Billing, Insurance & TPA

Hospital Billing, Insurance & TPA Claims Software

Every service billed, every claim tracked, every rupee — or dirham, or dollar — accounted for.

Key features

Consultations, tests, bed days and pharmacy post to the bill automatically.

Surgery and health-check packages, approval-based discounts and concessions.

Deposits, refunds and settlements with receipts and audit trail.

Payer price lists, pre-auth, enhancement, claim submission and settlement tracking.

Local currency, tax type (GST/VAT/sales tax) and invoice format per country.

Cashier closing, collection reports and outstanding by payer.

Step 1
Pre-auth for ₹2,40,000 raised on admission; insurer approves ₹2,10,000.
Step 2
Implant upgrade adds ₹18,000 — billed to the patient automatically as a non-covered item.
Step 3
Claim submitted at discharge; settlement is matched when the payment arrives.

Illustrative example with sample data.

Can we have different prices per insurer?

Yes. Each payer can have its own tariff, discounts and approval rules.

Can patients pay online?

Bills can be shared as secure links; online payment gateways can be connected.

Does it handle government schemes?

Yes. Schemes and corporate payers are set up like insurers with their own tariffs.

Can we see pending claims?

Yes. The TPA desk shows claims by status, payer and age so nothing is missed.

Run every department of your hospital on one connected platform — from the front desk to discharge, across one branch or fifty.

Book, check in, triage and call patients in order — with live doctor load and zero confusion at the front desk.

Give doctors one screen with the full patient history, quick templates and e-prescriptions that print in seconds.