Insurance approvals that don't get stuck
The TPA desk prepares each request with notes and papers, follows every query, and asks for more approval before the bill goes over.
- Free walkthrough
- No commitment
- Proposal in writing
Example screen with sample data.
Sound familiar?
What goes wrong today.
Approval requests and insurer queries sit in an inbox, and nobody knows who is following up.
A request goes back because one report or ID was not attached.
Nobody notices the bill is above the approved amount until discharge day.
How it works
Simple, step by step.
- Patient admitted on insuranceThe desk records the policy and the TPA, and attaches the ID and card.
- Request preparedDoctor notes, the estimate and reports are pulled from the record into the request.
- Queries answeredInsurer questions are logged against the case, with who answered and when.
- More approval asked in timeWhen the bill nears the approved amount, the desk is alerted to ask for more.
In detail
Everything in insurance approvals.
Notes, reports and estimates are attached from the patient's file, without scanning.
Each case shows requested, query, approved, more requested or settled.
A warning when the running bill gets close to the approved amount.
Every insurer question and answer is kept on the case.
Every case has a staff member responsible for following it.
See how long each case has been waiting on the insurer.
Before and after
The difference on day one.
Today
- Insurer queries wait in an inbox.
- Requests go back for missing papers.
- The bill crosses the approval without warning.
With Kaagazy HMIS
- Each query sits on its case with a staff owner.
- Papers are attached from the record.
- The desk is alerted before it does.
Who uses it
Made for the people doing the work.
More in Bills and insurance
It all works together.
Every room day, test, medicine and visit lands on the bill as it happens, and the family can see it.
Packages and rate listsKeep one rate list per payer and package, so every bill uses the right price without anyone checking a file.
PM-JAY and government schemesRun PM-JAY, CGHS, ECHS and state scheme patients with their own packages, checks and claim papers.
NHCX claimsSend insurance claims through the National Health Claims Exchange, where the insurer supports it.
Deposits, credit and company patientsTake advances, set credit limits for company patients and send each company one clear monthly statement.
Refunds and discounts with approvalEvery refund and discount needs an approver and a reason, so money only leaves with a name on it.
Doctor payoutsWork out each doctor's share by visit, surgery or package, using the rules your hospital sets.
GST and TallyApply GST to the right items and send sales, receipts and payouts to Tally without typing them again.
Questions
Before you talk to us.
Does this send requests straight to every insurer?
Tracking works for any TPA or insurer. Direct electronic sending depends on each insurer, and we will go through your list in the walkthrough.
Do doctors have to fill extra forms?
No. The request uses the notes doctors already write in the record.
Can we see which TPA takes longest?
Yes. Waiting time is recorded for each case, so you can compare by TPA.
Kaagazy HMIS · coming soon
See insurance approvals on your hospital.
Tell us what you want to fix first. We call you, show you Kaagazy HMIS on a free walkthrough, and send a written proposal for your hospital.
- A free walkthrough on our screens
- No commitment, no pressure
- A written proposal for your hospital
- Your patients' app, Sehat, free
Prefer to talk now? +91 86790 44459 or WhatsApp us