As a panel provider, it's essential to guide Mednefits members through the payment process, especially when their benefit balance is insufficient to cover the full cost of services.
Step-by-Step Guide:
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Input the Full Bill Amount
Advise the member to enter the total bill amount for their visit into the Mednefits app. This amount should include all charges, such as consultation fees, medication, treatments, and any applicable GST. -
System Calculation
The Mednefits system will automatically assess the member's account to determine the portion payable via their benefits. -
Identify Out-of-Pocket Amount
If the total bill exceeds the member's available balance or the cap per visit, the excess amount will be clearly indicated in red on the "Payment Successful" screen. -
Collect Payment
Request the member to settle the highlighted out-of-pocket amount directly. Acceptable payment methods include cash, NETS, or credit card.
For any amount that exceeds the member's account balance or cap per visit, the excess amount will be indicated clearly on the Payment Successful screen for you to collect the amount highlighted in red from the member directly Out of Pocket.
Important Notes:
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Cap per Visit: Some members may have a cap per visit set by their employer. Ensure they are aware of this, as it affects the amount covered by Mednefits.
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Accurate Billing: Emphasize the importance of entering the correct total bill amount to avoid discrepancies.