Many hospitals in Nepal treat insured patients under the Health Insurance Board (NHIB) scheme or through SSF. The work of preparing claims is where paper-based billing hurts most: missing details, rejected claims and long delays.
Why claims go wrong
- Patient and scheme details are written on paper and re-typed later.
- Services and medicines are not tied to the claim at the time of treatment.
- Bills and claim forms are prepared separately and do not match.
What good hospital software does
- Captures claim details at registration and billing, so they are not rebuilt from paper.
- Links services, tests and medicines to the patient's bill, so the claim reflects what was actually provided.
- Keeps one record per patient, across OPD, IPD, lab and pharmacy.
- Produces claim-ready reports from the same data used for billing.
Questions to ask a vendor
- How are NHIB and SSF claim details captured and stored?
- Can I see a claim being prepared from a real patient bill?
- How does it handle rejected or partly approved claims?
- Does billing also meet IRD and CBMS requirements?
Claim rules and forms change, so always confirm the current requirements with the relevant authority and design your workflow around them.
Where NitiERP fits
NitiERP's hospital software includes NHIB and SSF claim processing inside billing, alongside OPD, IPD, lab, pharmacy and IRD CBMS billing. See the buyer's guide or book a free demo.
नेपालीमा
NHIB र SSF दाबी तयार गर्न कागजी बिलिङमा समस्या हुन्छ। राम्रो अस्पताल सफ्टवेयरले दाबीको विवरण बिलिङकै बेला कैद गर्छ।
NitiERP अस्पताल सफ्टवेयर हेर्नुहोस् वा निःशुल्क डेमो बुक गर्नुहोस्।