Status aapke button se badalta hai: 'Submit', 'Under Review', 'Settle', 'Deny'. '📤 Submit to TPA' safal hone par claim khud 'submitted' ho jaata hai aur Live Pre-Auth Queue ka 'Escalate' use 'under-review' kar deta hai — par settled / denied hamesha staff khud karta hai, TPA se apne aap nahi aata. Naya claim hamesha 'draft' se shuru hota hai. 'Filter:' chips (All, draft, submitted, under-review, settled, denied) se list chhanto; kuch na mile to 'No claims found'. Settled / denied ke baad row par sirf '🤖 AI Generate' bachta hai, status wapas nahi hota. Mobile ke 'Mark Paid' se bana 'paid' status web ke tiles me nahi ginta. Ye 4 tiles sirf insurance / TPA claims ke hain, Govt Schemes ke nahi.
Insurance claim ke status draft, submitted, under-review, settled, denied ka matlab?
Billing → Insurance & RGHS → Insurance → Claims tab me: draft = claim bana hai, aage nahi badha; submitted = TPA ko bhej diya mark kiya; under-review = TPA dekh raha hai; settled = TPA ne paisa pass kiya ('Settled' column me ₹); denied = reject hua (reason ke saath). Upar ke tiles: Submitted (submitted + under-review ki ginti), Settled, Denied aur Total Settled (settled claims ka kul ₹).
Where in ORALZY: Billing → Insurance & RGHS → Insurance
Quick steps
- Billing → Insurance & RGHS → Insurance kholo (Claims tab)
- Upar 'Filter:' me status chip dabao, jaise 'under-review'
- Row ka Status pill aur 'Claim Amt' / 'Settled' column dekho