Hospitals, clinics, pharmacies & opticians

Insurance pre-authorisation

Every insured stay approved and paid

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

Insurance pre-authorisation 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 admitted
  • Member and policy no.
  • Estimated cost

What StartERP does

Insurance pre-authorisation

  1. Sends the request
  2. Logs the insurer's answers
  3. Keeps the approved amount

What you get

  • Requests waiting over a day
  • Patient share above approval
  • Disallowed by each insurer

Why it pays off

No stay goes unapproved

Start using Insurance pre-authorisation 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

    Send a request

    For an insured patient, from the bed.

  2. Step 2

    Record the insurer's answer

    A query, the approval no. or more asked.

  3. Step 3

    Bill and settle

    The final bill, then what the insurer paid.

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

Insurance pre-authorisation

What it does for your business

When an insured patient is admitted, send the request to the insurer or TPA with the member and policy numbers, the diagnosis and the estimated cost, picked straight from the bed. Record each answer as it comes: the insurer's question and your reply, the approved amount with its approval number, more asked when the stay runs longer, then the final bill. What the bill is above the approval is the patient's to pay, and when the insurer settles, what it did not pay shows as disallowed. The open requests are listed longest wait first, with those waiting over a day for the insurer picked out, and each insurer's approved, billed, settled and disallowed amounts. StartAI reads the board and records a step for you; it never reads the diagnosis.

  1. Request from the bed in a minute

  2. Queries, approval and more asked

  3. Requests waiting over a day flagged

  4. Patient share and disallowed amounts

Frequently asked questions

Is Insurance pre-authorisation included in StartERP?

Insurance pre-authorisation 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: Hospital Management & Billing Software.

Can I try Insurance pre-authorisation 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 pre-authorisation 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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