Accounts and medical aid
This page explains how accounts are handled in general for consultations and in-centre haemodialysis at our Pretoria East practice. If you have questions about your own booking or account, please send an enquiry through our contact page.
What this page covers
Accounts can feel confusing when you are also dealing with appointments, tests and follow-up planning. This page gives a general outline of how billing and medical aid administration are handled at our nephrology practice and in-centre dialysis clinic, so you know what to expect before your visit.
It applies to kidney specialist consultations, chronic kidney disease follow-up, dialysis planning and in-centre haemodialysis for practice patients. Final account details depend on the service provided on the day, the information available at the time, and the specialist's decisions after seeing the patient. This page is general only and does not replace account confirmation for an individual booking.
- Consultation accounts for new and follow-up visits
- Dialysis-related billing in general terms for practice patients
- Medical aid claim handling where applicable
- Patient responsibility for outstanding balances or non-covered items
- How to send an account query after your visit
What is included in account administration
Account administration usually includes patient detail checks, capture of the responsible party's information, recording of medical aid details where relevant, and issuing the account for the professional service provided. Where a claim can be submitted on your behalf, the account may be sent to your medical aid using the membership details you provided. If a portion is not paid by the scheme, that amount may remain payable by the patient or responsible party.
For consultations, the account is generally linked to the type of visit and any related clinical work done by the specialist during that appointment. For dialysis planning and in-centre haemodialysis, the account will depend on the services arranged for that patient. Some items may be handled together and others may appear seperately, depending on how the service was provided and what information is required for processing.
- Registration of patient and responsible party details
- Recording of medical aid membership information if used
- Preparation and issue of the account
- Claim submission where this is possible and appropriate
- Follow-up on basic account queries through the practice
How the process usually works
Before the appointment, you send an enquiry through our contact page and the booking is arranged by referral or direct booking. When your appointment is confirmed, you may be asked for basic account and identity information so that your file can be opened correctly from the start.
On the day of the visit, the reception process includes checking your details, confirming the responsible party and verifying any medical aid information you have brought with you. After the consultation or dialysis-related service, the account is prepared according to the care provided. The specialist decides on care after seeing the patient, so the final account can only be based on the actual service delivered.
Afterwards, the account may be submitted to your medical aid if that route applies. If there is a shortfall, rejection, membership issue or unpaid portion, the remaining amount may be directed to the patient or responsible party. If anything on the account needs clarification, you can contact us through the enquiry form and the practice will guide you on the next step.
- Send an enquiry through the contact page
- Provide booking and account information
- Attend your consultation or dialysis-related visit
- Account is prepared after the service provided
- Claim is submitted where applicable
- Outstanding balances are communicated if needed
What to prepare before your visit
Bringing the right information helps avoid delays in account processing. If details are incomplete or different from the records held by your medical aid, claims may be delayed or returned unpaid. That can affect how quickly an account is finalised, so it is worth checking your documents before you come in.
If another person is responsible for payment, please make sure those details are available as well. For a minor patient, the parent or legal guardian's information is usually needed. If your referring doctor has sent documents already, you can still bring copies for your own file just in case there is any mismatch on the day.
- Identity document or other accepted form of identification
- Medical aid card or membership details, if applicable
- Main member and dependant details where relevant
- Referral letter or clinical notes if you were referred
- Responsible party details if someone else will be billed
- Any authorisation information you have already received
How pricing is worked out in general
Pricing depends on the type of service provided and the work involved in that patient's care on the day. A first consultation is not the same as a follow-up review, and dialysis planning is not the same as an in-centre haemodialysis session. Because care is individual, exact amounts are not set out on this page.
In general terms, accounts are based on the professional service actually rendered, together with any related billing items that apply to that visit. Medical aid payment, if any, depends on your option, available benefits, scheme rules and the information submitted with the claim. The practice cannot confirm cover in the abstract because each member's position may differ even within the same scheme. If pre-approval or additional documents are needed, that can also affect how the account is processed.
Please note that this page gives administrative information only. It does not provide medical advice, treatment advice or cover guarantees. The specialist decides on care after seeing the patient.
Aftercare, statements and account queries
After your visit, keep your statement, claim feedback and any payment records together. If your medical aid asks for more information, or if you receive a notice showing a patient portion, send your query through our contact page so the practice can review the account history with you. In many cases the next step is simply to confirm membership details, dates of service or responsible party information.
If you are continuing with follow-up care or in-centre haemodialysis as a practice patient, ongoing accounts will usually follow the same general process, with updates when your membership details or responsible party details change. Please let us know promptly if there is a change in your contact details or medical aid status, this helps prevent avoidable claim problems later on.
For urgent medical problems, do not wait for an account reply. Emergencies must go to the nearest emergency unit.
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Questions we get asked
Can you tell me exactly what my medical aid will pay before I come in?
We can explain the general account process, but cover depends on your membership details, benefit rules and the service actually provided. Final care decisions are made by the specialist after seeing the patient.
Do I need a referral to book?
Appointments may be made by referral from a doctor or by direct booking. If you have a referral letter or related notes, bring them with you for your file.
What should I do if there is a problem with my statement or claim?
Please send your query through the enquiry form on our contact page with the relevant account details. If your concern is a medical emergency, go to the nearest emergency unit.
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