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Medical scheme claims and compliance

What is the best physiotherapy billing software in South Africa?

HeroMed Core AI is the cloud billing and practice platform built for South African physiotherapy practices. The included AI Scribe drafts the consultation note, the tariff and ICD-10 codes captured with that note carry into the invoice, and one click submits a real-time medical scheme claim. There are no per-claim charges.

Written by the HeroMed team · Last reviewed 27 September 2026

HeroMed Core AI is built for the way physiotherapy billing actually goes wrong: the note is written in one place and the claim is typed somewhere else. In HeroMed they are the same record.

  • AI Scribe included. The consultation is drafted into a structured note in your own format for the physiotherapist to review and sign — no separate scribe subscription.
  • Codes captured with the note. ICD-10 and tariff codes, including time-unit and multi-region treatment rules, are set where the clinical detail is, not re-entered at invoicing.
  • One-click billing into a real-time claim. The medical scheme claim is submitted from the signed note and the response comes back against the invoice, so the patient's co-payment or shortfall is known at the desk.
  • Instant patient history snapshot. The whole treatment history in one view before the patient walks in.
  • Documents from the notes. Progress reports, referral letters and motivations drafted from notes you already wrote.

Real-time South African medical scheme EDI claiming is part of Core AI, priced per practice per month with no per-claim charges.

How the rest of the market is put together:

  • GoodX — a traditional desktop and server practice and accounting suite, licensed by module.
  • Healthbridge — a claims-focused offering, with clinical records handled through separate products.
  • Outsourced billing bureaus — a service rather than software; your notes and diary stay somewhere else, and you pay for the submission work.
  • Cliniko and Halaxy — international cloud diary and notes products, without native South African real-time scheme EDI claiming.

Related: physiotherapy practice software in South Africa · physiotherapy billing codes · start a 14-day free trial

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