OPD & IPD Billing
Consultation, investigation, procedure and bed charges accruing to one account, with interim and final bills.
Billing & Revenue Management
Billing That Adds Itself Up Correctly, Every Time
GST-compliant invoicing, package and tariff handling, TPA and insurance claim tracking, and revenue reporting that tells you where the money actually came from.
Revenue leaks where billing is manual
Ask most hospital administrators where they lose money and the answer is rarely dramatic. It is a consumable used in the OT that never reached the bill, an investigation done but not charged, a package that was quoted at one rate and billed at another, or a TPA claim that sat unfiled until it passed its window.
Care Matrix billing works from what was actually delivered. When a test is ordered, a drug issued or a bed occupied, the charge attaches to the patient's account at the correct rate for their payer. The bill is a summary of recorded activity rather than something assembled by hand at discharge.
That changes what your reports can tell you. Instead of a single revenue figure, you can see income by department, by consultant, by payer and by procedure, along with what is outstanding and from whom — which is the information you need to negotiate panel rates or decide whether a service line is worth running.
- Charges post automatically as services are delivered
- Separate tariffs per TPA, panel, corporate and government scheme
- GST-compliant invoices and credit notes
- Outstanding receivables tracked by payer, with claim ageing
What billing covers
Tariffs & Packages
Multiple rate cards by payer, fixed-price surgical and maternity packages, and automatic application at registration.
TPA & Insurance
Pre-authorisation tracking, claim preparation, submission status, settlement recording and shortfall handling.
GST & Compliance
GST-compliant invoice formats, HSN/SAC handling, credit notes and export-ready registers for your accountant.
Advances & Refunds
Advance collection at admission, running adjustment against charges, and controlled refund workflows with an audit trail.
Revenue Reporting
Income by department, consultant, payer and procedure; collection versus billing; and receivables ageing.
Where it makes the biggest difference
Hospitals with panel patients
Facilities carrying several TPAs, corporates and government schemes where each has its own rate card and paperwork.
Package-driven specialties
Maternity, cardiac and orthopaedic units where a fixed quote must still be reconciled against actual consumption.
Multi-department facilities
Anywhere revenue needs to be attributed correctly to the department or consultant that generated it.
Frequently asked questions
Is the invoice format GST compliant?
Yes. Invoices carry the fields required under GST, including your GSTIN, HSN or SAC codes where applicable, tax breakup and invoice numbering. Credit notes and cancellation handling follow the same rules, and registers can be exported in a form your accountant or CA can work with.
Can we set different rates for different TPAs?
Yes, and this is one of the main reasons hospitals move to the system. You maintain a rate card per TPA, panel, corporate or scheme. A patient's payer is set at registration and every subsequent charge picks up the correct rate automatically, which removes the most common source of billing disputes.
Does it track outstanding claims?
Yes. Claims are tracked from pre-authorisation through submission to settlement, with ageing so you can see what has been pending too long and with whom. Shortfalls and partial settlements are recorded against the original claim rather than written off invisibly.
Can it stop staff from editing a bill after it is finalised?
Yes. Rights are role-based — you decide who can discount, who can cancel and who can reopen a finalised bill, and every such action is recorded with the user and timestamp. Most hospitals restrict this to one or two senior people.
Does billing work if we only want that module?
Yes. Billing and revenue management can be deployed on its own, though it delivers more when it sits alongside the clinical modules, since that is what allows charges to accrue automatically rather than being entered by hand.
Other modules in the suite
Every module works on its own and works better together — they share one patient record and one set of reports.
See the Billing & Revenue Management in action
Tell us about your facility and we will schedule a personalized walkthrough within 24 hours.