OPD insurance claims for clinics in Kuwait
From the card at the front desk to the insurer's payment.
The receptionist scans the insurance card, the patient pays only their co-pay, and every insured visit becomes a claim. Claims go out in monthly batches per insurer, and every dinar the insurers owe is tracked until it is paid.
From the card scan at the front desk to the insurer's payment.
Insurer names and cards are sample data for illustration; no affiliation implied. TALIPOT DEMO POLYCLINIC is a fictional clinic.
The whole OPD insurance cycle in one system
All amounts in Kuwaiti dinars, to three decimals.
Card scan at the front desk
A photo or upload of the insurance card fills the name, Civil ID, insurer and plan in about three seconds, and lists what it could not read so staff check only that.
Co-pay split in KWD
Every consultation splits between patient and insurer from the plan's co-pay, in Kuwaiti dinars to three decimals. The patient pays only their share at the counter.
New insurer in one click
When a card comes from an insurer the clinic has not set up, Add this plan creates the insurer and plan from the card, with the co-pay already read.
Monthly batches with ICD-10
Insured visits become draft claims automatically. Each month, claims go out in one batch per insurer, each with its ICD-10 diagnosis, exported for the insurer's portal.
Settlement to the last fils
When the insurer replies, each claim is closed as paid, part-paid or rejected, with the reason. Pre-approvals for MRI and other costly services are tracked the same way.
Dashboard and claim forms
One dashboard shows what each insurer owes, how long it has waited and why claims are rejected. Every claim prints on the clinic's own letterhead.
Watch it step by step
11 short narrated videos, about 9 minutes in all, recorded on the test site.
Part 1 · From the front desk to the bill
1 · The insurance dashboard
What each insurer owes the clinic, what has been sent and how long it has been waiting.
2 · Registration with an insurance card scan
A photo of the card fills the name, Civil ID, insurer and plan, and says what it could not read.
3 · Insured consultation at the front desk
Choose insurance as the payment and the bill splits into the patient's co-pay and the insurer's share.
4 · The doctor's appointment screen
The same insurance flow for patients booked straight into one doctor's list.
5 · A new insurer at the desk
A card from an insurer the clinic has never set up: one click adds the insurer and the plan.
Part 2 · From claim to payment
6 · Claims with a diagnosis
Every insured visit is already a draft claim; the coder adds the ICD-10 diagnosis.
7 · A monthly batch and the insurer's file
One batch per insurer per month, checked for diagnoses and exported for the insurer's portal.
8 · The insurer's answer: settlement
Each claim closed as paid, part-paid or rejected, with the reason.
9 · The dashboard and the claim form
Approval rate, ageing and rejection reasons; a claim form on the clinic's letterhead, saved as PDF.
Part 3 · Pre-approvals and the patient's view
10 · Pre-approval before imaging
Raise a pre-approval for an MRI, track it on the worklist, record the insurer's answer.
11 · One patient's insurance on one page
Cards, annual limit used and left, bills, receipts, claims and pre-approvals together.
Insurer names and cards are sample data for illustration; no affiliation implied. TALIPOT DEMO POLYCLINIC is a fictional clinic.
Try the test site
A live copy of HIMS for a fictional clinic, TALIPOT DEMO POLYCLINIC, with prices in KWD.
Your first five minutes
- 1Request access with the form. Once approved, we email you the test site address and a login.
- 2Open the test site on a desktop or laptop and sign in.
- 3Save the sample insurance cards that come with your login.
- 4Front Desk → Patient Registration → Scan ID / insurance card → Photo / upload, and pick the card. Check the filled fields and save.
- 5Book a consultation, choose Insurance as the payment and see the patient / insurer split.
- 6Insurance → Insurance Claims: the visit is already there as a draft claim. Add an ICD-10 diagnosis, then try a batch.
Request demo access
Tell us who you are and we will email you a login for the test site.
Sample insurance cards for the card scan come with your login. Upload those, not real cards.
Insurer names and cards are sample data for illustration; no affiliation implied. TALIPOT DEMO POLYCLINIC is a fictional clinic.
Questions clinics ask
Is this the same HIMS used by hospitals in India?
Yes. OPD insurance is a new part of HIMS, with its own web front desk. Clinics that do not bill insurers keep the usual cash OPD; the insurance screens are switched on per clinic.
Which insurers does it support?
Any insurer or TPA. Insurers and plans are set up per clinic, with their co-pay and annual limits, or added at the desk straight from a card. The insurer names in this demo are sample data.
What format does the claim file use?
The demo exports each monthly batch as a CSV file. Formats for individual insurers' portals can be added as each clinic needs them.
Which AI reads the cards, and what does it cost?
The card is read by an AI service set up for the clinic, and the clinic can switch services in its settings. A card scanned again is answered from the saved reading, with no new AI call.
Can we try it with our own insurers and price list?
Yes. Send us the form below and we will set up a trial with your clinic's insurers, plans and prices.
Set it up for your clinic
Tell us about your clinic and the insurers you work with. We will set up a trial with your own insurers, plans and price list, and walk your front desk through it.
Want the rest of HIMS too? See the full HIMS product.
Insurer names and cards are sample data for illustration; no affiliation implied. TALIPOT DEMO POLYCLINIC is a fictional clinic.