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DawaSmartHMIS

Module 08 · Invoices, cashier, payers, claims

The bill is built as the visit happens, so the cashier collects what was actually done.

Every order, prescription, procedure and bed day creates a bill item on the visit's invoice. The cashier sees a worklist of invoices awaiting payment, takes cash, M-Pesa, card or bank, and the dashboard shows billed, collected and outstanding for the period.

See billing, payers and insurance in a demoAll modules
A hospital cashier serving a patient's relative who is paying by mobile phone

In the product

Real screens, demonstration data.

Captured from the DawaSmart web workspace on a demonstration hospital. Names and figures are fictitious.

westlands.dawasmart.app/billing/worklist
The cashier worklist: billing tickets with patient, priority, status, waiting time and continue-billing actions

Cashier worklist

What it does

Capabilities, as they exist in the product today.

Charging and cashiering

  • A billable-services catalogue with prices per branch, including consultations, procedures, tests, examinations and bed days
  • Invoices per visit with items added automatically by orders and dispensing
  • A cashier worklist, receipts, and payment by cash, M-Pesa STK Push, Paybill or Till, card or bank
  • Deposits and interim payments for inpatients, applied against the running bill

Controls

  • Bill reductions (discounts and waivers) requested on an invoice and approved or rejected by an authorised manager
  • Payment matching that prevents the same M-Pesa receipt being applied twice
  • Outstanding balances and follow-up lists

Payers and insurance

  • Payers and insurance schemes recorded on the patient and the visit
  • Eligibility checks, pre-authorisations and claims tracked per payer, with remittances recorded when paid
  • Payer integrations configured per facility, with electronic submission to SHA on the roadmap

Workflow

How the work moves.

Who uses it: cashiers, credit control, claims officers, finance managers.

  1. 1

    Charge

    Orders and dispensing add items to the visit's invoice.

  2. 2

    Collect

    The cashier takes payment; M-Pesa confirmations post automatically.

  3. 3

    Reconcile

    Billed, collected and outstanding are reported by period, department and payer.

Questions

About billing, payers and insurance

Can a patient pay part cash and part insurance?
Yes. Payer coverage and patient contributions are recorded against the same invoice, and the claim carries the payer's portion.
Do you submit claims to SHA electronically?
The claims workflow is built with an SHA adapter and each hospital configures its own provider credentials. Live submission depends on SHA onboarding, so we list it as a roadmap item rather than a feature in use today.

Works with

Modules this one hands off to.

Next module: Procedures, referrals and scheduling

Next step

See billing, payers and insurance running on your hospital's workflows.

A demo takes about 45 minutes. We walk through the departments you run, on real screens, and leave you with a written scope and quote.

Book a demoRequest a quote

Or call +254 746 289 413 · Monday to Saturday, 8:00 to 18:00 EAT