Billing & Insurance Digitization for Accurate & Transparent Revenue Management

Hospital billing and insurance processing are complex and highly sensitive to errors. SWI Hospital Management Software digitizes OPD, IPD, pharmacy, and diagnostic billing with complete accuracy.

From patient billing to TPA insurance and cashless claims, manage the entire revenue cycle on one secure platform.

Request Billing HMS Demo
Hospital Billing and Insurance Management Software

Why Billing & Insurance Digitization Is Critical

Manual billing processes, calculation errors, delayed insurance claims, and lack of transparency can lead to revenue leakage and patient disputes.

A digital Billing & Insurance Management System ensures accurate charging, faster settlements, compliance with regulations, and improved patient trust.

OPD & IPD Billing Management

SWI HMS automates OPD and IPD billing by capturing charges directly from clinical, diagnostic, and pharmacy activities.

Key Billing Features

  • OPD consultation and procedure billing
  • IPD package and item-wise billing
  • Auto-posting from pharmacy and diagnostics
  • Provisional and final bill generation
OPD and IPD Billing Management Software

Insurance & TPA Management

Manage insurance policies, TPAs, and cashless claims with complete documentation and approval tracking.

Insurance Capabilities

  • TPA and insurance company master
  • Cashless approval workflow
  • Pre-authorization and claim tracking
  • Settlement and outstanding management
Hospital Insurance and TPA Management System

GST, Tax & Discount Control

  • GST-compliant invoice generation
  • Service and medicine tax configuration
  • Doctor-wise and department-wise pricing
  • Discount authorization controls
  • Credit, debit, and advance adjustments
  • Refund and return billing workflows
  • Audit-ready billing records
  • Complete tax reports

Integrated Billing Workflow

Billing is seamlessly integrated with OPD, IPD, EMR, diagnostics, pharmacy, and insurance modules.

This ensures real-time charge capture, accurate billing, and faster patient discharge.

  • Consultation → Services → Billing
  • Auto-posting from diagnostics & pharmacy
  • Insurance and cash billing integration
  • Faster discharge and settlement

Compliance, Security & Audit Readiness

Hospital billing must comply with statutory regulations and internal audit requirements.

SWI HMS ensures controlled access, complete audit trails, and transparent financial documentation.

  • Role-based billing access
  • Time-stamped billing transactions
  • Complete audit logs
  • NABH-aligned financial workflows
  • Revenue and collection reports
  • Insurance settlement analytics
  • Department-wise billing performance
  • Pending and outstanding analysis

Billing Reports & Revenue Analytics

Gain real-time insights into hospital revenue, billing efficiency, and insurance settlements through interactive dashboards and reports.

Why Choose SWI for Billing & Insurance Management?

Accurate Billing · Faster Settlements · Transparent Revenue · NABH-Ready

Explore Complete Hospital Management Software