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Insurance Module

To use this module, follow the given steps below:

Click on Insurance Menu: There are many sub-sections in it.

1. Claim Submission:

Here, you can find out the details of the patient who have applied for the claim submission.

Click on ADD Button: You can insert the details of the patient ID, date and time etc, and can find out the details of the patients.

Click on Edit Button: Edit the Claim details of the patient from the list.

Click on Delete Button: Delete the Claim details of the patient from the list.

Search Button: To view the list of the patient who have applied for the claim submission, you need to choose the period  and search details then it will display all the list of the patients accordingly.

 

2. Claim Receipt:

This is the second section you can find out in the insurance tab.

Here, you can find out the details of claim receipt that were provided to the clients. You can easily find the claim receipt of any client.

Click on ADD Button: You can insert the details of the patient ID, date, and time, select claim procedure etc.

Click on Edit Button: Edit the Claim details of the patient from the list.

Click on Delete Button: Delete the Claim details of the patient from the list.

Search Button: To view the list of the patient who have claim receipt, you need to choose the period  and search details then it will display all the list of the patients accordingly.

 

3. Claim Register:

Click on Claim Register

Select the Period from and to , TPA

It will Display all the list of patients along with the details who registered for the claim procedures.

 

4. Third Party Administrator(TPA) Master:

Choose the TPA Master to insert the details of the third party administrator into the software.

Click on ADD Button: You can insert the details of the TPA along with their details such as personal details, ID and logo etc.

Click on Edit Button: Edit the TPA profile information from the list.

Click on Delete Button: Delete the TPA profile information from the list.

Search Button: To view the list of the third party administrator who are already added in to system, you need to choose the period and search details then it will display all the list of the patients accordingly.

 

5. Company Master:

 

Choose the Company Master to insert all details of Insurance comapny into the system.

 

Click on ADD Button: You can add the Insurance company information into the list.

Click on Edit Button: Edit the Insurance company information from the list.

Click on Delete Button: Delete the Insurance company information from the list.

Search Button: Choose the filter options from the search , it will display all the insurance company information accordingly.

 

6. Insurance Running Bill: Here you can view the list of insurance bills which are running of the patients.

Click Insurance Running Bill >> Select >> The Patient from ( Patient list, Apoointment List, Visit List and Admission List)

After selecting the patient from the above list, it will display all the billing details of that patient like due amount, details of the bill etc.

Generate Bill: You can generate the bills by choosing the patient from the list. It will show all the past bills into the hospital.

 

7. MIS Reports:

Click on MIS Reports >> Show Reports Tab >>Select the report>>  Select From Date - To Date>> It will display all the reports of that period.

 

 

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