SOLUTIONS

Medical Claims Switching

The core of the Pauweb platform: a secure, real-time switch that routes electronic claims between healthcare providers and medical schemes or insurers — with membership validation, benefit checks and adjudication responses in seconds.

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See the switch at work

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KEY CAPABILITIES

What Medical Claims Switching gives you

Real-time routing

Claims move from provider to payer instantly over encrypted channels — no paper, no courier, no batch delays.

Instant membership validation

Verify a patient's cover and available benefits at reception, before treatment begins.

Automated adjudication

Rules-based checks against benefits, tariffs and limits return an approve/decline decision in seconds.

Multi-payer connectivity

One connection to Pauweb reaches every scheme and insurer on the network.

Full audit trail

Every transaction is time-stamped, logged and traceable end to end.

Reversals & corrections

Handle reversals, resubmissions and amendments electronically with a clean history.

THE DIFFERENCE IT MAKES

Benefits you can measure

GETTING STARTED

How implementation works

1. Scoping call

We map your current claims flow, systems and payer relationships.

2. Connect & configure

We integrate with your practice or hospital system — or set you up on our web portal — and configure tariffs and rules.

3. Go live with support

Parallel-run, staff training and hands-on local support until the switch is routine.

QUESTIONS

Frequently asked

A provider using our web portal can be live within days. Full integration with an existing hospital or practice management system typically takes a few weeks, depending on the system.

No. Pauweb is cloud-based and works from any modern browser. Integrated setups use our secure APIs from your existing systems.

Claims can be captured and queued locally, then transmitted automatically once connectivity is restored. No transaction is lost.

The network is growing continuously. Contact sales for the current list of connected payers — and if your main payer isn’t connected yet, we’ll work with you to bring them on.

See Medical Claims Switching in action

Book a walkthrough with our team and see exactly how it would work in your organisation.