PreAuthPro — OPD QR & Insurance Pre-Authorisation

Pre-auth worklist

All live cases, soonest SLA-breach first. Red = breached/at-risk; chase those first.

Patient	Insurer	Status	SLA	Queries	Est.
No live cases

1 · New OPD record

Fill the consultation details, or upload a photo of the OPD paper to auto-fill. Generating creates a QR-signed OPD document.

📄 Scan to auto-fill:

Accepts JPG, PNG, WebP, GIF or PDF. Extracted fields fill the form below — review before generating.

Patient name *

Age *

Gender *

Patient / UHID

Policy number

Insurer / TPA

ICD-10 diagnosis search

Diagnosis *

ICD-10 code *

Anaesthesia

Chief complaint *

Examination findings (O/e, P/R)

Treatment plan *

Complaint duration

Doctor name *

Qualification *

NMC / Reg no. *

Department *

2 · OPD generated

Scan to verify authenticity

E-signatures

Sign in the boxes (mouse / finger / stylus), then Save. Signatures appear on the OPD & pre-auth PDFs.

Patient signature

Doctor signature

Case documents auto-deleted after 24h

Store the case file (Aadhaar, policy, reports, AL) temporarily. Requires patient consent. ID numbers are masked in the record; files are permanently deleted 24h after upload.

Patient consents to temporary (24-hour) storage of these documents.

Consenting person's name

⬆ Upload document

Type	File	Ver	Expires in
No documents stored

3 · Pre-authorisation

Medical-necessity justification

Pre-empts the "could be managed OPD / not justified" query. Generates a draft from the case; edit & save — it prints on the pre-auth PDF.

Conservative/OPD management failed

For how long (conservative)

Key investigations

Comorbidities

Status & timeline

Insurer / TPA queries

Log every query; answer all before re-submitting. Each shows on the case history.

Query

Discharge readiness & enhancement

Tick each item before sending the final/discharge request. If the final bill exceeds the approved amount, raise an enhancement first.

Final bill prepared Discharge summary ready Investigation/OT reports Implant invoice/stickers Signatures captured

Final bill amount ₹

Stage

Enhancement ₹

Reason

Recent OPD records

Most recent records you have access to.

OPD No.	Patient	Diagnosis	ICD	Date
—

Insurance rate list

Set your negotiated package rates per insurer + procedure. A matching rate auto-fills the pre-auth cost. Leave ICD blank to apply to any procedure; pick "Any insurer" for a default rate.

Insurer

ICD-10 code (optional)

Procedure / package name *

Package amount ₹ *

+ Optional itemised breakdown (for the Part-C cost table)

Days

Room type

Room / day

Room charges

ICU

OT

Surgeon

Anaesthesia

Consultation

Medicine

Diagnostic

Misc

Insurer	ICD	Procedure	Amount	Days
No rates yet — add one above

Doctors (for WhatsApp justification)

Add treating doctors with WhatsApp numbers. On any insurer query you can then send the justification request to the doctor on WhatsApp in one tap.

Doctor name *

WhatsApp number *

Qualification

Reg. no.

Name	WhatsApp	Qualification
No doctors added

Insurer submission portals

Set each insurer's provider-portal link and/or pre-auth email. The pre-auth screen then gives a one-click "Submit" that opens the portal / email with the PDF ready to attach. (The app does not auto-login to insurer portals.)

Insurer

Provider portal URL

Pre-auth email

Notes

Insurer	Portal	Email
No portals configured yet