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    • Manage complex rate-discount structures with Insta’s Rate Sheet/Rate Plan model which can be configured for setting up your base price tariffs for all services you offer as a provider.
    • Setup cash/sponsor/HAAD/DHA/insurance company/corporate company/government agency/policy holder/HMO based negotiated rates and inclusions with applicable price/discount factors.
    • Setup base and derived rate structures as you scale and negotiate rates for easier rate management.
    • Support for VAT and single/dual GST taxation rules.
    • Setup the C-GST, S-GST, and i-GST model of India’s dual GST taxation model.
    • Automated UAE-VAT Taxation rules.
    • Automated KSA Citizen VAT Exempt rules.
    • Support for the single GST model of taxation as applicable in South East Asian countries.
    • Setup sponsor based contract management rules, such as validity and default rate/discount structures applicable.
    • Define visit/encounter or episodic insurance limit rules.
    • Define visit/insurance category based copay% (min/max), deductibles and limits.
    • Define exclusions, pre-authorization rules, and setup Fee for Service/DRG/Per Diem billing configurations.
    • Place orders from pending prescriptions, approved pre-authorization requests, multi-visit packages, or direct orders with appropriate user controls.
    • Define cash/credit-based billing rules with none, single or multiple (up to 2) sponsors
    • Define bill and claim statuses to recognize revenue for cash, track sponsor receivables, and inpatient patient revenue management.
    • Manage discount tracking from default definition of rates/discount plans, provisional discounts based on user limit controls.
    • Deposit collection, tracking for utilization, set offs, and refunds.
    • Manage collections with multiple payment modes such as cash, credit card, debit card, digital wallets, cheque, etc as configured.
      • Pinelabs EDC machine integration ready.
    • Manage patient/sponsor write-offs
    • Inpatient credit billing financial discharge controls.
      • Automated bed charge calculations by the hour, half-day, full day.
        • Shift with the option to retain or release/previous bed
        • Assign bystander bed
        • Bed View by status
    • Receipt based charge allocation for reporting.
    • Automated Doctor/Outhouse Payout management based on a customizable rules engine.
    • Item cancellation and refunds by payment mode/credit notes with user controls.
    • Adherence to India’s 2 Lakh cash collection rules.
    • Reports to tally the day book, collections, revenue and payouts.
    • Configurable bill, receipt, patient statement prints.
    • Email bill to the patient.
    • Audit Controls to plug revenue leakage and ensure transparency of system usage.
    • Prescription to pre-auth request flow.
    • Manual and online pre-authorization request creation, approval tracking, cancellation, and resubmissions.
    • Pre-Auth to Billing-Order Management.
    • Integration with Shafafiya/eClaimLink platforms as per HAAD/DHA standards.
    • Claim form documentation.
    • Medical coding and claims scrubbing by the encounter, E&M, ICD, CPT, LOINC, Dental, Drug, HCPCS, DRG, Per Diem codes with adherence to Waseel/DHS/DHA/HAAD standards.
    • Integration with Waseel/DHS/Shafafiya and eClaimLink platforms for claim submissions.
    • Coder claim review features to ensure tracking of changes and liaising of changes between the medical coder, clinician, and administrative staff.
    • Claim management, batch creation, denial management, resubmission batch management by correction or internal complaint.
    • Claim History Tracking.
    • Accumed Integration ready.
    • Sponsor Receivables tracking against outstanding Remittances
    • HAAD/DHA Integration ready for online remittances.
    • Denial management, Batch/Claim resubmission flow.
    • Define one-time pre-defined health check packages or order sets.
    • Predefined multi-visit package management.
    • Customize packages per patient.
    • Setup controls for ordering packages by the center, department, age, gender, sponsor, etc.
    • Support for inventory inclusions.
    • Surgical inpatient credit bill packages with cash/sponsor coverage control with item category limits/exclusions defined by amount or quantity.
    • Use standard APIs to transpose accounting journal voucher entries for billing and inventory vouchers from Insta to a third party financial accounting application such as Tally, Focus, Microsoft NAV, Microsoft GP, Microsoft A/X, SAP, Odoo, etc.