Gen-X _Doctor Rates INSURANCE/CREDIT/CORPORATE TARIFF

Gen-X _Doctor Rates INSURANCE/CREDIT/CORPORATE TARIFF

🧑‍🏫 Training Document: Insurance / Credit Consultation – Tariff Master Screen

📍 Objective

This training explains how to use the Tariff Master Screen to manage doctor consultation charges based on:

  • Insurance/Credit party
  • Doctor
  • Department
  • Hospital Location

By the end, you’ll be able to:

  • Understand how the system determines charges for insured vs. walk-in patients.
  • Modify doctor-wise charges (IP/OP/Walk-in).
  • Use filters, apply bulk updates, and save changes.

🖥️ 1. What is the Tariff Master Screen?

The Tariff Master is a centralized configuration screen where hospital admins or billing staff define how much to charge for doctor consultations based on:

  • Insurance tie-ups (e.g., ICICI, Medi Assist)
  • Doctor's department
  • Hospital location

It ensures that correct pricing is applied during billing for both In-Patient (IP) and Out-Patient (OP) consultations.

🔧 2. Filter Section (Top Area)

FieldDescription
LocationSelect the hospital branch (e.g., AT-Hyderabad). Charges can vary by branch.
DepartmentSelect the medical department (e.g., Orthopedics, Gynaecology). Use ALL to view all.
PriorityThis means the Insurance or Credit Party (e.g., ICICI). Determines which tariff set is used.
DoctorFilter by specific doctor or select ALL to view the entire list.

▶️ Action Buttons

  • Get: Pulls doctor data based on selected filters.
  • + / - and Number field: Used to bulk increase or decrease charges.
  • Apply: Applies the bulk changes across the grid.

Example Usage:

  • + 100 → Increases all charges by ₹100
  • - 50 → Decreases all charges by ₹50

📋 3. Main Table – Understanding the Tariff Grid

ColumnDescription
SNoSerial number of the entry.
DepartmentDoctor’s department/specialty.
DoctorFull name of the doctor.
Walkin ChargesCharges if the patient is not using insurance (self-paying).
Print NameName shown on bills/reports (can be customized).
Doctor CodeInternal hospital code for the doctor (e.g., CC-001).
IP ChargeCharges for in-patient services under selected insurance.
OP ChargeCharges for out-patient consultation under selected insurance.

🧑‍⚕️ 4. Sample Row Explanation

  • Doctor: Dr. SREE RAMA RAJA
  • Department: Critical Care
  • Walk-in Charges: ₹400
  • Doctor Code: CC-001
  • IP Charge (ICICI): ₹1200
  • OP Charge (ICICI): ₹300
Interpretation: If a patient comes with ICICI insurance:
→ ₹300 for OP consultation
→ ₹1200 for IP admission

If no insurance: ₹400 walk-in charge applies.

💾 5. Action Buttons at Bottom

ButtonFunction
SaveSaves all updated data to the system.
ResetDiscards changes and reloads original values from the database.
BackReturns to the previous screen without saving.

🔁 6. Use Cases

ScenarioWhat to Do
New insurance addedSet OP/IP charges for each doctor under that priority.
Annual price revisionUse bulk + apply to increase charges.
Doctor changes feesUpdate Walk-in / IP / OP fields manually.
Billing discrepancyCross-check doctor charges here.
Multiple doctor updatesUse filters + bulk update + Save.

📌 7. Tips & Best Practices

  • ✅ Always verify the selected Priority and Location before editing.
  • 🧾 Keep Print Name consistent – this appears on patient bills.
  • 📋 Use Doctor Code consistently across systems.
  • 💡 Save frequently if working with large updates.
  • 🚫 Avoid mass updates without validating data.

📊 8. Optional Flow (Visual)

  Select

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