ERP Med module

Billing for patients and partner insurers

Mutual insurers, companies and public bodies are set up once, with their prices, discount rates, ceilings and beneficiaries. An insurer's full price list is loaded from an Excel file.

On every service, the insurer's share and the patient's balance are calculated automatically. Agreement invoices are then prepared for the period, from what was actually collected and covered.

Agreement invoice preparation: agreement price, patient share and covered share
Preparing agreement invoices, with the patient/insurer split for each voucher.

Agreements and billing

The insurer's share is calculated at the source

Invoices are prepared from what was actually collected and covered, with no manual reconstruction.

  • For each voucher: agreement price, share paid by the patient and covered share.
  • An insurer receives one invoice for the period, not dozens of separate documents.
  • Credit notes and cancellations are shown separately.
Agreement setup: effective dates, discount rate, billing terms, ceilings and beneficiaries
Agreement setup: effective dates, discount rate, split, thresholds and beneficiaries.

Agreements

Insurers configured once and for all

Mutual insurers, companies and public bodies are recorded with their own prices and rules.

  • Discount rates, billing and payment terms, ceilings and beneficiaries.
  • The insurer's full price list is loaded from an Excel file.
  • An agreement can be suspended without being deleted: its history stays intact.
Service catalogue with code, category, type and base price
Service catalogue: code, category, item type, base price and activation.

Reference data

One price, one source

The catalogue sets the price of every procedure. Reception, cash desk, billing and fees all read from it.

  • Code, category, type and base price for every service.
  • A service can be deactivated without being deleted, or opened to price changes at reception.
  • The public price list is imported from an Excel file: add, update or replace.

A demo built on your own cases.

Your services, your insurer agreements and your fee rules, run through ERP Med: judge it on the evidence.