GuideEvery way an Indian payer reduces a hospital claim — room caps, pre-auth clocks, PM-JAY, NHCX.Read the guide →

Help · Contracts and tariffs

Loading a tariff

A payer tariff is a dated document. Bill against last year’s and the difference is a deduction you cannot argue.

  • Each tariff is loaded with its effective dates.
  • A claim is checked against the version in force on the admission date.
  • Superseded versions are kept, because a query about an old claim needs the old rates.
  • Billing above the contracted rate is flagged before the bill is raised.