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Billing & Insurance — Healthcare ERP

Handle patient billing, insurance claims, package billing and TPA management in one revenue-cycle flow.

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Bill cleanly, get claims paid

Healthcare billing is complex — cash, insurance, TPAs, packages and scheme rates all mixed — and a messy revenue cycle means denied claims, delayed payments and revenue simply lost.

This module runs the revenue cycle: patient billing across cash and credit, package billing, and insurance claim and TPA management — so charges are captured, claims are submitted cleanly, and money is recovered.

It connects directly to the rest of your Healthcare ERP, and can be extended with AI or mobile apps for field teams.

What the module handles

The healthcare revenue cycle

🧾
Patient billing
Bill across cash, credit and packages.
🛡️
Insurance claims
Prepare and submit insurance claims.
🏢
TPA management
Manage TPAs and approvals.
📦
Package billing
Bill surgical and treatment packages.
🔍
Claim tracking
Track claims to settlement.
📊
Revenue reporting
Report revenue and outstanding.
Our Process

How it works

From charge capture to recovered claim.

✓
1
Capture charges
Record services and charges.
✓
2
Bill
Raise patient bills.
✓
3
Submit claim
Send to insurer/TPA.
✓
4
Track
Follow to settlement.
✓
5
Reconcile
Match settlement.
✓
6
Report
Review revenue.

What it changes for your business

💵
Fewer denied claims
Clean claim preparation cuts denials and rework.
⚡
Faster payment
Tracked claims and TPA management speed recovery.
📦
Package billing made easy
Complex package rates bill correctly.
📊
Revenue visibility
Revenue and outstanding are always clear.

Who it is for

Providers with insurance and TPA billing:

HospitalsMulti-specialty clinicsNursing homesHospital chains

Billing & Insurance — frequently asked questions

Does it handle insurance and TPA claims?

Yes. Insurance claims and TPA approvals are managed end to end, from preparation and submission through to settlement.

Can it do package billing?

It can. Surgical and treatment packages are billed at the correct package rates, handling their complexity.

Does it reduce claim denials?

It does. Clean claim preparation and tracking reduce denials and speed recovery of what you are owed.

Is revenue visible?

Yes. Revenue and outstanding are reported, so the financial picture of the revenue cycle is always clear.

See Billing & Insurance in your Healthcare ERP

See Billing & Insurance clean up your revenue cycle — book a demo across billing and claims.

Request a Demo →