FAQ - Can I check a patient’s covered or uncovered tests before their appointment?

Yes. Hospitals should check coverage before confirming an appointment.

This will help you to inform the patient of their Health Screening entitlement before they schedule a date of appointment.

Step by Step

1.) Open the Patients Tab under the menu toggle section and search using the Patient's ID to check their exclusions for Health Screening.



2.) Once you search, the patient's details will be available right below, together with the Health Screening guaranteed amount and the list of tests/treatments. The hospital may refer to this list to check its exclusions and advise patients. 



To summarize, if the test or treatment is covered, the process will be cashless. If it is not covered, the patient will need to pay for the treatment or test before leaving the hospital. This ensures transparency and mutual understanding before the appointment is made.