One patient, one MRN, one built-in ledger, one live command centre — from the registration counter to the operating theatre.
Why EloHIMSInsurance, Panels & Corporate Billing
Cash patients are the easy half of a hospital's revenue. The hard half — insurance members, corporate panels and schemes — comes with its own tariffs, approvals, credit, claims and receivables. EloHIMS handles third-party payers end to end, so panel patients are billed at the right rate, claims are tracked to payment, and money owed by companies and insurers is managed instead of forgotten.
Third-party revenue, turned from a leak into an income stream.
A cash-only billing system simply cannot hold panel work. EloHIMS keeps a registry of panels, corporates, insurers and schemes, each with its own price list, credit limit and billing cycle, and records each patient's panel, member number and card expiry at registration. Panel and corporate patients are billed on credit through the month and invoiced together at the end of it. For insurers and schemes, pre-authorisation is recorded on the admission and each credit bill becomes a claim tracked from submission to payment — every step posting to the same ledger as cash billing.
Panel billing from eligibility to reconciled payment
Credit through the month, one panel invoice at the end of it
At the OPD fee, lab, imaging and pharmacy counters, a panel patient's bill can be sent to the panel with one switch. It is priced from the panel's own list, posted to panel receivables, and needs no cash, payment method or shift. Credit is refused when the patient has no panel, the panel is inactive, the card has expired, or the bill would take the panel past its credit limit.
From the panel's statement, the month's credit bills are invoiced together. The panel gets its own customer account and receivables ledger the first time it is used, and the invoice moves the amount from panel receivables onto that account. A bill already on a panel invoice cannot be voided on its own.
Pre-authorisation and claims, from request to payment
A pre-authorisation is requested from the admission and recorded as approved with an amount, rejected or cancelled — one open request per admission — and the admission's billing warns when charges pass the approved amount. At discharge, the final bill's Bill to switch applies the deposit and sends the balance to the payer.
Each credit bill to an insurer or scheme is raised as one claim, which moves through submitted, approved, resubmitted, paid or rejected. Resubmitting needs a note and a rejection needs the insurer's reason. When it is paid, what was received goes to bank or cash and any short-payment is posted as a disallowance; a rejection writes the claim off the same way. The Claims page shows the pipeline with money at each stage and each claim's timeline.
Spreadsheet-and-hope becomes governed and reconciled
Panel revenue is where hospitals quietly lose the most: a claim never submitted, a bill priced at the cash rate, a receivable that ages past the point of collection. Because panel credit, claims, payments and disallowances post to the same real ledger as cash billing, third-party revenue stops being a side spreadsheet and becomes a controlled, reconciled part of the accounts.
With member number and card expiry captured up front, credit limits checked at the counter, pre-authorisation recorded on the admission and claims tracked to payment, the money owed by companies and insurers is managed rather than forgotten.
Insurance, panel and corporate patients are billed at the correct tariff, their claims tracked to payment and their receivables managed — turning third-party revenue from a leak into a controlled, reconciled income stream.
Ready to run panels the way you run cash.
Panel price lists, credit billing, monthly panel invoices, pre-authorisation and claims tracked to payment — all posting to the same real ledger.