Insurance & Corporate Billing
The third-party revenue engine
Entitlement-aware billing for insured, panel and corporate-credit patients — each payer’s tariff, exclusions and pre-authorization held as live rules so no bill ever charges an excluded item or misses an approval.
Insurance & Corporate Billing
What this module solves
Missing pre-authorization is the single biggest cause of claim rejection; excluded items get silently billed to insurers and claims sit forgotten in drawers.
What your facility gains
- Pre-auth becomes impossible to forget
- Excluded items never silently billed to the insurer
- A thousand small visits become one clean corporate invoice
- Recovery tracked from approval to cleared funds
The workflow
Eligibility
Policy verified at the desk.
Pre-Auth
Approval requested and logged to the case.
Treatment
Proceeds with cover locked.
Claim
Auto-assembled and batch-submitted per insurer.
Recovery
Tracked to settlement and reconciled.
Everything in Insurance
Related modules
SoftHMIS modules share one database — they work better connected.
See Insurance & Corporate Billing in action
See SoftHMIS configured around your facility — modules, workflows, tariffs and dashboards. Book a free demo on your own workflows and ask the hard questions.
No obligation Live demo on your workflows 042 35733324