Hospitals, clinics, pharmacies & opticians

Insurance claims

The patient pays the co-pay, the insurer pays the rest

  • Add-on module
  • Hospitals, clinics, pharmacies & opticians
How it works

Insurance claims in one picture

Follow the data from what you enter to what you get back. Every step below happens inside StartERP, with nothing to retype.

What goes in

  • Insured patient
  • Insurer, % and cap
  • Medicines sold

What StartERP does

Insurance claims

  1. Splits co-pay and claim
  2. Batches claims monthly
  3. Re-claims rejections

What you get

  • Patient pays only co-pay
  • Claim batches
  • What insurers owe

Why it pays off

Collect every insured riyal you are owed

Start using Insurance claims in 3 steps

The same three steps wait for you as a checklist on the module's first screen, and most tick themselves as you do them.

  1. Step 1

    Add the insurer

    With its share and cap.

  2. Step 2

    Bill the insured patient

    They pay only the co-pay.

  3. Step 3

    Claim the month

    Batch, record payments, re-claim rejections.

Add it when you sign up, or any time later from Subscription & billing.

Insurance claims

What it does for your business

Bill a patient's medicines to their insurance company right at the pharmacy till: the patient pays only the co-pay, worked out from the insurer's % and cap, and the rest stays on the insurer's account. Claim each insurer's sales in monthly batches, record what it paid on each sale and claim the rejected part again.

  1. Co-pay worked out at the till

  2. Claims in batches per insurer

  3. Paid and rejected on every sale

  4. Rejected claims sent again

Frequently asked questions

Is Insurance claims included in StartERP?

Insurance claims is an add-on module. Add it when you sign up or any time later from Subscription & billing, and pay only for the modules you use. It is offered to these businesses: Pharmacy POS & Pharmacy Management Software and Hospital Management & Billing Software.

Can I try Insurance claims before I pay?

Yes. Open a demo store for your business type to use it with sample data, or start the 15-day free trial with your own data. No card is needed.

Does Insurance claims work in Arabic and on a phone?

Yes. Every StartERP screen works in Arabic and English, on a computer, tablet or phone, and users and devices are unlimited.

Start selling with a ZATCA-ready POS today

Prices on request: pick the modules your business needs and we will email you a quote. Subscribe or buy the licence once. Unlimited users and devices. Every store starts with a 15-day free trial.

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