Finance & Accounts
Policy Management, Claim Adjudication & Ledger Reconciliation.
Manage cashless hospitalization claims with full financial reconciliation. Claims filed against invoices validate policy coverage and balance due, while approved settlements record verified payments directly into the hospital billing ledger.
Verified Impact: Eliminates manual insurance spreadsheet reconciliation and accelerates claim settlements.
TAX INVOICE #INV-2026-0891GSTIN COMPLIANT
Discharge Clearance: Instant (3 mins)
PATIENT:Suman Lata Devi
UHID / IPD NO:UHID-8922 / IP-441
ADMITTED / DISCHARGE:22 Aug → 26 Aug
PAYMENT MODE:UPI / Cash Split
| SERVICE / ITEM DESCRIPTION | DEPARTMENT | AMOUNT (INR) | LINKAGE |
|---|---|---|---|
| General Ward Bed Charges (4 Days @ ₹2,200/day) | IPD | ₹8,800.00 | ✓ Auto-Charged |
| Dr. Kulkarni Consultation (3 Visits @ ₹800) | Doctor | ₹2,400.00 | ✓ Auto-Charged |
| Inj Ceftriaxone 1g IV (Batch #OCT26-B) x 6 | Pharmacy | ₹1,980.00 | ✓ Auto-Charged |
| Complete Blood Count (CBC) + Serum Creatinine | Lab | ₹1,150.00 | ✓ Auto-Charged |
| Chest X-Ray Digital (PA View) | Radiology | ₹750.00 | ✓ Auto-Charged |
| Nursing Care & Consumables Kit | Nursing | ₹1,400.00 | ✓ Auto-Charged |
Zero Unbilled Charges. All 6 departmental folios verified.
TOTAL NET INVOICE:₹16,480.00
Core Capabilities & Database-Enforced Workflows
Engineered specifically for the operational velocity of 30–300 bed Indian hospitals.
Insurance provider catalog and patient insurance policy management
Claim filing directly against invoice balance due with over-claim guards
Adjudication lifecycle (Submitted → Approved / Rejected → Settled)
Settled claims create real Payment rows (`method: INSURANCE`) in billing
Expired policy rejection guard preventing invalid cashless admissions
Front-desk staff access aligned with standard hospital billing permissions