Draft claim ke notes, patient ke done treatments, X-ray aur doctor ke record se banta hai — isliye hamesha padh kar sudharo taaki koi galat finding TPA ko na jaye. '✓ Mark Approved' ye narrative claim ke Notes me (purane notes ki jagah) aur codes claim par save karta hai; uske baad hi '📤 Submit to TPA' button aata hai. Doctor ka record mila to neeche doctor ka naam, qualification, Reg no. aur clinic ka naam / address dikhta hai. 'FALLBACK' ya '⚠ AI couldn't draft this — using template.' aaye to template bana hai — edit karo ya Regenerate. 'AI quota exceeded for this month…' aaye to Setup → Plan & Help → Packs & Credits → AI Usage & Credits dekho. Drawer na kuch print karta hai na patient ko bhejta hai.
'🤖 AI Generate' se TPA claim narrative aur ICD code kaise banaye?
Billing → Insurance & RGHS → Insurance → Claims → claim row par '🤖 AI Generate' → 'AI TPA Claim Package' drawer khulta hai aur draft apne aap banta hai: 'ICD-10 Diagnosis', 'Procedure Code', '📝 Narrative (English) — for TPA' (demographics, clinical, diagnosis, necessity) aur '🪷 Narrative (Hindi) — for patient'. 'TPA:' chuno → '🔁 Regenerate' → text padh kar theek karo → '✓ Mark Approved'.
Where in ORALZY: Billing → Insurance & RGHS → Insurance
Quick steps
- Billing → Insurance & RGHS → Insurance → Claims tab
- Claim row par '🤖 AI Generate' dabao — draft ban jaata hai
- 'TPA:' dropdown se TPA chuno → '🔁 Regenerate'
- Narrative padh kar theek karo → '✓ Mark Approved'