Insurance claims sent the national way
Claims can go to insurers through the National Health Claims Exchange, using papers already in the record, where the insurer is on it.
- Free walkthrough
- No commitment
- Proposal in writing
Example screen with sample data.
Sound familiar?
What goes wrong today.
Staff log in to many different websites and upload the same papers again and again.
The desk calls the insurer to ask where a claim is.
Details already in the file are typed again into each claim form.
How it works
Simple, step by step.
- Case marked for exchangeIf the insurer is on the exchange, the case is marked to go through it.
- Claim built from the recordPatient details, notes and bills fill the claim from the file.
- Claim sentThe TPA desk checks it and sends it with one action.
- Replies come back to the caseInsurer replies and status updates appear on the same case.
In detail
Everything in nhcx claims.
No separate login for each insurer that is on the exchange.
Claim details are taken from the patient's file and bill.
Replies and status updates show on the case.
The patient's ABHA number is used where the claim needs it.
Insurers not on the exchange are tracked on the same desk as usual.
Every message sent and received is kept on the case.
Before and after
The difference on day one.
Today
- A different website for every insurer.
- Details typed again into each form.
- Status found by phone calls.
With Kaagazy HMIS
- One screen for insurers on the exchange.
- The claim is filled from the record.
- Status updates show on the case.
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.
Insurance approvalsSend cashless approval requests, answer insurer questions and ask for more when the stay runs long, all from one desk.
PM-JAY and government schemesRun PM-JAY, CGHS, ECHS and state scheme patients with their own packages, checks and claim papers.
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.
Is NHCX ready today?
It is planned. Kaagazy HMIS is in development, and the exchange link depends on each insurer being on it.
What about insurers not on the exchange?
They stay on the same TPA desk, with tracking and papers as usual.
Do we need any approval to use it?
Hospitals register on the exchange with their HFR details. We will walk you through what is needed.
Kaagazy HMIS · coming soon
See nhcx claims 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