Insurance and Tariff Plan
Management for Healthcare Facilities
Handle insured patients, corporate clients and custom pricing tiers without manual calculations. Lifeline HMS applies the right tariff, discount and co-pay automatically at billing, so your counter staff can focus on patients, not pricing tables.
Insurance and Tariff FeaturesEverything you need to manage corporate and insured patient billing without manual effort.
Create named tariff plans for different patient categories such as walk-in, corporate, insured or VIP patients. Apply each plan to individual patients at registration.
Define what is covered under each plan, including which services, procedures, consultations and medicines are included, capped or excluded.
Set percentage or fixed discounts per service, department or service group. Apply discounts automatically at billing based on the patient's plan.
Configure the portion the patient pays versus what is covered by the insurer or corporate client. The system handles split billing automatically at the counter.
Group services into pricing tiers so that a single plan can apply different rates across consultations, procedures, pharmacy and room charges.
Once a patient is assigned a tariff plan, the correct pricing, discounts and co-pay are applied automatically when their bill is generated. No manual calculation required.
Track what has been collected, what is pending from the insurer or corporate client and what remains outstanding per patient or per plan.
Stop Calculating Manually at the Counter
When a facility takes on corporate or insurance patients, billing becomes complicated fast. Counter staff have to remember which services are covered, what the co-pay percentage is and which discounts apply. Mistakes lead to under-billing, disputes and unhappy clients. Lifeline HMS eliminates this by storing the rules and applying them automatically every time a bill is generated for a plan patient.
- ✓Unlimited tariff plans, one for each insurer or corporate client
- ✓Auto-applied pricing, discounts and co-pay at billing
- ✓Per-service and per-department coverage rules
- ✓Split billing between patient and insurer
- ✓Outstanding claims tracking per plan
- ✓Works across single and multi-branch facilities