* Creation of unique pricelist for every corporate/TPA/government schemes
* Easy modification of the base pricelist to create new pricelists
* Provision to include/exclude services in each pricelist
* Provision to change the service code and service name per service in every newly created pricelists
* Validation of corporate patients separated from the registration desk to avoid patient crowd at registration counters
* Separate validation screen for Corporate/TPA/Govt schemes patients
* Provision to choose active pricelist
* Provision to split the approval amount bill type wise
* Provision to capture the policy details for every request
* Authorization facility
* Provision to upload documents
* IP Pre Authorization Request – Pre-Authorization will be raised against patient’s Register number
* IP Pre Authorization Approval – Pre- Authorization Request needs to be either Approved or Rejected by the insurance officer for further enhancements
* Enhancement Request – User can place an enhancement request when Pre- Authorization amount is not sufficient, until the patient reaches the Claim Credit Limit. If the patient gets discharged the user will not be able to place further Enhancement Requests
* Preplanned Request -This can be used for OP patients Pre Authorization request. These requests will also get populated in IP Conversion page for IP Pre Authorization conversion.
* Pre Authorization Conversion – If the patient is registered as IP then the convert button will appear. User can delete the record if there is no response from the patient
* Pre Authorization Document – Auto Post of all the documents for which the patient have undergone services like Radiology/Cardiology/Lab
* Provision to cancel a raised authorization request
* Separate claim entry screens for OP and IP patients
* IP pre authorization report
* Claim detail report
* TPA detail report
* MIS – Age wise report
* MIS – Disease wise report
* MIS – Doctor wise report
* MIS – OS TPA wise report
* Template based software generated reminder letters to be sent to corporate having details about patient’s outstanding details against the corresponding corporate
* Outstanding Settlement is part of BackBone to analyze Corporate payments
* Conversion of patient from one price list to another price list when patient changes from general to corporate. Related services done previously automatically changes to Corporate tariff from the date of admission
