HMIS with HMO Reconciliation in Nigeria

HMIS with HMO Reconciliation

Hyella provides a Health Management Information System with HMO Reconciliation Module for hospitals in Nigeria, and Africa. The HMO Reconciliation feature in our all-in-one HMIS helps hospitals and clinics to cater to their financial reconciliations with HMO providers.

HYELLA HMIS HMO Reconciliation feature helps hospital admin, HMO officers, billing officers, and healthcare providers in general to resolve the issues of unclaimed funds that happen on a monthly basis.

Our HMO reconciliation feature gives you accurate, real-time data for all your patients using different HMO providers, making the workflow seamless, easier, and more efficient.

Among other things, the Hyella HMO Reconciliation solution helps hospitals:

  • Resolve unbalanced accounts and records
  • Retrieve unclaimed funds from HMOs
  • Avoid daily manual HMO reconciliation
  • Improve patient satisfaction and service delivery

Hyella EMR is integrated with HMO reconciliation solution that erases the confusion that comes with patients switching from private paying to HMO-covered payments which ensure that your accounts are balanced.

With Hyella HMO reconciliation feature, healthcare providers can acquire more patients by integrating with as many HMOs as possible without the usual hassle of manual reconciliation.

By increasing the number of patients that patronize your facility on a monthly basis, you will generate more recurring revenue and track it accurately.

Our HMO reconciliation solution helps you avoid manual reconciliation of HMO balances which are typically tedious and cumbersome

Hospital and clinics who use Hyella EMR do not need to delay patients for confirmation of HMO claims or outstanding debts thereby attending to patients more promptly than others

The only thing constant is change, Reconcile all HMO balances promptly.

Our HMO Reconciliation

A summary of the feature

The HMO reconciliation feature is tailored towards helping hospitals cater to their financial reconciliations with HMO providers. Due to unbalanced accounts and records, hospitals lose millions of unclaimed funds to HMOs which happens on a month-to-month basis. Many hospitals engage in capitation services with some HMOs and organizations without fully understanding if that agreement is healthy for them or not. The Hyella system/software provides a two-in-one solution, allowing you to successfully and permanently tackle issues that arise with HMO providers.

Why should customers buy the HMIS in order to use the HMO Reconciliation feature?

Hyella, the future of hospital management, offers solutions that facilitate the ease of daily operations, and business functions of healthcare providers and help to curb imbalances. HMO providers, by virtue of their agreed partnership with various hospitals, assist the patient when it comes to medical expenses, thereby relieving the burden on the patient. The Hyella software erases the confusion that comes along with patients switching from “private paying” to being HMO covered payments”, allowing the “Accounting” books to be balanced rather than the manual, cumbersome, and tedious process of cross-referencing over a thousand patients with over 50 different HMOs to be able to do a
claim or raise a (claims form). With Hyella, manual reconciliation and backlogs in the process will be a thing of the past. Reconciliation, however, is not restricted to HMOs alone, it could also be with corporate bodies, e.g health insurance for employees of a particular company. Hyella gives you accurate real-time data for your healthcare facility, making the workflow seamless, easier, and more efficient. The fact is, patients, keep coming in and work must be done. So, as soon as a patient enters the facility, all processes are documented and handled in order to prevent stress in the long run.

HMO feature users

Admin, HMO officers, billing officers, and healthcare providers in general.

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