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Credit Billing (CB)
Credit Billing • • • Credit Billing application covers end to end tracking from corporate patient registration to dispatch of bills for particular organization/insurance companies. Any returned bills are also tracked for each and every organization till bill payment from organization/insurance is complete. Our Credit Billing application tracks every patient bill as follows: 1. Registration as credit patient. 2. Admission as credit patient. 3. Billing based on agreed organization/insurance tariff. 4. Verification of bills by Credit Billing department. 5. Bills audit by Hospital Audit department. 6. Bills dispatch to relevant organization/Insurance company. 7. Tracking of returned bills with any query till re-submission. 8. Bill payment by organization/Insurance, based on the submitted bill from Hospital.
Credit Billing Dashboard • • Below dashboard helps hospital management to know the status of bills (Approve bills, Pending bills, verified bills, Tagged bills, Audited bills, Dispatched bills, and Paid bills) at various stages. List of the bills under various stages can be exported to Excel, PDF or CSV formats for selected date range.
Credit Billing Screen Flow
Corporate Patient Registration • Corporate patients can be registered with organization details and necessary documents like Employee Card, aadhar card , Referral Letter from organization. . etc can be uploaded
Covering Letter Documents • • Below screens generate necessary documents for submission of bills to credit organizations/insurance companies. Options like Exclude header and Include header are incorporated for taking printouts of the necessary documents
Final Billing Process • • Below screen represents corporate final IP billing based on organization/insurance tariff using priorities. Priority Example: 1. CGHS 14 NABH, 2. AIMS, 3. NIMS, 4. Default-General
Return bills processing • • After dispatching the bills to the organization/insurance companies, if they find any issue/query in the bill, like tariff mismatch, document mismatch, missing signature/stamp etc. , organization/insurance companies return the bills to hospital. The returned bills are handled based on the issue/query and further processing of the bills continue till the issues are resolved and the bills are re-submitted.