"Not approved by RGHS" card ki line "N claims · out of ₹X billed" sirf faisla hue claims ka jod hai. Rejected claims "Rejected by RGHS" me alag gine jaate hain. Card dabane par usi ke claims ki list khulti hai.
Bank milaan me "Not approved by RGHS" aur "Not approved yet" me kya farak hai?
"Not approved by RGHS" = jin claims par RGHS faisla de chuka hai, unme bill se kam approve hua hissa — ye kata hua paisa hai (CA ke liye). "Not approved yet" = jin claims par abhi faisla hi nahi hua (TPA / CU / query / submit baaki) — ye kata nahi, abhi aana baaki hai. Pehle dono mile hue the; ab abhi-pending claim "Not approved by RGHS" me nahi ginta.
Where in ORALZY: Billing → Insurance & RGHS → Bank reconciliation → Bank milaan
Quick steps
- Bank reconciliation → "🏛️ RGHS claims"
- "Not approved by RGHS" dabao — kata hua hissa dekho
- "Not approved yet" dabao — abhi aane wala paisa dekho