Payor tariffs, split billing between patient and insurer, and preauthorization and claim tracking — instead of email and phone calls.
Payor tariffs, split billing between patient and insurer, and preauthorization and claim tracking in one screen — for corporate tie-ups and TPA cashless work.
Clinics empanelled with a TPA, doing corporate tie-ups, or handling any cashless work with an insurer.
A preauthorization's status lives in someone's inbox, not in a system anyone else can check.
What the patient owes and what the insurer owes gets worked out on paper after the invoice is already raised.
Which claims are still outstanding, and for how long, is a question nobody can answer without digging.
Different staff apply a payor's agreed rate inconsistently because it isn't set once, centrally.
The split happens directly on the same invoice the billing module raises — not a separate reconciliation exercise — and claim status feeds straight into the reports module for payor-mix and aging visibility.