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🏥 Complete Hospital RCM Intelligence Suite

Revenue Cycle Management | AI-Powered | Real-Time Analytics | Comprehensive Automation

Live

🤖 AI Active

📊 Export ⚙️ Settings

Monthly Revenue

₹0

↑ 18.5% vs last month

Active Patients

0

IP: 0 | OP: 0

Approval Rate

0%

Pending Claims

0

₹0L

Denial Rate

0%

Need action

Collection Efficiency

0%

Excellent

⚡ Quick Actions

👥

Register Patient

✓

Verify Eligibility

📝

Submit Pre-Auth

💰

Generate Bill

📋

Track Claims

🔄

Reconcile

🚀 Enterprise Modules

📦

Package Mapping

Auto-map procedures to insurance packages

📜

Contract Management

Manage payer contracts & rates

🤖

RPA Automation

24/7 automated portal submissions

🔌

Universal Integration

Connect HIS, EMR, LIS, RIS systems

🧠

AI Intelligence

GPT-4 powered insights & automation

📈

Advanced Analytics

Comprehensive business intelligence

🚨 Critical Alerts

👥 Patient Registration

AI Verification

Patient Name *

Age *

Mobile *

Patient Type * In-Patient (IP) Out-Patient (OP) Emergency

Department * Cardiology Orthopedics Neurology General Surgery Gastroenterology Oncology Pediatrics

Doctor *

Insurance/Payer * TPA/Insurance Ayushman Bharat (PMJAY) CGHS ECHS Corporate Cash/Self-Pay

Policy/Card Number

Est. Amount

✅ Register Patient

📋 Patient List

🔄 Refresh

UHID	Name	Type	Department	Payer	Est. Amount	Status	Actions
No patients yet

✓ Real-Time Eligibility Verification

API Connected

Patient UHID -- Select Patient --

Insurance Company

Policy Number

🔍 Verify Eligibility

📝 Pre-Authorization Management

Auto-Submit

Patient * -- Select Patient --

TPA/Payer * Medi Assist MD India Vidal Health Paramount Ayushman Bharat

Est. Amount *

Procedure/Treatment Plan *

📤 Submit Pre-Authorization

📊 Pre-Auth Status

Submitted

0

Approved

0

Pending

0

Denied

0

💰 Generate Bill & Submit Claim

🤖 Auto-Fill

Select Patient * -- Select Patient --

Room Charges

Consultation

Pharmacy

Lab

Radiology

OT

ICU/HDU

Other

Discount (%)

Total: ₹0 | After Discount: ₹0

✅ Generate Bill & Submit Claim

Total Claims

0

₹0L

Approved

0

₹0L

Pending

0

₹0L

Denied

0

₹0L

📋 Claims Pipeline

All Status Submitted Approved Denied

Claim ID	Bill No	Patient	Payer	Amount	Submitted	TAT	Status	Actions
No claims yet

🎯 AI Denial Risk Predictor

GPT-4

Claim Number

Amount

Procedure Details

🎯 Predict Denial Risk

⚖️ Denial Appeals Management

Denied Claim ID

Denial Reason Incomplete Documentation Coding Error Medical Necessity Authorization Missing

Appeal Justification

📤 Submit Appeal

🔄 Department Reconciliation

▶️ Run Full

💊 Pharmacy

100%

🏥 OT

99.8%

🔬 Lab

92%

📷 Radiology

100%

💳 AR Aging Analysis

0-30 Days

₹18.5L

Current

31-60 Days

₹8.2L

Follow-up

61-90 Days

₹4.5L

Escalate

> 90 Days

₹2.8L

Critical

📦 Package Mapping Engine

Auto-Match

Procedure Name

Insurance ICICI Lombard Star Health HDFC Ergo

Hospital Charge

Package Amount

📦 Map Package

📜 Payer Contract Management

Payer Name

Contract Type Fee for Service Package Rate Capitation

Start Date

End Date

✅ Save Contract

🤖 RPA Bot Dashboard

▶️ Start All

Active Bots

8

Tasks Automated

1,247

Time Saved

287h

Success Rate

99.7%

✅ RPA Bots Active:
• Medi Assist Portal Bot
• Ayushman SHA Portal Bot
• CGHS/ECHS Portal Bot
• Email Processing Bot

🔌 Universal Integration Engine

🔌 Connect with ANY System:
HIS, EMR, ERP, LIS, RIS, PACS | Supports HL7, FHIR, REST APIs

System Name

Integration Type HL7 FHIR REST API Custom

✅ Save Integration

✅ AI Features Fully Configured & Active!
OpenAI API Key: Configured ✓ | GPT-4 Ready ✓ | All AI modules operational

🤖 Medical Coding

GPT-4

Clinical Summary

Generate Codes

💡 Revenue Optimization

GPT-4

📊 Get Recommendations

📈 Business Intelligence Dashboard

Avg Bill Value

₹85K

Collection Rate

87.5%

Avg TAT

4.2d

Revenue Leakage

₹10.1L

⚙️ Settings

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Hospital Name

OpenAI API Key

Get from platform.openai.com

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