NHCX 2.0 & GST Hospital Billing System
Bridge the gap between your nursing stations, clinical labs, pharmacy, and billing counters. Automate daily payout calculations for 50+ doctors, process NHCX 2.0 TPA pre-authorizations in under 15 minutes, and recover up to 18% of leaked OPD/IPD revenue.
Dr. Arvind Swaminathan
Chief Medical Informatics Officer & Healthcare Operations Consultant (MD, PG Dip in Health Informatics (20+ Years Experience in Hospital Administration))
This system and copy have been audited to align with the Clinical Establishments Act, the National Health Authority (NHA) NHCX 2.0 gateway standards, GST e-invoicing mandates, and NABH Digital Health Accreditation (Edition 1.0) guidelines.
What is Hospital Billing Software?
Hospital billing software is a specialized digital platform that automates the financial operations and revenue cycle management (RCM) of a medical facility. It integrates outpatient department (OPD) billing, inpatient department (IPD) admissions, bed charges, ward-level consumables, pathology lab tests, and in-house pharmacy inventory management into a unified invoice. Advanced hospital billing systems like Cliniqwise connect directly to the NHCX 2.0 gateway, enabling digital files transmission to Third-Party Administrators (TPA) for instant pre-authorization and cashless claims settlement.
Identify Your Hospital's Annual Revenue Leakage
Adjust the sliders to estimate how much revenue is leaking due to manual tracking errors and delayed claims approvals.
Estimated Annual Revenue Leaked
₹0
Recoverable with Cliniqwise (95%)
₹0
Admin Hours Saved/Yr
0 hrs
TPA Approval Speed
Under 15 Min
Is Your Cash Flow Draining Through Manual Billing Gaps?
Hospitals across India lose lakhs annually to simple slip-ups: unbilled ward consumables, complex manual doctor payout calculations, and delayed insurance approvals.
Consumable Revenue Leakage: Over 12% of surgical and ward-level consumables (syringes, catheters, gloves) are omitted from the final IPD bill due to disjointed paper notes.
Delayed Cashless Settlements: Stalling patient discharges for 4–6 hours because of manual file preparation, handwritten bills, and physical courier-based TPA documentation.
Complex Multi-Doctor Split Calculations: Manually tracking and compiling daily OPD consulting shares, surgery payouts, and refer-in commissions in chaotic Excel spreadsheets.
GST Compliance Risks: Generating non-compliant medical billing receipts without proper HSN/SAC codes or failing to integrate with e-way bills for patient pharmacy orders.
Technical Architecture & Modules
OPD, IPD & Daycare Billing Desk
Consolidate consulting fees, bed charges, nursing services, surgical consumables, lab tests, and pharmacy bills in real-time. Supports split-payments, advance adjustments, and deposit tracking.
GST Billing & e-Invoicing Portal
Built-in HSN/SAC code mapping for medicines and healthcare services. Directly upload and generate e-invoices to the government portal (IRN generation) for corporate clients and insurance companies.
TPA & NHCX Claim Settlement
Seamless integration with the National Health Claim Exchange (NHCX) 2.0 gateway. Transmit digital patient files, bills, and discharge summaries via HL7 FHIR to insurance companies for instant pre-authorization.
Automated Doctor Share Calculator
Set department-wise, panel-wise, or doctor-specific commission rules. The system automatically computes consultant split payouts, surgical shares, and referral commissions upon invoice collection.
"Save-for-Counter" Billing Queue
Doctor-prescribed tests and medications are instantly sent to a secure queue linked to the patient's UHID. Prevents errors and cuts down queue waiting times.
PMJAY & CGHS Scheme Rates Master
Configure automated tariff lists mapped to PMJAY, CGHS, and state insurance schemes. Keeps rates compliant and tracks ledger adjustments automatically.
Deploying Across Care Formats
Configured to coordinate clinical information across different clinical sizes and complexities.
Clinics & OPD Centers
Multi-Specialty Hospitals
Diagnostic Lab Networks
Comparing Hospital Billing Architectures
| Feature Detail | Traditional Billing Software | Cliniqwise Enterprise Billing |
|---|---|---|
| Discharge Invoicing Time | 30 to 60 minutes of manual checking | Under 5 minutes via auto-sync |
| Nursing Ward Consumables | Handwritten chits; 12% revenue leakage | Digital drug chart sync; 0% leakage |
| TPA/Cashless Claims Gateway | Manual portal uploads & email files | Direct NHCX 2.0 digital API submission |
| Security & Role Controls | No edit logs; anyone can delete bills | Strict audit trails & OTP overrides |
| Doctor Commissions Sync | Manual monthly calculations via Excel | Real-time calculation on collected invoices |
Fully Connected Financial & Clinical Ecosystems
Our platform integrates seamlessly with existing setups, diagnostic networks, and financial accounting standards.
UPI, Cards & Netbanking Gateways
Generate dynamic QR codes directly on the billing screen. Confirm payments instantly within the software to eliminate human confirmation errors.
Tally Prime & SAP ERP Connectors
Automatically sync daily billing logs, ledger collections, refunds, and TPA receivables directly into Tally or SAP via secure REST APIs.
NHCX & Ayushman Bharat PMJAY
Transmit claims through NHA-sanctioned FHIR schema protocols, minimizing administrative efforts and settlement cycles.
Simple, Transparent Pricing Plans
No hidden setup fees, zero AMC, and unlimited doctor & staff accounts. Pay only for the scale you need.
Up to 10 Beds
Perfect for single doctor clinics, dental practices, pediatric rooms, and diagnostic collection points.
- ABHA Scan & Share OPD
- Smart Prescriptions (Rx)
- WhatsApp PDF Receipts
10 to 50 Beds
Best for growing multi-specialty nursing homes, corporate clinics, and diagnostics-led facilities.
- Integrated IPD Ward Maps
- LIS Lab Analyzer Sync
- GST Invoices & TPA Claims
50 to 150+ Beds
Best for regional hospital chains, super-specialty nursing networks, and large ward settings.
- Full ABDM M1, M2, M3
- OT Inventory & Payroll
- 24/7 Priority SLA Support
What Hospital Administrators Say
"Keeping track of our hospital supplies is effortless with Cliniqwise. We automatically update stock levels with each use, set low-stock alerts, and manage expiration dates and batch numbers. This ensures compliance with healthcare regulations and avoids stockouts, streamlining our supply chain management."
Balram Jain
Savi Clinic, Administrator
"Cliniqwise has transformed our hospital’s cash flow management. We can now track payments from patients, insurance companies, and government programs seamlessly. The detailed financial reports provide insights into cash flow, receivables, and payables, ensuring smooth and efficient financial operations."
Sandesh Gupta
Fortis Hospital Associate
"Staying GST-compliant is easy with Cliniqwise’s robust reporting tools. We effortlessly generate GST-compliant invoices, track input tax credits, and maintain accurate records for audits. The real-time GST filing and detailed compliance reports all keep us ahead of regulatory standards, which ensures complete peace of mind."
Mahesh Rao
Kids Hospital Director
Frequently Asked Questions
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