Insurance

Insurance billing that reconciles itself

Configure insurers and TPAs, set coverage rules and co-pay splits, and let Clinit build the claim from the visit. Portal payment proofs are matched with one-click OCR reconciliation, and every claim state is visible from the finance hub.

Per insurer
Coverage & co-pay rules
From the visit
Claim auto-drafted
OCR
Payment-proof reconcile
Finance hub
Claim status at a glance

Insurer & TPA registry

Add each payer once — network, plan tiers, approval requirements, and the split between insurer and patient — then apply it to any invoice.

Claim built from the session

Completed procedures, diagnosis codes, and fees flow into a claim draft, so billing staff review rather than re-key.

Co-pay collected at the desk

The patient portion is calculated automatically and can be taken by card or cash at checkout, with the balance flagged as an insurer receivable.

Payment-proof OCR reconciliation

When a patient uploads a bank or wallet transfer proof in the portal, Clinit reads it and proposes a one-click match against the open invoice.

Country-aware methods

Egypt clinics see InstaPay, Fawry, and Vodafone Cash; Gulf clinics work with local card gateways — the method list follows the clinic’s country.

Built for NHIA and NPHIES contexts

Structured claims, retained diagnosis coding, and an automatic audit trail line up with Egypt’s NHIA rollout and Saudi NPHIES eligibility and claim flows.