Claim Track

Medium
Healthcare · Clinics, labs, pharmacies

Track insurance/SGK claims, deductions and rejections so revenue isn't lost.

Coding Ideas

Built in this build

  • Claim and invoice record
  • Rejection and deduction reason tracking
  • Appeal and resubmission
  • Payer and tariff definitions
  • Rejection reason codes
  • Drafts an appeal note from the rejection reason
  • Queues rejected claims for appeal

Vision (needs external services)

  • Rejection rate and pending collections
  • Accounting export

The build delivers the entire scope above as one coherent application. Items in the vision column require real external services (payments, messaging, integrations) and are not part of this version.

Customer features

  • Claim and invoice record
  • Rejection and deduction reason tracking
  • Appeal and resubmission

Admin modules

  • Payer and tariff definitions
  • Rejection reason codes

AI capabilities

  • Drafts an appeal note from the rejection reason

Automations

  • Queues rejected claims for appeal

Analytics & reports

  • Rejection rate and pending collections

Integrations

  • Accounting export

Mobile

  • View rejection alerts from phone

Roles & permissions

  • Admin
  • Finance
  • Secretary

Healthcare

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