'✓ Verified <date> by <naam>' line aakhri baar verification save karne ki date aur naam hai — Declined / Expired save karne par bhi yahi line dikhti hai. 'by cron-auto' ya 'by auto' ka matlab app ne khud andaze se mark kiya, kisi staff ne TPA se baat karke nahi. Nayi policy me 'Pre-auth required' pehle se tick hota hai, isliye zyadatar cards par 'Pre-auth required > ₹5000' dikhta hai — ye ₹5000 limit form me badalti nahi aur app bill ya treatment ko rokta nahi; zarurat na ho to 'Edit' me tick hata do. 'Used ₹' apne aap nahi badhta; claim settle hone par 'Edit' karke khud update karo. 'Cashless' tick is card par nahi dikhta (patient chart ke '🛡 Insurance / TPA' card par 'CASHLESS' dikhta hai). Verification ke 'Notes (insurer remarks)' save hote hain par abhi card par nahi dikhte. '📅 date' chip (aane wali appointment) sirf 'Verify Queue' ke card par aata hai — abhi queue khaali rehti hai isliye ye chip aam taur par dikhta nahi.
Policy card par UNVERIFIED, VERIFIED, EXPIRED, Copay aur 'Pre-auth required' ka matlab?
Pre-Auth Verify ke policy card par: UNVERIFIED = abhi verify nahi hui (nayi policy isi se shuru hoti hai); VERIFIED = kisi ne (ya app ne khud) 'Verified' save kiya; DECLINED = not eligible; EXPIRED badge = verification me 'Expired' save hua; '⚠ EXPIRED' = Valid To ki date nikal chuki. 'Sum ₹X (Y% used)' = Used ÷ Sum Insured, 'Copay N%' = patient ka hissa, 'Pre-auth required > ₹5000' = sirf yaad dilana.
Where in ORALZY: Billing → Insurance & RGHS → Insurance → Pre-Auth Verify
Quick steps
- Billing → Insurance & RGHS → Insurance → Pre-Auth Verify → 'All Policies' kholo
- Card ke upar badge aur neeche Valid till / Sum / Copay padho
- Galat lage to 'Edit' se theek karo ya 'Verify' se naya status save karo