Medical Billing
Billing software and bureau support built for South African healthcare
Full-cycle medical billing solutions backed by 12+ years of combined operational experience — combining specialist practice management software, outsourced bureau expertise, PMB claims management, and deep financial analytics to reduce rejections, accelerate cash flow, and give practitioners complete control over practice revenue across South Africa.
1,500+
Active practitioners
96%
Claim acceptance rate
Full handover
Billing taken off your desk
Direct EDI connectivity with all major South African medical schemes
Discovery Health
GEMS
Bonitas
Medscheme
Momentum Health
Bestmed
Fedhealth
Bankmed
Medihelp
CompCare1,500+
Active providers
Practices on our platform
12+
Years operational expertise
Deep SA healthcare billing experience
All major
SA medical schemes
Real-time eligibility & EDI verification
Level 1
B-BBEE contributor
100% Black-owned · 135% procurement
Four Core Service Pillars
Software, bureau support, and reporting for the complete practice lifecycle
Practice Management
More than an admin tool — a complete clinical and practice management system that handles appointments, electronic health records, real-time medical aid eligibility verification, and ICD-10 diagnostic coding across all major South African medical schemes.
Key Deliverables:
- Patient record management with secure demographic import and POPIA compliance
- Real-time medical aid eligibility verification across all major SA schemes
- Live benefit checker to confirm patient cover and fund limits before treatment
Bureau Services
Fully outsourced billing and claims administration — our dedicated medical bureau team handles daily claims submission, medical aid follow-ups, ERA reconciliation, and patient credit control on your behalf.
Key Deliverables:
- Complete outsourced billing lifecycle — from claim preparation to final payment
- Daily electronic claim submissions via secure direct EDI medical scheme links
- Dedicated clinical coding specialists reviewing submissions before release
Medical Billing Solutions
High-performance claims management, direct EDI switching, PMB (Prescribed Minimum Benefits) motivations across 270 conditions, and automated rejection turnaround pipelines.
Key Deliverables:
- Direct EDI electronic switching to all SA medical schemes with immediate delivery verification
- PMB (Prescribed Minimum Benefits) claim motivation covering 270 conditions and 25 CDL diseases
- Predictive ICD-10 diagnosis matching with automated procedure code pairing
Reporting & Analytics
Comprehensive financial intelligence — including Electronic Remittance Advice (ERA) bank reconciliation, 30/60/90/120+ day debtor age analysis, and accountant-ready revenue packs.
Key Deliverables:
- Dynamic billing and collection reports filterable by date, provider, medical aid, and tariff code
- Granular debtor age analysis tracking outstanding accounts (30 / 60 / 90 / 120+ days)
- Automated ERA (Electronic Remittance Advice) bank reconciliation and shortfall detection
Practice management software
Powered by MyKit
MyKit is a South African practice management platform built for the local healthcare billing environment — handling real-time eligibility checks, payment reconciliation through ERA, and ICD-10 billing with built-in memory per practitioner.
Patient Management & Intake
- Secure patient record import and POPIA-compliant storage
- Real-time eligibility verification across all major SA medical schemes
- Live benefit checker to confirm cover before treatment
- Appointment scheduling with multi-provider diary support
- Automated SMS & email reminders to eliminate no-shows
Billing & Claims Management
- ICD-10 diagnosis identification with predictive discipline search
- Specialised PMB motivations for 270 conditions and 25 CDL diseases
- ERA (Electronic Remittance Advice) for automatic payment matching
- Real-time EDI switching with instantaneous delivery receipts
- Rapid rejection tracking and 48-hour resubmission workflows
Accounts & Reporting Analytics
- Dynamic revenue reports filterable by provider, medical aid, and code
- Granular age analysis: 30 / 60 / 90 / 120+ day outstanding accounts
- Automated bank deposit reconciliation matching remittance advices
- Respectful patient credit control and electronic statements
- SARS and accountant-ready financial exports (Excel, PDF, CSV)
Technology & Compliance
- Full audit logs across every action in the billing system
- Multi-provider and multi-surgery clinic coordination
- Remote assistance for distributed practice teams across SA
- HPCSA, POPIA, and Medical Schemes Act compliance built in
Bureau billing service
Hand your billing over. Completely.
Our bureau service removes billing administration from your practice entirely. A dedicated team of trained billing specialists — with a clinical coding expert reviewing submissions daily — handles every aspect of your accounts from claim preparation through to payment collection, so you focus on patients, not paperwork.
Daily electronic billing & submission
Claims submitted every day via integrated electronic EDI links — faster than weekly batch cycles and aligned to your appointment diary.
Clinical coding expert review
A specialist with clinical background reviews daily billing output to ensure medically accurate ICD-10 and tariff code combinations before submission.
PMB motivation & scheme liaison
Prescribed Minimum Benefit motivations prepared and submitted directly to schemes to secure payment on complex or disputed clinical cases.
Credit control — medical aids & patients
Outstanding account follow-up with both medical aid funders and patient-liable portions, reducing bad debt and improving cash flow.
Real-time access & age analysis
Full online access to your billing, patient notes, and age analysis reports at any time — you stay informed without doing the work.
Monthly performance reporting
Clear monthly reports covering what was billed, collected, outstanding, and rejected — structured so you can review your practice financials in minutes.
Why NYMM Medical Billing
We treat your practice like a business
Practices across South Africa trust our platform and bureau team to manage their billing accurately and consistently — because we work in this billing environment every day, on both the software and bureau side.
Personalised Service & Dedicated Support
We work directly with each practitioner to understand your billing model, patient profile, and specialty — designing a tailored solution for your practice.
Reduced Claim Rejections & Fast Payment
Claims go out right the first time — coded accurately and formatted to each scheme's submission rules — compressing turnaround times and preventing stale debts.
Always-Current Medical Aid Tariffs
Tariff schedules, medicine codes, and ICD-10 updates are applied automatically — you never manage manual update cycles or risk submitting on outdated rates.
Multi-Practice & Group Ready
Whether you run a solo practice or a multidisciplinary clinic with multiple surgeries, our platform supports all practitioners with centralised accounting and individual splits.
Full Outsourced Billing Bureau
Our accredited bureau team can run your accounts end-to-end — claim preparation, ERA reconciliation, PMB motivations, rejection follow-up, and debt recovery.
Nationwide South Africa Coverage
With offices in Johannesburg and Bloemfontein, we support medical practices across all 9 South African provinces — providing identical quality standards regardless of location.
Practice support & coverage
Office hours
Monday – Friday, 08:00 – 16:30
Offices
Johannesburg & Bloemfontein
Coverage
Nationwide, all disciplines
B-BBEE
Level 1 Contributor
Free Revenue Calculator
How much revenue is your practice leaving on the table?
South African practices lose between 12%–28% of billed revenue annually to rejected claims, missed PMB motivations, and unclaimed CDL benefits. Our calculator gives you a realistic picture in under 60 seconds.
- 270 PMB conditions + 25 CDL chronic disease benefits
- Real-time EDI rejection tracking and re-submission
- HPCSA-compliant ICD-10 coding across all disciplines
- Nationwide South Africa — all 9 provinces covered
Practice Revenue Recovery Calculator
See exactly how much revenue your practice is currently leaving on the table
R 250 000
per month
R 45 000
Rejected monthly
R 51 900
Recoverable/month
Estimates based on SA medical scheme industry benchmarks. Zero obligation.
Medical billing enquiry
Let's streamline your practice billing
Whether you need fully outsourced bureau services, software support, or targeted help with ICD-10 billing and rejections — we'll design a solution around your practice.