ORALZY
Concept

Empanelment Current Month me Cases MTD, Projection aur Health ka matlab?

Current Month tab ('This month run-rate · all schemes') me har scheme ki row: Cases MTD = is mahine (1 tarikh se aaj tak) bane claim aur kitne din bache; Claimed MTD = unka total ₹ aur kitna % settle hua ('recovered'); Projection = isi raftaar se mahine ke ant tak ₹ aur ~cases; Target / Cap = kitna % ho chuka; Health = On track / Under target / Approaching cap.

Where in ORALZY: Billing → Insurance & RGHS → Empanelment → Empanelment & Quota · Mobile: Billing → Insurance & RGHS → Empanelment

Projection = ab tak ka claimed ₹ ÷ beete din × mahine ke kul din. '% recovered' = settled ₹ ÷ claimed ₹ (Insurance page par 'Settle' kiye claims). Mahina claim banne ki tarikh se ginta hai. Is tab me Paused profiles bhi dikhte hain. Ginti sirf Insurance page ke un claims ki hai jin par '🤖 AI Generate' drawer me wo TPA chuna gaya — isliye RGHS / CGHS bill ya PMJAY wali row me 0 aana normal hai. Har row ka 'Find eligible' pichhle 30 din ke recall-layak patient dhoondhta hai. Mobile: 'Current' tab, wahan cap wala badge 'Cap risk' naam se.

Quick steps

  1. Billing → Insurance & RGHS → Empanelment → 'Current Month' kholo
  2. Scheme ki row me Cases MTD aur Claimed MTD dekho
  3. Projection ko Target / Cap se milao
  4. Health 'Under target' ho to 'Find eligible' se patient dhoondho

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