A multi-specialty hospital chain in Chennai automated patient billing, insurance claims processing, and GST compliance — freeing their finance team to focus on what matters: supporting patient care.
HealthCare Plus is a multi-specialty hospital chain with 3 facilities across Chennai, Tamil Nadu. The group serves over 12,000 patients monthly across departments including Cardiology, Orthopaedics, General Surgery, Paediatrics, and Diagnostics.
With 180 staff, 45 consulting doctors, and complex billing involving insurance TPA claims, government health scheme patients (PMJAY/CMCHIS), and direct-pay patients — financial management was their biggest operational bottleneck.
Patient billing was semi-manual. Each discharge bill took 20–30 minutes to prepare, with frequent errors in procedure codes and GST calculations.
Insurance TPA claims had a 35% rejection rate due to incomplete documentation, wrong tariff codes, and missed submission deadlines.
₹22 lakh in insurance receivables were outstanding beyond 90 days — the team had no systematic follow-up process.
GST on healthcare was complex: some services exempt, some at 5%, some at 18%. Manual classification led to compliance risks.
Three facilities used different billing software. Consolidated financial reporting required 4 days of manual data aggregation.
HealthCare Plus migrated all 3 facilities to Laabam.One over 5 weeks, with parallel running for 2 weeks before full cutover.
Smart billing with auto-applied procedure codes, GST classification rules, and package-based billing for common surgeries. Discharge bills generated in 5 minutes.
Integrated TPA claim submission with required document checklists, tariff validation, and automatic rejection re-submission with corrections.
Real-time aging analysis of insurance receivables. Automated follow-up reminders to TPAs at 30, 60, and 90 days. Escalation workflows.
Pre-configured GST rules for healthcare — exempt services, 5% diagnostic equipment, 18% room upgrades. Auto-classification eliminates manual errors.
Single dashboard view across all 3 hospitals. Consolidated P&L, department-wise profitability, and doctor-wise revenue analysis.
Annual savings of ₹15 lakh from reduced billing staff (3 to 1 per facility), eliminated manual reconciliation, and recovered insurance claims.
Billing speed improved 60% — discharge bills now generated in 5 minutes instead of 25 minutes.
Insurance TPA claim rejection rate dropped from 35% to under 8%. Re-submission turnaround reduced from weeks to 48 hours.
₹18 lakh in previously stuck insurance receivables recovered within 4 months through systematic automated follow-ups.
100% GST compliance across all facilities. Zero notices or penalties since implementation.
“Insurance claim rejections were costing us lakhs every month. Within 90 days of switching to Laabam.One, our rejection rate dropped from 35% to 8%. The automated follow-up system recovered ₹18 lakh that we had written off. It's the best investment we've made.”
Dr. Priya RamanathanDirector of Operations, HealthCare Plus
Automate billing, streamline insurance claims, and achieve 100% compliance.