Automate Clinical Workflows with Enterprise Hospital Billing Software.
Bridge the gap between your nursing stations, clinical labs, pharmacy, and billing counters. Recover up to 18% of leaked OPD/IPD revenue with automatic consumable syncing, role-based discount approvals, and instant cashless TPA pre-authorizations.
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.
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.
Frequently Asked Questions
Can this billing software manage different rate lists (tariffs) for Cash, TPA, and CGHS patients?
How does the system protect the hospital against billing fraud or unauthorized discounts?
Does your billing software support GST compliance and e-invoicing for corporate patients?
How does the NHCX integration speed up TPA claims settlement?
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