Matic Health / Claims and rejectionsWORKFLOW
Rejection fixes prepared the same day they arrive.
Claims checked before they go out, and fixes prepared fast when they come back.
TIME SAVEDRejections handled the day they arrive, not discovered at month-end.
HOW IT WORKS
From claim to payment, handled.
Claim prepared.
Built from the visit and auth details.
Checked before sending.
Codes, auth numbers and member details verified.
Ready to submit.
Your team sends it through your existing claims switch.
Rejection read.
Matic works out exactly why it came back.
Fixed and resubmitted.
Corrections prepared for your team to approve.
Underpayments disputed.
Short payments and PMB underpayments followed up.
CLAIMS AND REJECTIONS01 / 06
↳Claim preparedDemo case
Demo visit
Bonitas
Linked to case
CLM #1048
Assembling details✓ Claim prepared
Claim prepared.
↳Claim preparedDemo case
Demo visit
Bonitas
Linked to case
CLM #1048
Assembling details✓ Claim prepared
↳Claim checkDemo case
CLM #1048
Checked
Matched
Review against auth
Code mismatch caught✓ Code corrected for review
EXISTING CLAIMS SWITCHFor review
✓Codes checkedCHECKED
✓Auth number checkedCHECKED
✓Member details checkedCHECKED
✓ READY FOR SUBMISSION
Checking scheme rule
✓ CLM #1048 PAID
CORRECTION PREPAREDFor review
✓Rejection reason readCHECKED
✓Correction preparedCHECKED
✓Team approval requiredCHECKED
✓ READY FOR REVIEW
DRAFT · FOR REVIEWUnderpayment disputePMB · Dispute prepared
Claim and payment details matched.
Short payment identified for review.
PMB details included in the draft.
Dispute prepared for your team’s approval.
Doctor’s signature ________________
INSIDE THE WORKFLOWEvery case shows
Every case shows
its working.
01 / CLAIMS AND REJECTIONS
Rejections, sorted.
Corrections prepared for your team to approve.
✓ Your team stays in controlChecking scheme rule
✓ CLM #1048 PAID
02 / CLAIMS AND REJECTIONS
Checked before it goes out.
Codes, auth numbers and member details verified.
✓ Your team stays in control↳Claim checkDemo case
CLM #1048
Checked
Matched
Review against auth
Code mismatch caught✓ Code corrected for review
03 / CLAIMS AND REJECTIONS
Underpayments, disputed.
Short payments and PMB underpayments followed up.
✓ Your team stays in controlDRAFT · FOR REVIEWUnderpayment disputePMB · Dispute prepared
Claim and payment details matched.
Short payment identified for review.
PMB details included in the draft.
Dispute prepared for your team’s approval.
Doctor’s signature ________________
REJECTION QUERIES
An answer from the scheme.
Matic calls the scheme about rejection queries and logs the answer on the case. →
Set up around how your practice works. Your team approves everything.
WHAT MATIC DOESThe repetitive work,
handled.
Prepares claims for your existing switch, checked before they go out
Reads every rejection and works out why it happened
Fixes and resubmits what can be fixed
Disputes short payments and PMB underpayments
Flags what needs the doctor’s input
Missed billing checks: work done but not billed, flagged before the claim goes out.
Approves the corrections and resubmissions.
Fewer avoidable rejections, and less money written off.
A HEALTH CHECK FOR YOUR ADMINOn some schemes, a late auth can cost up to 30% of the account.
On some schemes, a late auth can cost up to 30% of the account.
Matic tracks every deadline, so nothing slips through.
We’ll review your last three months of rejections, auths and bookings and show you exactly where the leaks are. No cost, no obligation. You keep the report either way.
Set up around how your practice works. Your team approves everything.
Book your free admin health check ↗