Our Solution

Billing System

Unified payment platform for all payment methods

  • Single partner to deal with multiple vendors
  • Single reconciliation instead of multiple reconciliations, that may be difficult to track
  • One time singe integration that stabilizes the system
  • Reduces administrative and operational challenges
  • Real-time information and customization instead of offline information and no customization
Billing System V1

Our Solution

Billing System

Unified payment platform for all payment methods

  • Single partner to deal with multiple vendors
  • Single reconciliation instead of multiple reconciliations, that may be difficult to track
  • One time singe integration that stabilizes the system
  • Reduces administrative and operational challenges
  • Real-time information and customization instead of offline information and no customization
Billing System V1

TPA and Insurance Management

ClinDecision offers a solution to the latest challenge faced by hospitals, which is the management of Third Party Administration (TPA) and cashless Insurance Management. Our system integrates the billing module of insurance companies with ours, facilitating the settlement of bills for insured or covered patients. This feature allows for the real-time verification of a patient’s eligibility for reimbursement, reducing hassle for all stakeholders involved.

Our system operates online, on behalf of the patient, in a specific format which includes the patient’s discharge summary and various consumption bills. This process makes tracking the status of claims easy for all involved parties.

TPA and Insurance Management

ClinDecision offers a solution to the latest challenge faced by hospitals, which is the management of Third Party Administration (TPA) and cashless Insurance Management. Our system integrates the billing module of insurance companies with ours, facilitating the settlement of bills for insured or covered patients. This feature allows for the real-time verification of a patient’s eligibility for reimbursement, reducing hassle for all stakeholders involved.

Our system operates online, on behalf of the patient, in a specific format which includes the patient’s discharge summary and various consumption bills. This process makes tracking the status of claims easy for all involved parties.

Features of the TPA and Insurance Module
  • Provision to record the TPA and Insurance details of a patient.
  • Instant verification of eligibility of the patient.
  • Online submission of claims forms.
  • Provision for follow up with the TPA’s and Insurance companies.
    Status enquiry of the submitted claims.
  • Integration with other modules for discharge summary and other details.
  • Provision to bill the patient separately for the services provided by the hospital that are not covered by the TPA and Insurance companies.
  • Provision for cashless hospitalization.
Features of the TPA and Insurance Module
  • Provision to record the TPA and Insurance details of a patient.
  • Instant verification of eligibility of the patient.
  • Online submission of claims forms.
  • Provision for follow up with the TPA’s and Insurance companies.
    Status enquiry of the submitted claims.
  • Integration with other modules for discharge summary and other details.
  • Provision to bill the patient separately for the services provided by the hospital that are not covered by the TPA and Insurance companies.
  • Provision for cashless hospitalization.