Medical Service Providers

Clams Administration

We scrutinise all accounts received and ensure that billing and documentation are according to the Gazetted rules.
We assist as far as possible with claim registration and adjudication.
Contractually we will lease with all service providers irrespective with follow up with compensation fund by Elevate Bliss Group, provided that there is a valid Elevate Bliss Group claim number, and all supporting documentation, as prescribed in the Government Gazette, is in order and duly submitted to Elevate Bliss Group.
Elevate Bliss Group will lease with all service providers irrespective with follow up with compensation fund.

Claim Registration

Many employers are not complying with the requirements of the COID Act in terms of submitting the prescribed documents when registering a claim, resulting in non-adjudication of claims for extended periods.
Elevate Bliss Group has a dedicated task team whose primary focus is to contact employers for claim numbers, or to assist them should they struggle to register a new claim on Elevate Bliss Group.
Where claim related documents are outstanding, the task team will also attempt to assist employers to either upload the documents on Elevate Bliss Group, or request the documents to be supplied to Elevate Bliss Group for submission to the CF obo the Employer, should they be comfortable to supply same to Elevate Bliss Group.
It is important that all registered claims are timeously adjudicated by the CF to ensure the accounts related to these claims can be submitted to the CF for payment. Elevate Bliss Group has ongoing projects with the Department of Labour offices of each province, as well as regular follow-up meetings with the CF adjudication team, and regular Operational meetings with CF HQ, to assist with the claim adjudication process where possible.

Liability Accepted Accounts

Once liability of the claim is accepted, Elevate Bliss Group will do a final quality check and then switch the electronic account information to the CF for payment.
Elevate Bliss Group has a dedicated team focussed on uploading all the required medical reports on Elevate Bliss Group prior to switching the invoices for payment.
Once the accounts have been processed through our system and accepted, they are switched to the CF for payment.
Elevate Bliss Group manages the entire process and delivers an end-to-end solution. We utilise our ±400 specialised staff to manage all the various aspects.

On-Site Training and Support

We have well trained Client Service Officers (CSO) in your area, and they will assist with the following:

They provide ongoing training (adhoc and annual rule changes in Government Gazette, workflow changes in eCOIDA to adapt to CF system related changes, refresher training etc) to hospital staff and contracted SP’s within the hospital.
Assisting with claim compiling / completion.
Liaison between your practice and Elevate Bliss Group admin staff.

Employer Follow-Up

Elevate Bliss Group follow up with Employers and endeavour to obtain required documentation from them (W.Cl.2, I.D., etc.) as and when required.
We contact Employers to correct errors on documentation if and when required

eCOIDA

eCOIDA is a Elevate Bliss Group in house developed, integrated paperless IOD management solution linking Employers and the Medical Service Providers in real-time on the same database / platform, seamlessly via Web portals.
The offering includes IOD case management and workflow functionality.
Your practice will be able to make use of the full eCOIDA system at no additional cost.
Medical Service Providers in our Network that make us of our eCOIDA system can share supporting documents to you.

Reports and statistics

Practice Management reports prepared and provided to the practice indicating progress on status of claims on age, sales trends, etc.

Your cart is empty