SwitchComm Plus for QEDI

SwitchComm Plus is the latest communications software used by QEDI practices to transmit electronic data to and from MediSwitch.
SwitchComm Plus enables practices to submit online claims to MediSwitch, where they are instantly assessed before being sent to the medical schemes and administrators for adjudication and payment; and, in the same connection, the IAC responses to these claims are automatically returned. In addition, SwitchComm Plus will return scheme responses from participating destinations as soon as these are made available.

 Download here          Download here
  • Step 1: Copy the MIN_UP.exe file to your local C:qedi
  • Step 2: Go to the command prompt
  • Step 3: Go to c:qedi
  • Step 4: In the c:qedi directory type the following - min_up.exe –y and press Enter
  • Step 5: This will extract the upgrade files.  When the upgrade is done click on Exit
  • Should you require assistance, contact 0800 111 703 between 8:00 and 17:00 from Monday to Friday.
   
Greater Efficiencies :: Better Cash Flow


Running a successful medical practice today demands efficiency, a healthy cash flow, reduced exposure to financial risk, less admin hassle and greater control.

With the new and advanced SwitchComm Plus practices can:

» submit claims online
» receive an 'Instantly Assessed' (IAC) response for each claim submitted
» track and manage claims from a single User interface
» check the membership status and eligibility of patients online
» receive electronic Remittance Advices (eRAs) from participating destinations
» access the latest MediSwitch newsletters, bulletin messages and destinations codes
 
And all this at no additional cost to your practice.

Latest Technology :: Online Claiming


Without changing or upgrading your PMA, SwitchComm Plus enables you to submit online claims, where they are instantly assessed before being sent to the medical schemes and administrators for adjunction and payment; and the IAC responses to these claims are automatically returned to your system.  In addition SwitchComm Plus will return scheme responses from participating destinations as soon as these are made available.

SwitchComm Plus enables practices to receive online responses to claims via QEDI.

   

Simply more control


With SwitchComm Plus, you can track and manage claims with an easy-to-use interface that provides access to:

» Ribbon menus for easy navigation
» Quick view and print options
» A single view displaying all information related to 'claims sent' and 'responses received'
» A facility to customise the information printed on feedback reports
» A facility to print status reports for user selected dates
» An Options TAB from where various settings can be configured
» Detailed communications logs


Rich in features

Having a fully featured system on which to base your claims submission and management, provides a host of benefits:

» Advanced data transfer methods - it's faster!
» Compatible with Windows XP and later operating systems
» Requires the screen resolution set to 1024  x 768 or higher
» Uses Telkom's robust VIP dialup network
» Connection via analogue modem, ISDN modem or via direct IP (ADSL, 3G
» GPRS, cellphone and more)
» Is not resource intensive - supports an asynchronous process
» Auto - upgrades carried out remotely

Over a period of time, MediSwitch will initiate the auto-upgrade of all existing QEDI SwítchComm users to SwítchComm Plus.

Q: How will the upgrade work?

Once your practice has been flagged by MediSwitch, the upgrade to SwítchComm Plus will start automatically when you next access SwítchComm ie:

1. MediSwitch will send a message to SwitchComm to prompt your system to upgrade to SwítchComm Plus.
2. In response to this message, your system will connect to MediSwitch and download the upgrade files.



3. SwítchComm will close.
4. The upgrade process will begin during which very little user intervention is needed. Do not close or exit any of the screens that display.
5. Once the upgrade is complete, SwítchComm Plus will automatically start and the 'intro' screen will display. Browse through by clicking Next on each page.



6.You will be prompted to import your last month's data. Should you select 'No' you will be given the option to select the number of month's data that you would prefer to import. Depending on the number of months you select, the size of the practice and the number of files this may take a while. Do not interrupt your system while the import is in progress.


   

7. The following processes will happen automatically during the upgrade process:
- All your configuration settings will be imported into SwítchComm Plus.
- SwitchComm will be backed up and your old QEDI folder will be renamed to qedi.old.
- Your source ID and password will be retrieved from MediSwitch and automatically added to your program settings.
- Your old SwitchComm icons will be replaced with new SwitchComm Plus  icons.

SwitchComm Plus process types

SwítchComm Plus can be configured (via the Options TAB under System Settings) to submit claims to MediSwitch using one of three Process Types and in addition, for broadband users, the Auto Responses flag can be activated to automatically download additional claim responses and file updates as they become available.

Auto Connect:

To configure SwítchComm Plus to automatically submit claims to MediSwitch immediately after each batch has been created via your PMA and to automatically download all available responses in the same connection.

There will therefore be no need for you to prompt your system to send claims. You may however not be able to print EDI pre-transmission reports, unless your PMA does this automatically after creating each batch.

If you select this option, and use a broadband connection, you can activate the Auto Responses flag to configure SwítchComm Plus to automatically connect to MediSwitch at pre-defined intervals to download additional claim responses and file updates as they become available. Alternatively, if you select to deactivate the Auto Responses flag, SwítchComm Plus will only check for additional responses each time a batch is sent.

Auto Connect is recommended if you use a broadband connection. Should you however use a dial up connection and select this option, ensure that the Auto Reponses flag has been deactivated. Failure to do so could result in your practice having to pay excessive dial up costs.

User Initiated:

To configure SwítchComm Plus to submit claims to MediSwitch only after the send function has been activated and to automatically download all available responses in the same connection.

If you select this option, and use a broadband connection, you can activate the Auto Responses flag to configure SwítchComm Plus to automatically connect to MediSwitch at pre-defined intervals to download additional claim responses and file updates as they become available. Alternatively, if you select to deactivate the Auto Responses flag, SwítchComm Plus will only check for additional responses each time the send function is activated.

User Initiated is recommended if you use a dial up connection or if you use a broadband connection but would prefer to manually prompt your system to send claims to MediSwitch rather than using the ‘Auto Connect’ option referred to above. Should you use a dial up connection and select this option, ensure that the Auto Reponses flag has been deactivated. Failure to do so could result in your practice having to pay excessive dial up costs.

Manual Connect:

To configure SwítchComm Plus to only submit claims to MediSwitch and to only check for responses from MediSwitch after you have created a batch via your PMA and selected the Send/Receive button in SwítchComm Plus.

If you select this option, you will not be able to send batches via your PMA and additional responses will also not automatically download.

Manual Connect should only be used for support and testing purposes.

Rich Interface :: Powerful Control

Q: How do I use SwitchComm Plus to track my claiming activities?

Via the Transactions TAB, SwitchComm Plus enables you to view and track the status of each claim or batch of claims submitted.

In addition, an automatic 'drill-down' facility enables you to view the detailed response for each claim line.

  1. Displays the status of each claim or batch of claims submitted
  2. Displays the detailed response for each claim line submitted within the claim or batch of claims. 

Q: How do I use SwítchComm Plus to view and print my Unmatched Responses?
 

As certain responses cannot be matched to the original claim lines, the following icon will display when an unmatched response is received.
When you click on this icon, a window will open from where you can view and / or print your unmatched responses.

Q: How do I use SwitchComm Plus to view and print my eRAs?

Via the eRA TAB, SwítchComm Plus enables you to select, from a list of eRAs from participating medical schemes and administrators, to view and print the detail lines.

Q: How do I use SwítchComm Plus to view and print the MediSwitch newsletters?

Via the Newsletter TAB, SwitchComm Plus enables you to view and print the MediSwitch newsletters.

  

Q: How do I use SwitchComm Plus to view and print the MediSwitch destination codes?

 Via the Destinations TAB, SwitchComm Plus enables you to view and print the latest MediSwitch destination codes.



Q: How do I use SwitchComm Plus to view and print the MediSwitch bulletin messages?

Via the Messages TAB, SwitchComm Plus enables you to view and print the latest MediSwitch bulletin messages.



Q: How can I use SwitchComm Plus to verify a patient's details?
 
Via the MSV TAB, SwitchComm Plus enables you to electronically confirm the membership status and eligibility of a patient online.

Q: How can customise my feedback reports via SwitchComm Plus?

From the Options TAB, select the Reporters icon.  From here you can define the data to be included with, as well as the print layout of your feedback reports.

Q: How can I print Status Report via SwitchComm Plus?

From the Transactions TAB, select the Status icon. This will enable you to print a report reflecting a summary of 'accepted' and 'rejected' claim lines between two user defined dates.

Q: How can I learn more?

To find out more, access SwitchComm Plus and select the Help icon on the top right corner of the SwitchComm Plus screen.



We facilitate FREE SwítchComm Plus workshops nationally. To book one of these workshops call (011) 265 5400 or send an email to training@mediswitch.co.za


SwítchComm Plus - Advanced Claims Management made easy!

Valued Customer :: Value Added Service

We are trusted by over 12 000 healthcare practices to assure you of a speedy, accurate and dependable electronic process to submit and manage claims.

Our trained Call Centre Agents are standing by to assist you on our toll free support line 0800 111 703.