panacea is able to automate split billing in 3 ways:

• Flat Rate:  The member is responsible for a fixed Rand amount per treatment, e.g. R20.
• Percentage: The member is responsible for a percentage of the amounts charged in a treatment, e.g. 25%.
• Dual Pricelist: A pricelist is configured for the amounts charged.  Another pricelist is configured which specifies the medical aid's portion.  The member is responsible for the difference.

Panacea's Automated Updates  facility makes it possible to match the rates published by each medical aid.  By combining this with Panacea's Dual Pricelist Split Billing facility you are able to charge a single rate for all medical aid patient's, yet split this accurately between the medical aid and the member.  This may sound complicated, but it is implemented automatically and is, in fact, very simple.

Manual Split Billing
It is sometimes necessary to adjust responsibility for amounts outstanding manually.  For example, if a medical aid claim is rejected due to "benefits exceeded" it is wise to move responsibility for amounts owing to the member.  The member's next statement will clearly show that the member is liable.