Card "Not approved yet" ki line batati hai kitne claim TPA / CU ke paas aur kitne query me. Pre-auth, admission ya beneficiary wali ₹0 rows isme nahi ginti. Ye dono list sirf TmsBisTrack se banti hain — wo file upload hona zaroori hai. Filter pills me bhi "🕐 Not approved yet" aur "✖ Rejected" hain, aur CA Excel ke summary me bhi dono aate hain. "Not approved by RGHS" card alag cheez hai — wo sirf faisla ho chuke claims ka kata hua hissa hai.
Bank milaan me "Not approved yet" aur "Rejected by RGHS" ka matlab kya hai?
"Not approved yet" (🕐) = TmsBisTrack me claim bill hua par RGHS ne abhi approve nahi kiya — ye paisa abhi aana baaki hai. Har claim par wajah: "With TPA", "With Claim Unit", "In query — reply on the portal" ya "To be submitted by you", saath me "₹X billed" aur "submitted N days ago". "Rejected by RGHS" (✖) = RGHS ne claim reject kiya — card kehta hai "appeal on the portal"; reject ki wajah (TPA remark) bhi dikhti hai.
Where in ORALZY: Billing → Insurance & RGHS → Bank reconciliation → Bank milaan · Mobile: Billing → Insurance & RGHS → Bank reconciliation
Quick steps
- Bank reconciliation → "🏛️ RGHS claims" → "Not approved yet" card dabao
- Har claim ki wajah padho — query ho to portal par jawab do
- "To be submitted by you" wale portal par submit karo
- Rejected wale ke liye portal par appeal karo