RCM Knowledge Centre

GoMedPay is a CA(SA)-founded Revenue Assurance platform for South African private specialist and general practices. Unlike a billing bureau that submits claims and marks them Paid or Unpaid, GoMedPay classifies every revenue event into one of 26 distinct states — each with a specific cause, a responsible party, and a resolution pathway — and manages the entire journey from the appointment diary to cash in the bank. We are not a debt collector. We are a Revenue Assurance platform.

GoMedPay was founded by Andile Memela, a Chartered Accountant (CA(SA)) registered with the South African Institute of Chartered Accountants (SAICA), and a Certified Internal Auditor (CIA) certified by the Institute of Internal Auditors (IIA). These credentials bring audit-grade rigour to revenue cycle management — a discipline most billing bureaux approach purely as a collections exercise. Verify at saica.org.za and theiia.org.

GoMedPay provides five interconnected services: (1) RCM Diagnostic — a 9-checkpoint forensic audit with quantified rand leakage per revenue state; (2) Front-Office SOPs — billing controls that prevent revenue loss at source; (3) Ledgr — daily bank reconciliation, IFRS management accounts, and Annual Financial Statements (ISRS 4410); (4) Revenue Recovery Bridge — pre-legal recovery using Correction and Reconciliation, not demand letters; and (5) GoMed-LongCycle — dedicated management of COID and RAF long-cycle claims (up to 5-year lifecycle).

A billing bureau submits claims and marks them Paid or Unpaid. A debt collector applies legal pressure. GoMedPay does neither in isolation. We classify every revenue event across 26 states — from forgotten encounters (State 13) to late-payment interest (State 24) to technical component mismatches (State 26) — and provide a structured resolution for each state. Three specific differences: (1) We are CA(SA)-founded with audit methodology, not commission-driven; (2) We never contact patients under our own brand — all communications are under the practice's name; (3) We manage the Relationship Hold Protocol — the doctor can flag any patient for special handling at any time.

The 26-State Classification Engine is GoMedPay's proprietary framework for categorising medical revenue events. Standard billing classifies revenue as Paid, Unpaid, or Written Off. GoMedPay classifies it across 26 states — each with a specific cause, responsible party, and resolution protocol. Five of these are "Pearl States" (11: Under-Charged, 13: Forgotten Encounter, 17: PMB-Eligible, 24: Late-Payment Interest, 26: Technical Component Unmatched) — high-value revenue invisible to standard billing reports that we surface on every engagement. The state names are published on the GoMedPay website; the resolution protocols are proprietary IP.

Step 1: Submit a Revenue Leakage Review inquiry (2 minutes at gomedpay.co.za/practice-inquiry/). Step 2: We perform a 9-Checkpoint RCM Diagnostic on your debtor book and return a quantified findings report within 10–15 business days. Step 3: You review the findings — no obligation to proceed. Step 4: If you proceed, we execute a structured Engagement Letter including a POPIA Data Processing Agreement. Step 5: Recovery and reconciliation begin — the found money is designed to cover the cost of the engagement within the first billing cycle.

GoMedPay works alongside your existing practice management system — it does not replace GoodX, Healthbridge, or Healthrad. Current systems supported include GoodX, Healthbridge, Healthrad PMS, and MediSwitch. Ledgr's reconciliation engine imports bank statements and remittance advices in standard electronic formats. If your billing system is not listed, contact us at [email protected] — we have not yet encountered a billing system we cannot reconcile from.

Tier 1 (Recovery Only): 6% of recovered medical aid claims, 8% on patient shortfall (0–90 days), 12% on patient collection (90–120 days). No retainer on entry. Minimum engagement: R3,500/month. Tier 2 (Recovery + Ledgr): Tier 1 rates plus Ledgr from R1,950/month per entity (daily reconciliation, IFRS accounts, AFS). Setup: R4,500 once-off. Tier 3 (Enterprise/Multi-Site): negotiated. GoMedPay is designed to be cost-neutral: the found money covers the engagement. All fees exclude VAT.

Yes. GoMedPay operates as a POPIA Operator under the Protection of Personal Information Act 4 of 2013, processing data on behalf of the practice (the Responsible Party). Every engagement begins with a signed Data Processing Agreement that specifies: data categories, processing purpose, retention periods, security obligations, breach notification procedures, and sub-operator controls. Patient-facing communications are always branded to the practice — patients never see the GoMedPay name. Information Officer: Andile Memela CA(SA) ([email protected]). Registered with the Information Regulator.

GoMedPay is right for you if: (a) your billing system shows "Processed" but you are not certain the money actually arrived at the bank; (b) you have aged accounts receivable you would like quantified and recovered before the Regulation 6 120-day window closes; (c) you want IFRS-compliant management accounts and AFS without maintaining a full accounting team; or (d) you have COID or RAF claims sitting in your general debtors that need specialist long-cycle management. The Revenue Leakage Review is the right starting point — it costs nothing to find out how much you are leaving on the table.