Medical Billing
Practice Management
Day-to-day practice administration should accelerate your clinical team, not slow it down. NYMM provides modern practice management software and expert setup that unifies patient intake, real-time medical aid verification, clinical ICD-10 coding memory, and multi-provider scheduling into a single compliant ecosystem.
Direct EDI connectivity with all major South African medical schemes
Discovery Health
GEMS
Bonitas
Medscheme
Momentum Health
Bestmed
Fedhealth
Bankmed
Medihelp
CompCare
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.
Core Advantage
Engineered for South African Healthcare
We eliminate billing friction with direct scheme connectivity, HPCSA compliance, and clinical coding precision.
100% Scheme Coverage
Discovery Health, GEMS, Bonitas, Medscheme, Momentum, Bestmed, Fedhealth & more.
Rapid Cashflow Settlement
Daily EDI switching & proactive rejection resolution to compress your payment cycle.
Service Pillars
Key capabilities that power your practice
Detailed breakdown of how our practice management service operates to protect your revenue.
Accurate ICD-10 & Procedure Coding
Clinical coding intelligence with predictive search to ensure valid primary and secondary diagnostic codes, eliminating technical rejections from medical aids.
- Predictive code lookup by diagnosis name or symptom
- Stored billing memory per doctor and discipline
- Automatic validation of primary and secondary codes
Real-Time Scheme Eligibility Verification
Instant verification with Discovery Health, Bonitas, GEMS, Medscheme, Momentum, Bestmed, Fedhealth, and all SA schemes before consultation or treatment.
- Instant member active status confirmation
- Available benefit limits and savings balance check
- Pre-authorisation requirement alerts before procedure
Front-Desk & Clinical Synchronisation
Connect front-desk reception, doctor consulting rooms, and billing stations in real-time with shared calendar views and automated patient communication.
- Unified appointment scheduler with multi-room support
- Automated SMS and email booking reminders
- Digital patient intake and consent recording
Multi-Provider & Multi-Room Ready
Engineered for both solo private specialists and high-volume multidisciplinary clinics with practitioner-specific tariff preferences and partitioned reporting.
- Individual provider diary and revenue splits
- Cross-surgery and satellite clinic synchronisation
- Centralised admin with role-based access control
What we deliver
- 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
- Appointment scheduling and visit tracking across solo and multi-provider rooms
- Integrated SMS and email communication for automated appointment reminders and statements
- Clinical ICD-10 coding intelligence with predictive search and discipline memory
- Multi-provider and multi-surgery support with centralised practice reporting
- Comprehensive audit logs and remote practice assistance across South Africa
Business outcomes
- Verify patient medical aid benefits prior to treatment — eliminating billing surprises
- Dramatically reduce no-shows with automated SMS and email appointment reminders
- Manage multiple doctors and satellite surgeries without duplicate administration
- Ensure full HPCSA, POPIA, and medical scheme compliance with complete audit trails
- Accelerate front-desk intake speed while elevating the overall patient experience
Step-by-Step Workflow
How our process works for your practice
Transparent, systematic, and aligned with statutory Medical Schemes Act guidelines.
Patient Intake & Real-Time Verification
Patient details and medical scheme membership are verified live upon booking or arrival, confirming active status and benefit pools.
Consultation & ICD-10 Code Capture
The practitioner selects consultation and procedure items backed by predictive ICD-10 diagnosis matching and stored provider billing memory.
Instant Invoice & EDI Generation
Invoices and EDI claims are generated instantaneously, formatted to specific medical scheme validation rules.
Automated Communication & Records
Patients receive automated appointment confirmations, preparation instructions, and digital statements via SMS and email.
Frequently Asked Questions
Answers to common practice queries
Which South African medical aids can we verify in real-time?
We support real-time eligibility checks with all major open and closed South African medical schemes including Discovery Health, GEMS, Bonitas, Medscheme, Momentum Health, Bestmed, Fedhealth, Bankmed, and Medihelp.
How does ICD-10 coding memory assist practitioners?
The system learns your most frequent clinical diagnosis combinations and procedure codes per discipline, drastically reducing administrative time per patient while maintaining HPCSA coding compliance.
Can we manage multiple rooms or satellite clinics?
Yes, our platform natively supports multi-provider group practices, multi-specialty clinics, and distributed surgeries with centralised control and individual practitioner revenue views.
Explore More
Other specialised billing pillars
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.
Medical Billing Solutions
High-performance claims management, direct EDI switching, PMB (Prescribed Minimum Benefits) motivations across 270 conditions, and automated rejection turnaround pipelines.
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.
Medical billing enquiry
Let's talk about practice management for your practice
Tell us about your practice — size, disciplines, and how billing is handled today — and our billing team will recommend the right fit.