M/S.PURUHOOTHIKA SOFTCONDUCTOR SERVICES HEVS INDUSTRIES.
     (PURUHOOTHIKA TECHNOLOGIES LIMITED).

HOSPITAL INFORMATION MANAGEMENT SOFTWARE(HIMS) DESIGNED AND DEVELOPED.

           THIS HIMS ALL RIGHTS ARE RESERVED BY PURUHOOTHIKA.

HOME   PATIENT REGISTRATION AND RECORDS   APPOINTMENT SCHEDULING   BILLING AND INSURANCE  

PHARMACY MANAGEMENT   INVENTORY AND PROCUREMENT   LABORATORY AND DIAGNOSTICS   HR AND PAYROLL SYSTEMS  


BILLING AND INSURANCE

DEMOGRAPHICS & ID   PAYER MAPPING   AUTOMATED CHARGE CAPTURE   IPD ROOM & TARIFF MANAGEMENT   PACKAGE AND DEAL MANAGEMENT   LEAKAGE DETECTION  

REAL TIME ELIGIBILITY VERIFICATION   CLAIM SUBMISSION & SCRUBBING   DENIAL & REJECTION MANAGEMENT   MULTI MODE PAYMENTS   PRE AUTHORIZATION  

END OF DAY SETTLEMENTS   PATIENT PORTAL INTEGRATION   FINANCIAL DASHBOARDS   COMPLIANCE AND AUDIT TRAILS   HOSPITAL HEALTH PACKAGES AND DEALS  

PAYER MAPPING

Hospital Payer Mapping

Payer ID Payer Name Plan Type Network Status Contract Code
PAY001 Medicare Government / Title XVIII In-Network MED-2026-A
PAY002 Medicaid State / Title XIX In-Network MCD-2026-B
PAY003 Blue Cross Blue Shield PPO / HMO In-Network BCBS-PPO-88
PAY004 Aetna Managed Care In-Network AET-MC-42
PAY005 UnitedHealthcare Commercial / Choice Out-of-Network UHC-COMM-91
PAY006 Cigna Open Access Plus In-Network CIG-OAP-15