Upar har TPA ka card: 'X% approved · N sent', 'Avg TAT' (ghante me, jaise 'Avg TAT: 12h') aur 'Errors' (30 din). Approved / Denied tab tabhi bharte hain jab TPA khud jawab bheje (callback) — email wale TPA (Star Health, HDFC ERGO) ke case me ye aam taur par khaali rehte hain; TPA ka faisla aane par Claims tab me 'Settle' / 'Deny' karo. Claims tab ka 'Submit' button dabane se claim yahan nahi aata. 7 din se purana pending claim yahan se hat jaata hai par Claims tab me rehta hai. Status 'failed' = bhejna fail hua, '▾ Log' dekho. '🔁 Refresh' se list taaza hoti hai; khaali ho to 'No pending pre-auths in the last 7 days.'
'🤖 Live Pre-Auth Queue' tab me Pending, Approved, Denied kya dikhata hai?
Billing → Insurance & RGHS → Insurance → '🤖 Live Pre-Auth Queue': yahan wahi claims aate hain jo '📤 Submit to TPA' se bheje gaye. '⏳ Pending' = pichhle 7 din me bheje claims jinka TPA jawab system me nahi aaya; '✅ Approved' / '❌ Denied' = pichhle 30 din ke wo claims jinpar TPA ka jawab apne aap aaya. Columns: Patient, TPA · Method, Policy, Amount, Intimation #, Status, Submitted, Actions.
Where in ORALZY: Billing → Insurance & RGHS → Insurance
Quick steps
- Billing → Insurance & RGHS → Insurance → '🤖 Live Pre-Auth Queue' tab
- '⏳ Pending' / '✅ Approved' / '❌ Denied' me se chuno
- Row par '▾ Log' se har koshish ki history dekho
- '🔁 Refresh' se taaza karo