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Insurance Business Flow Chart- only for OPD transaction

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Clearly mention role the of each department for handling the insurance / credit business while integration of ERP with Insurance Modules

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Page 1: Insurance Business Flow Chart- only for OPD transaction

By: Ghulam Abbas -Group FM

OPD Flow Chart

CR

ED

IT

Pa

tien

t

Investigation

/

Medication/o

thers

Billing

Finance /

Audit

/Medical

Doctor

Recommendat

ion

Invoice

Generated

Inv.Result

forwarded

Approval

Checks

Posting into E-Claim

System

Approval Alerts

Medicines Issued

Invoice Generated

Send to billing

section

File Resend to

Supporting Documents

Received

Comuplosry

Supporting Checking

Send to

Company

Final Checks

Company --End--

CR

ED

IT

Pa

tien

t

Eligibiltiy

Customer

Support

Office

Search Patient File

Generate Invoice Prepare

UCAF/DCAF

File Alerts

Message

Send file to

clinic

Receiption

File Received

Medical

Record

Clinic

Document

Collection

Patient

Arrived

Vital Sign

noted

Consultation

ion

File Received from

Clinic

UC

AF

etc

Se

nd

to

Billin

g

Se

ction

Results Received-

Alerts

Prescription made

Next Visit brief

Medical Record

Keep one copy of

all doc in file