Insurance Manual

Claims Processing, Policy Management, and Approval Workflows.

Claims Management

Pre-authorization

Initiate requests in the "Pre-authorizations" tab. Click "New Pre-auth" and enter patient and policy details. Track status (Pending/Approved) before admission.

Claims Processing

Monitor submitted bills in the "Claims" tab. Update statuses (Submitted β†’ In Review β†’ Approved) as you communicate with TPA.

Provider Plans

Insurance Providers

Manage empanelled companies in the "Providers" tab. Click "Add Provider" to onboard new payers.