Designed for Financial Control & Operational Accuracy
CareConnect eliminates manual reconciliation chaos with built-in audit trails, insurer-aligned billing validations, and clinical interoperability.
Revenue Leakage Prevention
Controlled hospital workflows, cancellation authorization gates, and multi-tier approval logs ensure no medicine, bed day, or clinical procedure goes unbilled.
- Unbilled procedure anomaly alerts
- Strict invoice cancellation approvals
- Immutable financial audit ledger
Unified OPD/IPD Billing
Seamless itemized invoicing across OPD consultations, IPD ward stays, surgeries, lab orders, and pharmacy with multi-mode collection (Cash, Card, UPI, Advance).
- Automated bed-tariff & nursing charges
- Advance deposits & refund management
- Split billing (Patient Co-pay vs Insurer)
Cashless & TPA Claims Lifecycle
Track cashless admissions from initial pre-authorization, enhancements, insurer query resolution, to discharge vouchers and final settlement reconciliations.
- Pre-auth request & enhancement tracking
- Discharge summary packet generation
- TPA deduction reconciliation ledgers
ABDM & HL7 FHIR Integrated
Conforms to India's National Health Authority (NHA) digital health stack with native ABHA creation, HIP record sharing, and HIU consent-based health record retrieval.
- M1, M2 & M3 ABDM certified workflows
- NRCeS compliant HL7 FHIR resource bundles
- Digital consent artifact manager
Hospital Chain Central Governance
Manage multi-location hospital networks with a single pane of glass: syndicated tariff masters, Master Patient Index (MPI), and location-level operational autonomy.
- Cross-branch patient ID & records
- Centralized master data & drug formulary
- Consolidated group financial reporting
Decision-Grade Financial MIS
Audit-ready financial reporting: live bed occupancy rates, doctor revenue share calculations, collection aging summaries, and departmental profitability.
- Automated doctor share & commission splits
- Live bed boards & occupancy analytics
- Real-time decision feed for administrators
Ayushman Bharat Digital Mission (ABDM) & HL7 FHIR
CareConnect is engineered from the core to comply with National Health Authority (NHA) digital health specifications and HL7 standards for seamless healthcare interoperability across India.
ABHA Creation & Token
Quickly generate 14-digit ABHA IDs via Aadhaar OTP or Mobile OTP at reception. Scan-and-Share QR code token generation reduces OPD queue times to under 60 seconds.
Record Linking & Publishing
Acts as a Health Information Provider (HIP). Automatically signs and publishes OPD consultations, diagnostic lab results, and discharge summaries to the patient's ABHA locker.
Consent & Record Fetch
Acts as a Health Information User (HIU). Doctors can request and view longitudinal medical records from prior hospitals with explicit, digitally signed patient consent.
NRCeS Core Conformance
Converts clinical records into standard HL7 FHIR JSON bundles (Condition, DiagnosticReport, MedicationRequest, Encounter) ensuring national and international interoperability.
Flexible Plans for Every Stage of Care
Scale confidently from single clinics to multi-specialty healthcare networks.
Foundation
Try & evaluate with confidence for single clinics & small daycare centers.
- Single Hospital / Clinic Entity
- Core OPD Registration & Token Desk
- Doctor Consultation Desk & Digital Rx
- Basic Vitals Logging (BP, Pulse, Temp, SpO2)
- Standard OPD Service Invoicing
- Multi-mode Payment Collection (Cash, UPI)
- Daily Cash Drawer & Collection Summary
- ABDM Milestone 1 (ABHA Creation & Token)
- HL7 FHIR Standard OPD Summaries
- Patient & Tariff CSV/Excel Import Tools
- Up to 3 Role Accounts (Admin, Desk, Doctor)
- Standard Email Support (24h SLA)
Professional
Built for small to large sized multi-specialty hospitals requiring full IPD & cashless.
- Everything in Foundation, plus:
- Full Inpatient (IPD) Bed & Ward Allocations
- Nursing Worklists & Medication Records (MAR)
- IPD Interim, Final & Discharge Billing
- Advance Deposits & Authorized Refund Workflows
- Revenue Leakage Prevention & Audit Trail
- Cashless TPA & Insurance Desk (Pre-auth to Settlement)
- Doctor Share & Revenue Split Calculations
- Integrated Pharmacy POS, Expiry & GRN Stock Entry
- ABDM M1 & M2 (HIP Record Publishing)
- HL7 FHIR Complete Diagnostic Bundles
- Assisted Legacy Data & Balance Migration
- Decision-Grade MIS (P&L, Bed Occupancy)
- Priority Phone & Chat Support with Guided Setup
Enterprise+
For hospital chains, large networks & complex healthcare ecosystems.
- Everything in Professional, plus:
- Central Multi-Hospital Governance & Group Admin
- Location-Level Operational Autonomy & Tariffs
- Master Patient Index (MPI) Across All Locations
- Centralized Pharmacy Warehouse & Branch Transfers
- Corporate Credit Client Billing & Rate Contracts
- Full ABDM M1, M2 & M3 (HIU Consent Management)
- Bi-directional HL7 v2 / FHIR PACS & LIS Integrations
- External ERP / Accounting (SAP, Tally) API Sync
- Turnkey Legacy HIMS Data Migration & Parallel Cutover
- AI-Assisted Revenue Anomaly Alerts & Heatmaps
- Executive BI Dashboards (Group ARPOB, EBITDA)
- 99.95% High Availability Uptime SLA
- Dedicated Technical Account Manager & 24/7 SLA
Detailed Subscription Tier Feature Matrix
Compare every operational, clinical, billing, and compliance capability across our plans.
| Capability Dimension | Foundation | Professional Recommended | Enterprise+ |
|---|---|---|---|
| 1. Entity Architecture & Scale | |||
| Facility Scale Capacity | Clinics & Day-Care (1–15 beds) | 20–150 Bed Hospitals | 150+ Beds & Multi-Branch Chains |
| Number of Operating Entities | 1 Facility | 1–2 Facilities | Unlimited Multi-Entity Network |
| Central Group Governance | — | — | ✓ Included |
| Master Patient Index (MPI across branches) | — | — | ✓ Included |
| 2. Clinical & Front Desk Workflows | |||
| Patient Registration & Token Desk | ✓ | ✓ | ✓ |
| Doctor Consultation Desk & Digital Rx | ✓ | ✓ | ✓ |
| Vitals Trendline & Clinical Alerts | Basic Vitals | ✓ Trendline & Alerts | ✓ Continuous Sync |
| Inpatient (IPD) Admission & Ward Bed Board | — | ✓ Full IPD | ✓ Multi-branch IPD |
| Nursing Worklists & Medication Administration (MAR) | — | ✓ Included | ✓ Included |
| Clinical Masters (ICD-10, Lab Catalogs) | Standard | ✓ Full ICD-10 Masters | ✓ Custom Clinical Masters |
| 3. Billing & Revenue Protection | |||
| OPD Service Invoicing & Cash Drawer | ✓ | ✓ | ✓ |
| IPD Interim, Bed Tariffs & Final Billing | — | ✓ Automated Tariffs | ✓ Multi-Entity Tariffs |
| Advance Deposits & Authorized Refunds | — | ✓ Approval Controlled | ✓ Approval Controlled |
| Revenue Leakage Prevention & Unbilled Audits | Basic Logs | ✓ Active Leak Prevention | ✓ AI Anomaly Alerts |
| Doctor Revenue Shares & Commissions | — | ✓ Automated Splits | ✓ Tiered Dynamic Contracts |
| 4. Pharmacy & Stock Management | |||
| Prescription Dispensing | ✓ OPD Rx | ✓ OPD & IPD Rx | ✓ Network Formulary |
| Pharmacy POS with Batch & Expiry Control | — | ✓ POS & Expiry | ✓ Multi-Store POS |
| Stock Entry (GRN) & Inventory Valuation | — | ✓ GRN & Valuation | ✓ Central Warehouse & Transfers |
| 5. Cashless Insurance & TPA | |||
| Insurance Recording | Basic Tagging | ✓ Full TPA Desk | ✓ Full TPA & Corporate |
| Pre-Auth Tracking & Enhancements | — | ✓ Included | ✓ Digital Gateway Ready |
| Split Billing (Patient Co-Pay vs TPA) | — | ✓ Included | ✓ Automated Co-Pay Rules |
| Insurer Settlement & Deduction Tracking | — | ✓ Included | ✓ Advanced Reconciliation |
| 6. ABDM & HL7 Standards Interoperability | |||
| ABDM Milestone 1 (M1 - ABHA Creation & Token) | ✓ Included | ✓ Included | ✓ Included |
| ABDM Milestone 2 (M2 - HIP Record Publishing) | — | ✓ Included | ✓ Included |
| ABDM Milestone 3 (M3 - HIU Consent Record Fetch) | — | — | ✓ Full HIU Included |
| HL7® FHIR Conformance | OPD Summaries | ✓ Complete Bundles | ✓ FHIR + HL7 v2 PACS/LIS |
| 7. Governance, Security & Support | |||
| User Roles & Role-Based Access Control | 3 Standard Roles | Comprehensive RBAC | Custom Granular RBAC |
| Decision-Grade Reports & BI Dashboards | Basic Reports | Advanced MIS & P&L | Executive BI & ARPOB |
| Cloud Infrastructure & Security | Cloud-Native Hosted | Cloud-Native Hosted | Dedicated Tenant / Cloud / On-Prem |
| Support SLA | Email (24h SLA) | Priority Email & Chat (4h) | 24/7 Phone & Dedicated Manager |
| 8. Onboarding & Legacy Data Migration | |||
| Existing Data Migration Support | Self-Serve CSV / Excel Templates | ✓ Assisted Migration (Patients & Balances) | ✓ Turnkey Migration & Sanitization |
| Historical Clinical Record Ingestion | — | Past Summaries & Master Catalogs | ✓ Full Longitudinal EMR History |
| Parallel Run & Cutover Validation | Documentation Guided | ✓ Dedicated Onboarding Specialist | ✓ White-Glove On-Site / Remote Support |
Frequently Asked Questions
Everything you need to know about implementing CareConnect HIMS in your facility.
Request a Demo & Custom Consultation
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