Services and tariffs
Organise billable services, tariff categories and pricing tiers.
Follow the money back to the care delivered.
Private and insured visits take different financial paths. CareFlow360 helps teams trace services into charges, payments, HMO claims and reconciliation work.
One journey. Clear next steps.
Follow the work and the decisions behind this page.
- 01
Record the service
Connect delivered care to the correct patient visit and applicable price.
- 02
Review the charge
Find unbilled or adjusted items before the account is closed.
- 03
Collect or claim
Record cashier payments or follow authorization and insurer claim steps.
- 04
Reconcile
Match remittances, review exceptions and follow outstanding balances.
Revenue and HMO features
Explore the capabilities that support each part of the work.
Payer contract rates
Manage insurer-specific service rates alongside hospital pricing.
Service-to-charge traceability
Follow delivered care into charges and find items requiring billing review.
Patient and inpatient billing
Prepare patient bills and review admission billing statements.
Payments and receipts
Record collections, track payment status and issue receipts.
Cashier shifts
Open and close cashier shifts and review collections and differences.
Adjustments, refunds and approvals
Follow financial corrections through the relevant review and approval steps.
Insurance coverage
Maintain provider and coverage information for insured patient workflows.
Authorisations
Track requests, decisions and authorisation details for insured services.
Claims preparation and follow-up
Prepare claims, review their status and follow outstanding claim work.
Remittance reconciliation
Match insurer remittances and investigate exceptions and balances.
Payment integrations
Use configured payment connections and review reconciliation records.
Revenue reporting
Explore billing, collection and insurance reports to support financial oversight.
Explore the next piece
See how this page connects with the rest of the platform.
See connected care in practice.
Explore your hospital’s patient journey with a CareFlow360 demonstration.