Insurance claims

Track every claim until the insurer pays.

The invoice splits the cost between the patient and the insurer. The front desk collects the patient's share today, and the claim tracks the rest.

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An insurance claim for the patient: its steps from draft to paid, the total with the insurer-approved and patient amounts, and each procedure split into clinic price, insurer share and patient share.

The split is done for you

Add each insurer with its plans and price list. The patient's share and the insurer's share are worked out on every procedure.

Each insurer's own price list
The clinic price, the insurer's share and the patient's share on every line
The claim's status, from draft to paid

The insurance companies page: each insurer with its outstanding amount, its plans and how many days it actually takes to pay against its contract.

One batch a month for each insurer

Bundle the month's claims into one payment request. When the insurer's cheque arrives, match it against the whole batch.

Claims with no attachments are flagged before you send
If the insurer pays less, settle the claims in order or spread the gap
Write off what will not be paid, with a reason

The insurance batches list: one batch per insurer per month, with the amount claimed, received and still outstanding.

See what insurers owe you

One page shows what each insurer owes, how old it is and when the next payment is due.

Outstanding amounts by age
Claims delivered but never sent to the insurer
How many days each insurer takes to pay
Payments that are past the date in the insurer's contract

The insurance overview: total outstanding, submitted, unbatched and overdue claims, and the outstanding amount by age.

See it on a clinic like yours.

A 30-minute video call, in Arabic or English, on a demo clinic full of data.