Skip to main content

Practor builds the invoice from the encounter and checks each claim before you submit, then shows you what the medical insurance approved on each line. You only pay R4.50 for each approved claim.

Here's a claim, from invoice to outcome.

INV-2026-00117 Issued R 830.00
  • 0190 Consultation, established patient ICD-10 M54.5 R 520.00
  • 0192 Extended consultation, 30 minutes ICD-10 M54.5 R 310.00
Claim readiness Checking requirements… 1 thing to fix All requirements met 1 issue Ready
  • Invoice details
  • Coverage & insurance Verify the patient's eligibility
  • Practice configuration
  • Insurance enrolment
Not sent yet Sent through the claims network

Before you submit Practor checks everything a claim needs before you submit and tells you what to fix, so a claim isn't turned down for something you could have caught.

Insurance Member #8827410 · Not verified Checking eligibility… Member #8827410 · Dependant 00 Verifying Eligible
  • Main member00
  • Spouse01
  • Child02

The patient's cover Practor checks that the patient is covered before the visit. Each check costs R1.90, and you're only charged when they're covered.

Amount claimed R 830.00
Amount approved R 520.00 1 of 2 items Awaiting response
Patient liability R 310.00
Code Description Approved Status
0190 Consultation, established patient R 520.00 Processed
0192 Extended consultation, 30 minutes R 0.00 Rejected

Rejection

Benefits for this service are used up for the year, so the patient pays this line.

The outcome You see which lines were approved and why any were turned down. Sending a fixed line again is free.

An encounter becomes an invoice

An invoice built from one encounter.

Practor builds an invoice from the procedures and diagnoses captured during an encounter. Practor prices every line from your professional body's rates, the patient's medical insurance rates, or your own custom pricing.

Practor emails invoices to your patients, and the documents you share appear in their patient portal. When you record a payment, Practor marks the invoice partly paid or paid, and the patient sees the status of their account in the portal immediately.

You don't pay for a claim that's turned down. Fixing the line and sending the claim again is free too.

What billing costs

Invoicing is free for everyone in the practice. Set your month to see what the rest comes to.

R4.50 each
R1.90 each
R0.50 each
Work out a whole month, Ava included
Your month Practor, billed to the practice
Everyone in the practice
Free
Invoices
Free
Approved claims 168
R756
Claims turned down
Free
Benefit checks 150
R285
Messages 400
R200
This month R1,241

A benefit check is only charged when the patient is covered. If you pay from a wallet and the wallet runs out, claims and benefit checks carry on until you're R200 below zero, so you can still get paid.

Questions practices ask

Which claims do I pay for?

Only approved ones, at R4.50 each. A rejected claim costs nothing, and neither does fixing the line and sending the claim again.

What does Practor check before I submit a claim?

Four groups of checks: the invoice details, the patient's coverage and insurance, your practice configuration and the practitioner's enrolment. Submit claim stays greyed out until they pass, and a failed check tells you what to fix. Read the billing guides

Is there anything to set up before my first claim?

Yes, once. Each practitioner enrols for claims under their own registration before their first claim. After that, you submit claims from an issued invoice.

What happens when a line is rejected?

The Claims tab shows each line as Processed or Rejected, with the reason. Fix the line and send the claim again for free, or reverse a claim that was billed wrongly.

How does a benefit check work?

Practor asks the patient's medical insurance whether they're covered and shows Eligible when they are, with everyone on the membership listed. Once your practice is set up for claims, the check runs when you save the patient's cover. Each check costs R1.90, and you're only charged when they're covered.

What if my wallet runs out?

Claims and benefit checks carry on until you're R200 below zero, so you can still get paid. Ava and patient messages stop until you top up, and your records and diary are never blocked.

Can patients see their invoices?

Practor emails invoices to your patients, and their patient portal shows each invoice, what's been paid and where the claim stands with their medical insurance.

What does invoicing cost?

Nothing. Invoicing is free for everyone in the practice, however many invoices you send, with no seat charge. See every rate