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A 220-bed hospital closes billing leaks and pharmacy stockouts with one system

Patient billing, insurance claims, pharmacy inventory and HR on ERPNext, plus a patient app, for a 220-bed multispecialty hospital.

billed revenue from the same patient volume
+9%
billed revenue from the same patient volume
pharmacy stockouts
−70%
pharmacy stockouts
days to settle insurance claims
18 → 6
days to settle insurance claims
staff on one payroll
900
staff on one payroll

The client

Sevika runs a 220-bed hospital with twelve specialities, an in-house pharmacy and a diagnostic lab. Around 40% of inpatients are covered by insurance or corporate schemes.

The challenge

  • ✕Consumables used on wards were often missing from final bills.
  • ✕Pharmacy stock was tracked in a standalone system that didn't flag expiry or reorder levels.
  • ✕Insurance claim documents were compiled by hand, delaying settlements.
  • ✕Shift rosters and doctor revenue shares were calculated in spreadsheets.

The solution

OPD, IPD and package billing

Admissions, services, packages and consumables billed from one patient record.

Insurance and TPA claims

Pre-authorisation, document checklists and claim status tracked through settlement.

Pharmacy inventory

Batch and expiry control, reorder levels and ward-wise issue linked to patient bills.

HRMS and payroll

Shift rosters, attendance, statutory payroll and doctor revenue share.

Patient app

Appointment booking, lab reports and payment reminders on Android and iOS.

How we delivered

  1. 01Department-by-department process mapping with clinical and admin leads.
  2. 02Parallel run for one month alongside the old billing system.
  3. 03Super-users trained in each department to support colleagues.
  4. 0424x7 hypercare for the first two weeks after go-live.

The results

  • ✓Billed revenue rose 9% from the same patient volume by capturing consumables.
  • ✓Pharmacy stockouts fell 70%.
  • ✓Average insurance settlement time dropped from 18 to 6 days.
  • ✓Payroll for 900 staff runs in a day instead of a week.
“Billing, pharmacy and HR finally work from the same record. The leakage we used to accept as normal is gone.”
Chief Operating Officer, Sevika Multispecialty Hospital

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