Known-gap billing
You charge a gap. We manage both payments together.
The fund benefit claimed efficiently. Your patient’s gap managed from initial contact to final payment.
Two payments for the one procedure: the ECLIPSE claim, lodged as for no-gap, and the patient’s out-of-pocket fee, invoiced with informed financial consent. Send us the details in whatever form suits your practice, and we manage both through to payment.
Most of our doctors join on a colleague’s recommendation.
How FreshClaim does known-gap billing.
- Send a theatre list, an email or the claim itself
- Your fee schedule applied automatically
- Informed financial consent in your own words
- Gap invoiced before the procedure where possible
- Every gap checked against the fund’s limit
- Fund benefit lodged the same day, a median of 64 hours to payment
- Rejections are ours to fix
- Gaps held in trust to allow refunds and adjustments on the day
- Transferred to you once you confirm the procedure
- Both payments in one monthly report
2.85%plus GSTon the ECLIPSE payment.
5%plus GSTon the patient payment.
The 5% covers consent, invoices, receipts and follow-up. No minimum, so a small gap isn’t eaten by a fee. No payment, no fee. No setup fee, no lock-in.
Getting started takes about 15 minutes. We prepare and submit your registration paperwork, and you can start sending claims while the funds finish theirs.
Bill some patients at no-gap, or invoice others in full? Compare all three