Isme wo insurance claims aate hain jinka status draft, submitted ya under-review hai aur claim amount me se settle hona baaki hai. Avg Days = claims kitne din se pending (claim date se). Ek company ke pehle 10 claims dikhte hain, baaki "+N more". Khaali ho to "No pending TPA claims.". Ye sirf dekhne ke liye hai — claim update / resubmit Billing → Insurance & RGHS → Insurance me karo. RGHS / sarkari scheme ka paisa yahan nahi, Scheme A/c me dikhta hai. Mobile: AI Recovery → "Per-TPA" cards.
Insurance company / TPA se kitna paisa aana baaki hai, Per-TPA me kaise dekhe?
Billing → Pending Payments → AI Recovery → "Per-TPA": har TPA / company ki row — Pending Claims, Total Pending, Avg Days, Last Activity aur Next Action ("Re-submit" 30 din se kam, "Call TPA" 30–59 din, "Escalate" 60+ din). "Show" dabao to us company ke claims (Patient, Claim Date, Amount, Pending, Age, Status) dikhte hain.
Where in ORALZY: Billing → Pending Payments → AI Recovery · Billing → Insurance & RGHS → Insurance
Quick steps
- Billing → Pending Payments → AI Recovery
- "Per-TPA" tab
- Company ki row par "Show" se claims dekho
- Claim ka kaam Billing → Insurance & RGHS → Insurance me karo