Mobile ka 'Submit to TPA' button bhi sirf status badalta hai, kuch bhejta nahi. '📤 Submit to TPA' chalne ke liye owner / admin ko pehle Setup → Integrations → Live TPA Pre-Auth me us TPA ko enable karna hota hai. '📤 Submit to TPA' safal ho to claim khud 'submitted' ho jaata hai aur Live Pre-Auth Queue ke '⏳ Pending' me dikhta hai. Agar 'Submit' pehle hi daba diya hai to koi dikkat nahi — row par '🤖 AI Generate' wala raasta ab bhi chalta hai. Sirf 5 TPA (MediAssist, Star Health, Bajaj Allianz, ICICI Lombard, HDFC ERGO) app se bheje ja sakte hain; baaki ke liye TPA portal / email par khud bhejo.
Claim par 'Submit' dabaya, phir bhi TPA ko kuch kyu nahi gaya?
Claims tab ki row ka 'Submit' button sirf claim ko 'submitted' mark karta hai (aur claim date aaj ki rakhta hai) — TPA ko na email jaata hai na claim '🤖 Live Pre-Auth Queue' me aata hai. TPA ko asli pre-auth bhejne ke liye: row par '🤖 AI Generate' → 'TPA:' chuno → '✓ Mark Approved' → '📤 Submit to TPA'.
Where in ORALZY: Billing → Insurance & RGHS → Insurance · Setup → Integrations → Live TPA Pre-Auth
Quick steps
- Billing → Insurance & RGHS → Insurance → Claims tab me claim ki row dhundo
- '🤖 AI Generate' dabao → 'TPA:' me TPA chuno → '🔁 Regenerate'
- Narrative padh kar theek karo → '✓ Mark Approved'
- '📤 Submit to TPA' dabao → '🤖 Live Pre-Auth Queue' ke '⏳ Pending' me claim dekho