Billing and Revenue Cycle Automation
Eliminate billing errors and recover the 6 to 12 percent of daily revenue lost to missed charges and manual entry.
The problem
A clinic or hospital that processes billing manually after each consultation or at the end of a busy session misses charges, duplicates entries, and loses insurance claim revenue to format errors. The billing operator is managing patient flow and data entry simultaneously. Errors in this environment are not failures of attention. They are the predictable result of a manual process running at volume without system support.
How it works
Connect to clinical records
The system connects to the existing clinic or hospital information system and reads consultation records and procedure logs automatically.
Generate itemised bills
Bills are generated from the clinical record with all consultation fees, procedure charges, and co-pay included without manual entry.
Aggregate cross-department charges
For hospital patients, charges from all departments are aggregated into a single bill at the point of discharge without manual reconciliation.
Track collections in real time
Collections are matched against bills automatically and outstanding amounts are flagged for follow-up without any manual cross-referencing.
What changes
80 to 90 percent less revenue leakage
Automated bill generation from clinical records eliminates missed charges and entry errors that typically cause 6 to 12 percent daily revenue leakage.
Faster patient discharge
Cross-department bill aggregation at the point of discharge reduces discharge processing time from 45 to 90 minutes to under 15 minutes.
Accurate insurance claims
Insurance claim formats generated automatically from source records reduce claim rejection rates and manual rework on resubmissions.
The Billing Error Every Clinic Knows
A multispecialty clinic that sees 80 patients per day with an average bill of Rs 600 generates Rs 48,000 in daily billing. Of that, approximately Rs 3,000 to Rs 6,000 is lost to missed charges, entry errors, and undocumented procedures that the billing operator did not have time to record during a busy session. That is 6 to 12 percent of daily revenue leaking through a process that has not changed in years.
The problem compounds in labs and hospitals. A hospital with four departments billing independently reconciles charges manually at discharge. A diagnostic lab cross-references insurance claim requirements against report formats by hand. Every manual step is a potential error. Most are small. Accumulated over a month, they are significant.
What the System Changes
Clarivis builds billing automation that connects to the existing clinic management system or lab information system and generates itemised bills from the consultation or test record automatically. No manual entry is required. Charges from multiple departments are aggregated at the point of billing. Insurance claim formats are generated from the same record.
Collections are tracked against bills in real time. At the end of each day, the system shows total billed, total collected, outstanding amounts by patient, and any discrepancies between what was charged and what was recorded in the clinical notes. Month-end reconciliation becomes a five-minute review rather than a two-day exercise.
Before and After
Before: A patient visits two departments in one hospital visit. Department A bills for the consultation. Department B records a procedure in the notes but the billing operator is on a call and does not add it to the bill. The patient is discharged. The missed charge is discovered three days later. The patient has already paid and left.
After: The procedure recorded in Department B triggers an automatic charge addition to the bill. Before the patient is discharged, the final bill reflects all charges from all departments. The discrepancy never occurs.
90-Day Outcome
Within 90 days, healthcare providers using billing automation typically see revenue leakage from missed charges reduce by 80 to 90 percent, month-end reconciliation time drop from two days to under two hours, and insurance claim rejection rates decrease as claim formats are generated correctly from source records.
Investment
One-time build
Rs 50,000 to Rs 1,00,000
Monthly retainer
Rs 10,000 to Rs 18,000/month
Exact pricing confirmed during the audit.
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