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

Reading an advice, reconciling, short-payments and disputes.

Reading a settlement adviceThe fields that matter, and the one that usually explains all the others.Reconciling an advice against the claimMatching, partial payments, and what to do when the advice references a claim you do not have.Short-paymentsA claim paid at sixty per cent is not a paid claim.

Other sections

Getting startedSetting up a clinic or hospital, users, roles and the first week.AppointmentsThe book, the waitlist, cancellations, no-shows and family bookings.Patients and recordsOne record per person, merging duplicates, UHIDs and consent.PrescriptionsTyped prescriptions, interactions, and what the patient receives.LabsOrders, samples, abnormal flagging and how a result is released.PharmacyDispensing, one shared drug list, stock, expiry and substitutions.Billing and collectionsBills, patient balances, ageing and what a write-off means here.Claims and revenue integrityRisk scoring, room caps, the pre-auth clock and queries.