How to Check Your Claims
Step-by-step guide for clinic staff
Before You Start — Prepare These 2 Files
1. Panel Payment Report
Download this from your TPA panel portal (AIA, MiCARE, Red Alert Online, Health Connect, or PMCare). It is an Excel file (.xlsx or .xls) that shows which patients the panel has paid.
Not sure how to download? See our Panel Download Guides
2. Account Receivable (AR) File
Export this from your clinic system (e.g. Clinisys). It is your clinic's list of panel claims — showing each patient visit, the amount billed, and whether it has been paid.
Must be in .xlsx format (Excel). Download Clinisys AR Export Guide (PPTX)
After you log in to ClaimHub, look at the left sidebar menu. Click "Check my claims" (or "Reconcile" on the website version).
Choose the panel that matches your payment report file. For example, if you downloaded the report from AIA's portal, select AIA.
AIA
MiCARE
RedAlert
Health Connect
PMCareClick "Choose File" and select the Excel file you downloaded from the panel portal. A green confirmation message will appear showing the file name.
Click to choose file or drag & drop here
Max 10MB • .xlsx, .xls
Click "Choose File" again and select your AR file from Clinisys (or your clinic management system). This file shows your clinic's panel claims.
Click to choose file or drag & drop here
Max 10MB • .xlsx only
Download the full step-by-step guide with screenshots (PPTX)
Enter the date when your clinic received the payment from the panel. You can find this date on the payment advice letter or bank statement.
Once all 3 items are filled in (panel type, both files, and date), click the blue "Process Reconciliation" button. Wait a few seconds — do not close the page.
You will see this while it processes:
When processing is done, you will see a green success message showing how many claims were matched.
Matched 142 out of 150 records (94.67%)
Click "View Detailed Results" to see the full breakdown and download the reconciliation report as an Excel file.
On the results page, click the "Download Report" button to save the reconciled Excel file. This file shows:
- Matched — Panel has paid. Amount is confirmed.
- Partial — Panel paid less than what clinic billed.
- Rejected — Panel rejected the claim. Check reason.
- Pending — Not in panel report. Follow up needed.
You can also go to "Past Runs" in the left menu anytime to find and re-download previous reports.
Quick Summary
Common Questions
"File format not supported" error
Make sure you are uploading an Excel file (.xlsx or .xls), not a PDF or Word document. If the panel portal gives you a PDF, try RedAlertOnline or Health Connect panel type — they accept PDFs. For other panels, you need to download the Excel version from the portal.
"File size exceeds 10MB" error
The file is too big. This usually happens if the date range in your AR export is too wide. Try exporting a smaller date range (e.g. 3 months instead of 1 year).
Why are some claims showing as "Pending"?
This means the claim was in your AR file but not found in the panel payment report. The panel has not paid for it yet. You should follow up with the panel company.
Can I check multiple panels at once?
Currently, you process one panel at a time. For example, do AIA first, then Micare, then PMCare. Each run takes about 5-10 seconds.
Where are my past reports?
Click "Past Runs" in the left menu. You can view and re-download any previous reconciliation report from there.
Do I need to be online?
If you are using the desktop app (downloaded installer), everything runs on your computer — no internet needed after activation. Your data never leaves your PC.
The match percentage is low — is something wrong?
Not necessarily. Make sure the date range in your AR file matches the panel payment period. Some TPAs split payments across months. Try narrowing the date range in both files.
What if the panel paid a different amount than what I billed?
This shows as "Partial". The difference could be co-payment, deductible, or items not covered. Check the report for the exact difference and contact the panel if it seems wrong.
I don't have enough credits — what do I do?
Click "Top up credits" in the left menu to purchase more. Payment is via online banking (FPX) and credits are added instantly. If the doctor needs to approve the purchase, send them the link — they can top up from their phone in under 2 minutes.
I uploaded the wrong file — how do I redo it?
Click "Process Another File" on the results page. Your previous result is saved in "Past Runs" — it won't be lost.
The report shows 0% match — nothing matched at all
Check: (1) Did you select the correct panel type? (2) Did you upload the right files in the right slots? (3) Do the files actually contain data? Open them in Excel to verify.