Bahut zaroori: list patient ka insurance / scheme card nahi dekhti. 11 TPA ke default profile ka rate card khaali hota hai — tab koi naam-milaan nahi hota aur pichhle 30 din ka lagbhag har patient list me aa jaata hai. PMJAY ka rate card HBP 2.2 dental package naamon se pehle se bhara hota hai, isliye wahan 'Match' column me mila hua shabd dikhta hai. Rate card screen par badla nahi ja sakta. 'Value hint' = mile hue treatments ka jod ₹; 'Last seen' = treatment ki tarikh ya appointment banne ki tarikh. Kuch na mile to 'No OPD candidates found in the last 30 days for this scheme.' aata hai. Isliye recall bhejne se pehle har naam check karo.
Empanelment ki 'Find eligible' list me kaun se patients aate hain?
'Find eligible' pichhle 30 din ke wo patients dhoondhta hai jinka treatment plan hua ya appointment bani, aur jinke treatment ka naam scheme ke rate card ke procedure naamon se milta ho. Jinka is TPA ka claim pichhle 30 din me ban chuka, aur STOP / DND wale, hata diye jaate hain. Sabse zyada 'Value hint' wale upar — zyada se zyada 20 patient.
Where in ORALZY: Billing → Insurance & RGHS → Empanelment → Empanelment & Quota
Quick steps
- Current Month me scheme ki row ka 'Find eligible' dabao
- 'Match' aur 'Value hint' column dekho
- Jo patient us TPA / scheme ke nahi hain unka tick hatao
- Uske baad hi 'Send recall to N patient(s)' dabao