LamaniPulse
AI-powered clinic management system in Malaysia/Features/Stage 06: Post-Visit Revenue & ClaimsPanel & TPA Dominance
Module 07 // Corporate Panel & TPA Claims Clearinghouse

Never lose a single panel claim.
1-click monthly statements & batch audit.

Corporate panels represent 40–60% of private clinic volume, but messy manual claims cause delayed cash flow and uncollected write-offs. As the corporate billing module in our AI-powered clinic management system in Malaysia, LamaniPulse serves as an automated TPA claim system tracking MiCare, PMCare, HealthMetrics, and MediExpress from submission to bank settlement.

1-Click
Monthly Invoicing
0
Lost Paper Slips
100%
Aging Balance Audit
panel-claims/batches • Monthly CycleReconciled
All Panels (4)PMCareMiCareHealthMetrics
PMCare September Batch #PMC-2024-09
142 Encounters • Total: RM 11,840.00
Approved (RM 11,840)
MiCare Batch #MIC-2024-09
89 Encounters • Total: RM 7,620.00
Submitted & Pending
HealthMetrics Batch #HM-2024-09
1 Disputed Claim Detected • RM 120.00
Action Required
Current (0-30d)
RM 24,500
Aging (31-60d)
RM 4,200
Disputed / Unpaid
RM 340
Panel Operations

Automate the entire corporate panel lifecycle

01

Multi-TPA Central Clearinghouse

Consolidate claims from MiCare, PMCare, HealthMetrics, MediExpress, and direct corporate employers in a unified dashboard with real-time status transitions.

02

Batch Statement Invoicing

Generate polished monthly corporate billing summaries in 1 click. Attach itemized consultation receipts and verified digital diagnosis logs automatically.

03

Payment Voucher Discrepancy Matching

Compare TPA payment advice slips against submitted claims. Isolate partial deductions, rejected line-items, and shortfalls before closing monthly accounts.

TPA Reconciliation Engine

Generate monthly panel statements in one click with automated payment voucher reconciliation and claim dispute tracking.

Multi-TPA Formats • Automated Aging Receivables • Malaysian Corporate Healthcare Standard