Billing Guard

Every claim is scrubbed against ministry rules before it reaches Fillware — benefit maxima, duplicates, deadlines, documentation, and prohibited combinations — and paid claims are watched for post-payment audit exposure.

$57.00
Fees protected
blockers caught before submission
3
Pre-submission issues
across 10 claims scrubbed
$19.00
Audit recovery risk
paid claims with documentation gaps
86%
Audit readiness
paid claims with complete bundles

Pre-submission findings3

  • Benefit maximum reached — Urinary tract infection (uncomplicated)LO
    3 of 3 claims already used in the past 365 days. HNS will reject with "LO — Benefit Maximum Exceeded" (no override). Fee cannot be recovered by resubmission.
    Whitby, Eleanor · $19.00 · View in Billing
  • Past the same-day submission deadline (1 day late)
    Ministry rules require claims on the day of service. Late submissions risk rejection and the fee may be unrecoverable — submit immediately and document the delay.
    Whitby, Eleanor · $19.00 · View in Billing
  • Past the same-day submission deadline (2 days late)
    Ministry rules require claims on the day of service. Late submissions risk rejection and the fee may be unrecoverable — submit immediately and document the delay.
    Stamatis, George · $19.00 · View in Billing

Post-payment audit risk1

  • Paid claim with incomplete documentation
    Ministry post-payment verification recovers the full fee when documentation is incomplete: prescription copy missing.
    Whitby, Eleanor · $19.00 · View in Billing