Billing Management System
OP/IP billing, cash counter, insurance billing, and credit management
The Billing Management System handles all financial transactions in the hospital. It covers OP general billing, IP billing with procedure requests, cash counter operations, insurance billing workflows, credit management for corporate and government clients, refund processing, and receipt generation. Supports multiple payment modes including cash, card, UPI, and credit.
Key Highlights
Unified Billing Engine
One billing system for outpatient, inpatient, pharmacy, lab, and procedures — no separate billing for each department.
Insurance-Ready
Built-in insurance billing workflows with TPA-specific claim formats and documentation requirements.
Multi-Payment Support
Split payments across cash, card, and UPI on a single bill — because patients pay however they prefer.
Complete Feature List
Everything included in the Billing module.
OP Billing
Outpatient general billing for consultation, pharmacy, lab, and procedure charges
IP Billing
Inpatient billing with room charges, procedure requests, medication, and consumables
Cash Counter
Dedicated cash counter mode for quick receipt generation and payment collection
Insurance Billing
Process insurance claims with TPA-specific formats and documentation
Credit Management
Corporate and government credit accounts with credit limit tracking
Refund Processing
Managed refund workflow with approval chain and audit trail
Multi-Payment Modes
Accept cash, card, UPI, cheque, and split payments on a single bill
Receipt Generation
Professional receipts with hospital branding and GST details
AI Enhancements for Billing
This module is being enhanced with AI capabilities.
Intelligent GST Validation
AI validates CGST/SGST/IGST splits, checks HSN code tax slabs, and flags mismatches before invoice save.
Impact: Prevent costly GST filing errors
Smart ICD-10 Coding Assistant
AI suggests accurate ICD-10 codes from clinical notes and diagnosis descriptions.
Impact: Accurate coding without specialized staff
Insurance Pre-Authorization AI
Auto-generates pre-auth requests, checks coverage, and assembles supporting documentation.
Impact: Pre-auth in minutes, not hours
Claims Denial Prevention
AI reviews claims before submission — checks for common denial triggers and suggests corrections.
Impact: Reduce rejection rates by 30-40%
Revenue Forecasting & Analytics
AI-powered revenue prediction, department performance analysis, and seasonal trends.
Impact: Data-driven financial planning
Frequently Asked Questions
Can HIMS handle both OP and IP billing?
Yes, HIMS provides a unified billing engine that handles outpatient, inpatient, pharmacy, lab, and procedure billing from a single system.
See Billing in Action
Book a free demo to explore the Billing Management System module and the rest of HIMS.