Inpatient Billing (IPD)
Bill inpatients through their stay in AndroHealth HIMS — configure IPD settings and deposit alerts, handle self-pay and insurance billing, authorize extended stays, settle at discharge, and submit NPHIES institutional claims.
AndroHealth bills inpatients across the whole stay — from a security deposit at admission, through daily charges and extended-stay authorization, to settlement at discharge. It handles self-pay and insurance patients, integrates with NPHIES institutional claims, and warns you when balances run low.
Configure IPD settings
Go to Admin Console → System Configuration → IPD Settings to set the rules for inpatient money and timing.
IPD Advance Settings define minimum balances and deposits, plus Discharge and Transfer cutoff times.
The Low Balance Alert lists patients whose available balance (deposit/advance) is at or below the minimum, and the Package Ending Alert flags packages nearing their limit — so you can collect before care is interrupted.
Self-pay inpatient billing
For a self-pay patient, take a security deposit right after admission, and bill against a package where one applies. Generate invoices for the services rendered during the stay.
Insurance inpatient billing
For insured inpatients, bill against the payer and capture the insurance details for the stay.
Authorization for extended stay
To extend a patient's treatment period, open the treatment plan in the IPD EMR and request the extension and its authorization.
Billing details & settlement at discharge
The Billing Details view lists every service and product rendered since admission.
At discharge, click Proceed to Pay to reach the settlement screen, settle the balance, and complete the discharge — the patient then moves to the Discharged list.
NPHIES institutional transactions
For insured stays, the system handles NPHIES institutional transactions — authorization, virtual discharge, and claim submission — plus CNHI requests.
Medication billing
Medications administered during the stay are billed through the inpatient medication billing flow.
Where this appears
- Admin Console → System Configuration → IPD Settings
- IPD → Admitted patient (billing, deposit, settlement, discharge)
- IPD EMR → Treatment Plan (extended-stay authorization)
- NPHIES institutional transactions & claims
Common questions
How are self-pay inpatients billed?
Take a security deposit at admission, bill against a package if applicable, and generate invoices for services rendered.
What happens if a patient's balance runs low?
The Low Balance Alert flags patients at or below the minimum so you can collect before care is interrupted.
How do I settle at discharge?
Click Proceed to Pay to reach the settlement screen, settle the balance, and complete the discharge.
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