TPA Checker matches each TPA payment statement against your CMS invoices. It flags rejected, short-paid and missing claims and shows the bank deposit to expect. It runs on your clinic computer, so patient data never leaves it.
Month-end reconciliation means reading a statement line by line against your invoices. Short payments, rejections and missing claims are easy to miss, and every one is money the clinic has earned.
Tell us which TPA or CMS you use and we will tell you honestly whether it is supported.
TPA Checker is plain, readable program code. Your IT person can inspect it, and the program shows you what it does.
If TPA Checker is not right for your clinic, ask within 30 days and we refund you. No questions about why.
Prices are net. We are not GST-registered, so no GST is added.
TPA Checker comes from The Admin Doctor: Dr Loh Wei Liang, Dr Hoo Chee How and Dr Tan Yingze. We use these same workflows in our own clinic, and we build and test without patient data.
Need other admin automated, such as supplier invoices, stock ordering or payslips? Book a free 45-minute walkthrough.
Yes. Email us and we will show you TPA Checker on dummy data. If you subscribe and it does not work for your clinic, you have 30 days to get your first payment back.
No. The TPA file and CMS export are read on your computer and results are saved there. The program only contacts our licence and update server, and Plato when you post payments.
TPA Checker uses a free program called Python. On Windows, TPA Checker installs it for you the first time you open it (internet needed, a few minutes). On Mac, it tells you and opens python.org so you can install it once. There is nothing else to set up.
Yes, with the TPA's Excel claims report. Reading the TPA's PDF statement currently works on Windows only.
For a new CMS export layout, you can match its columns in the program in a minute. For a new TPA, send a masked sample (column headings only, no patient data) and we will tell you whether it can be added.
Only when you tell it to. It shows every payment first, you approve with a code from the preview, and it checks each invoice afterwards. Posting is available for Plato.
The program keeps working for 7 days after your paid-through date, then pauses until payment is received. Your files and results are never held back.
The program checks its own reading against the statement's totals and stops when they disagree. It also shows the expected bank deposit so you can compare it with your bank. Please still review results before posting.