Dono Billing → Insurance & RGHS → Insurance ke andar tab hain; menu ka 'Pre-Auth Verify' seedha pehla wala tab kholta hai. Policy (Pre-Auth Verify) aur claim (Claims tab) apas me jude nahi hain — claim banate waqt Policy Number khud bharna padta hai. TPA ki list bhi alag hai: policy me Insurer / TPA naam aap khud likhte ho, pre-auth bhejne ke liye drawer ki fixed TPA list se chunna hota hai.
'Pre-Auth Verify' aur 'Live Pre-Auth Queue' me kya fark hai?
'Pre-Auth Verify' tab patient ki policy ka record hai — policy jodna aur treatment se pehle eligibility (Verified / Declined / Expired) likhna. '🤖 Live Pre-Auth Queue' claim ka pre-auth request hai — jo claim '🤖 AI Generate' → '📤 Submit to TPA' se TPA ko bheja, uska status. Pehle policy verify karo, phir claim banao, phir pre-auth bhejo.
Where in ORALZY: Billing → Insurance & RGHS → Insurance → Pre-Auth Verify · Billing → Insurance & RGHS → Insurance
Quick steps
- Policy jodne / verify karne ke liye: Billing → Insurance & RGHS → Insurance → Pre-Auth Verify
- Claim banane ke liye: '+ New Claim' tab
- Pre-auth bhejne ke liye: Claims → '🤖 AI Generate' → '📤 Submit to TPA'
- Bheje pre-auth dekhne ke liye: '🤖 Live Pre-Auth Queue'