Payer desk · schemes, TPAs and claims

Every cashless case,
timed and filed.

From the first pre-auth to the settlement advice, the desk sees what is due, what is late and what the payer still owes.

At-risk worklistDemo data
18:24

Bed 214 · Corporate TPA

Pre-auth sent 09:41 · 1-hour IRDAI clock

At risk
2:51

Bed 301 · Insurer TPA

Discharge auth · 3-hour clock

29 h

Bed 108 · PM-JAY

Case registered · 48-hour clock

On time
5 d

ICU-2 · Dr NTR Vaidya Seva

Back-dated registration · needs approver

Approve

Cashless

IRDAI clocks as escalation evidence

Pre-auth decision

The clock starts when the desk records it as sent on the TPA portal

Timed

Discharge authorisation

Breaches go to the desk and the administrator

Timed

Queries and replies

Each with an owner and a due date

Claims and receivables

From issued bill to settlement

Claim pack

Cover sheet, the hospital's own prints and scans, merged PDF and ZIP

Settlement

Paid amount, TDS and deductions, each accepted or disputed

Ageing

By payer and payer type, with CSV and print