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JSK Healthcare
Unified Revenue Platform

Medical Billing & Revenue Cycle Management

From consultation to payment — one connected healthcare revenue platform.

JSK Healthcare combines clinical workflows, medical-aid eligibility, electronic claims processing, payment reconciliation and revenue intelligence within one integrated digital healthcare ecosystem.

Spend more time caring for your patients while JSK helps simplify the administrative and financial workflow behind your practice.

JSK Healthcare Revenue Cycle Management

From Consultation to Payment

Connect clinical care, practice operations, medical-aid administration and practice revenue management through one digital healthcare platform.

Clinical Technology

Provide clinicians with modern tools that streamline diagnostics and care recording, flowing clinical data immediately into downstream billing.

Patient Records
Consultations
Prescriptions
Telehealth
Clinical Workflows

Practice Operations

Manage patient check-ins, queues, scheduling, and staff records from an intuitive operations interface.

Patient Registration
Appointments
Practice Administration
Patient Accounts
Operational Workflows

Revenue Management

Clear outstanding balances faster and eliminate manual data transcription with automated South African medical aid routing and reconciliations.

Medical Aid Eligibility
Claims Management
Payment Reconciliation
Outstanding Balances
Age Analysis
Revenue Reporting

One Connected Revenue Cycle

Follow the journey of a patient visit through 11 connected stages—uniting registration, clinical EMR charting, Medikredit routing, ERA reconciliation, and revenue analytics.

Onboard Demographic & POPIA Consent Records

Captures patient and primary member demographics, South African ID validation, and digital POPIA consent signatures. Establishes the core billing record to prevent demographic-related scheme rejects.

Ecosystem Specs

System: CMIS Portal / Practice Management
Standards: HL7 ADT (Admission-Discharge-Transfer) Message
Benchmark: Onboarding duration: < 3 mins

Key Tasks

Onboard demographic records
Validate South African ID format
Acquire POPIA data-release signatures

JSK Healthcare Revenue Cycle Ecosystem

Connect clinical care, practice operations, medical-aid administration and revenue management through one integrated healthcare ecosystem.

CIMS / Practice Management

Manages patient check-ins, scheduling, and registration to initiate billing cards.

EHR (Clinical Records)

Captures diagnoses, prescriptions, and consult notes dynamically to feed billing routers.

JSK Revenue Cycle

Medical Billing & Revenue Mgmt

Medical Aid Eligibility
Claims Submission & Tracking
Payment & ERA Reconciliation
Short Payment Management
Outstanding Accounts & Age Analysis
Revenue Reporting & Analytics
Medical Aid Connectivity

Eligibility validation checking via switches (Medikredit).

HIMS

Routes bed logs, ward fees, and theatre charges directly to billing clearing.

Analytics

Calculates age analysis, claims collections, and leakages maps.

Devices & Diagnostics

Syncs laboratory diagnostics telemetry and clinical check results with invoice ledgers.

Telehealth (Virtual Care)

Sends consultation timers and digital prescriptions to patient folders dynamically.

Revenue Dashboard

Gain visibility across claims, payments, outstanding balances, reconciliation and revenue performance.

https://platform.jskhc.co.za/billing/dashboard

Claims Submitted

1,245

Accepted

1,080

Rejected

85

Pending

80

Amount Claimed

R1.25M

Amount Paid

R980K

Outstanding

R270K

Short Payment

R35K

Payment Trend (Last 6 Months)

MarAprMayJunJulAug

Claim Status Ratios

Accepted (1,080 Claims)86.7%
Pending (80 Claims)6.4%
Rejected (85 Claims)6.9%

Age Analysis Balances

0–30 Days
R180,000
31–60 Days
R62,000
61–90 Days
R18,000
90+ Days
R10,000

Top Rejection Reasons

Code 50: Dependant Not Found
45%
Code 104: Benefit Limits Exceeded
30%
Code 12: Duplicate Claim Submission
15%
Other Rejections
10%