Insurance work without the paperwork swallowing your margin
Cashless claims, TPA billing and corporate tie-ups tracked properly — so you know what has been claimed, what has been settled, and what is still owed months later.
Insurance receivables are where labs lose money without noticing
The test is done, the report goes out, and the claim goes into a file. Six months later nobody is sure which claims were settled, which were short-paid and which were never submitted. The work was done either way; only some of it got paid for.
What the software does about it
Claim records
Every insurance bill carries its TPA, policy number and claim reference from the point of billing.
Claim status tracking
Submitted, in process, settled, short-paid or rejected — visible per claim rather than per pile.
Settlement reconciliation
Match payments received against claims raised, so short-payments surface instead of disappearing.
Corporate tie-ups
Separate rate lists per corporate client, with consolidated monthly invoicing.
Claim documentation
Bills and reports packaged in the format the TPA asks for, ready to submit.
Outstanding reporting
What each TPA and corporate owes you, aged, so follow-up has a target.
An aged outstanding list changes the conversation
When you can tell a TPA exactly which eleven claims from March are unsettled and what they total, the conversation goes differently than when you are asking them to check their records.
- Outstanding by TPA, by corporate and by age bucket
- Short-payment identification against the amount claimed
- Claim-level notes for follow-up history
- Exportable statements to send with a chase
What changes
- Unsubmitted claims stop sitting in a file until they expire
- Short-payments get identified rather than absorbed
- Corporate invoicing takes an hour a month instead of a day
- You know your true receivables position at any point
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