Mobile ka 'Submit to TPA' button sirf status 'submitted' karta hai — TPA ko kuch nahi bhejta (asli pre-auth web ke '🤖 AI Generate' drawer se jaata hai). 'Mark Settled' me ₹0 nahi chalta. 'Mark Paid' dabane par claim 'paid' ho jaata hai aur web ke Settled / Total Settled tiles se bahar ho jaata hai — settle karke hi chhodo. 'Resend Documents to TPA' button ab mobile se hata diya gaya hai. Claim ka 'DOCS' tab wahi documents dikhata hai jo claim banate waqt lagaye the. 'Call TPA' company ka phone milata hai, na ho to number poochta hai. Mobile ka '🤖 AI Generate Narrative' abhi khaali text aur '⚠️ 0 rule issue(s)' dikhata hai — narrative web par banao. Mobile ke filter chips All, Draft, Submitted, Under-review, Approved, Rejected, Paid hain — Approved / Rejected status bante hi nahi, aur Settled / Denied ka chip hai hi nahi, isliye settled / denied claims 'All' me dekho.
Mobile app me insurance claim kaise dekhe aur Settle ya Deny kare?
Mobile: Billing → Insurance & RGHS → Insurance → 'Insurance Claims' screen. Upar Submitted / Settled / Denied / Total ₹, tabs 'Claims', 'TPA Score', 'AI Tools'. Claim card dabao → 'ACTIONS' tab: 'Submit to TPA', 'Mark Under Review', 'Mark Settled' (₹ poochta hai), 'Mark Denied (with reason)', 'Call TPA'. Search box: 'Search patient / TPA / policy'.
Where in ORALZY: Mobile: Billing → Insurance & RGHS → Insurance · Billing → Insurance & RGHS → Insurance
Quick steps
- Mobile app me Billing → Insurance & RGHS → Insurance kholo
- Claim card dabao → 'ACTIONS' tab
- 'Mark Settled' → amount, ya 'Mark Denied (with reason)' → reason
- List ko neeche kheench kar refresh karo