---
title: Streamline Insurance Management for Clinics & Hospitals | Insta by Practo
description: Insta by Practo’s Insurance Module helps clinics and hospitals streamline insurance management, improve claim accuracy, and boost staff productivity.
---

# Insurance Management for Hospitals and Clinics

 

**Insta’s Insurance Module, part of its Revenue Cycle Management, streamlines hospital and clinic insurance management. It helps medical coders reduce billing errors, minimize claim rejections, and accelerate claim submissions and resubmissions. Boost staff productivity, enhance collaboration, and deliver faster, accurate, and efficient revenue cycle outcomes.

**

[ Request a Free Demo ](https://www.instahms.com/demo)

![3dev2](https://www.instahms.com/hubfs/3dev2.png "3dev2")

 Insurance Plan / Sponsor based Contract Management

- Setup sponsor based contract management rules, such as validity and default rate/discount structures applicable.
- Define visit/encounter or episodic [insurance](https://www.instahms.com/insurance?hsLang=en) limit rules.
- Define visit/insurance category based copay% (min/max), deductibles and limits.
- Define exclusions, pre-authorization rules, and setup Fee for Service/DRG/Per Diem billing configurations.

 Sponsor Billing

- Place orders from pending prescriptions, approved pre-authorization requests, multi-visit packages, or direct orders with appropriate user controls.
- Define cash/credit-based billing rules with none, single or multiple (up to 2) sponsors
- Define bill and claim statuses to recognize revenue for cash, track sponsor receivables, and inpatient patient [revenue management](https://www.instahms.com/revenue-cycle-management?hsLang=en).
- Manage patient/sponsor write offs.
- Automated insurance plan based co-pay/deductible/limit based rules to split amounts between copay and sponsor payable portion.
- Observation and daycare per diem billing as per HAAD standards
- DRG Billing as per DHA/HAAD Standards.
- Diagnosis based case rate billing model support.

 Pre-Authorization

- Prescription to pre-auth request flow.
- Manual and online pre-authorization request creation, approval tracking, cancellation, and resubmissions.
- Integration with Shafafiya/eClaimLink platforms as per HAAD/DHA standards.
- Pre-Auth to Billing-Order Management.

 Claim Submissions/Resubmissions

- Claim form documentation.
- Medical coding and claims scrubbing by the encounter, E&M, ICD, CPT, LOINC, Dental, Drug, HCPCS, DRG, Per Diem codes with adherence to Waseel/DHS/DHA/HAAD standards.
- Integration with Waseel/DHS/Shafafiya and eClaimLink platforms for claim submissions.
- Coder claim review features to ensure tracking of changes and liaising of changes between the medical coder, clinician, and administrative staff.
- Claim management, batch creation, denial management, resubmission batch management by correction, or internal complaint.
- UAE Self Pay claim submissions for cash cases and medical tourists
- Claim History Tracking.
- Accumed Integration ready.
- Use reports to track sponsor receivables, activity denials, resubmissions, and ageing analysis

 Remittance Reconciliation

- Sponsor Receivables tracking against outstanding Remittances
- HAAD/DHA Integration ready for online remittances.
- Denial management, Batch/Claim resubmission flow.