Billing, cash and claims
Charges are raised from the orders, results and dispensing that actually happened. Cash is balanced counter by counter, with a second person on every refund. And NHIS claims are assembled from the documentation, checked before upload, and matched against what NHIA pays back.
The problem
Claims put together by hand at month end go out late, and the reimbursement arrives later still.
Vetting deductions and short payments arrive in a file nobody reads, so the money is never chased.
Services given but never charged, refunds approved by the person who asked for them, and drawers that never quite balance.
Capabilities
The price list drives every charge, and missed charges are found.
Collection that fits how your facility actually takes money.
Claims built to the NHIA e-claims specification from what was documented.
The other half of the claim, which most facilities never close.
Workflow
NHIS membership and the Claim Check Code are recorded.
Charges are raised from what was ordered, resulted and dispensed.
Each counter takes and balances its own payments.
The batch is checked against NHIA’s rules, then uploaded.
NHIA’s feedback and payment files show what was cut, and why.
No. H-Link prepares the batch file in the NHIA e-claims format, and your claims officer uploads it through the NHIA Smart Client, as NHIA requires. NHIA’s feedback and payment files are then imported back into H-Link.
Not today. Staff check the card as they do now, and H-Link records the result and the Claim Check Code so they flow onto the claim.
No. The claim review is advisory: it quotes the line of the note behind each finding, and the claims officer decides what to change. Every review is kept.
Tell us how your facility runs today. We will show you the platform on the departments you care about, and scope a pilot with the numbers agreed up front.