CGHS Billing Software for Empanelled Hospitals

Bill CGHS beneficiaries at the right rate every time. NexoraHMS includes a CGHS rate master you can import in one click, keeps General and CGHS rates side by side and shows the CGHS category on every bill.

Works offlineCGHS rate masterTPA, ECHS & PM-JAYOne-time licenceEnglish + Hindi

CGHS empanelment brings steady patient volume, but it also means two tariffs for the same service and strict documentation. Typing CGHS rates by hand is slow and invites errors that surface later during claim scrutiny.

NexoraHMS lets you import 6,459 services with CGHS rates, GST and HSN codes, then set General rates beside them. When a CGHS or ECHS patient is registered, billing desks across OPD, lab and IPD pick the sponsor rate automatically.

CGHS Billing Features

Rates, categories and sponsor rules are configured once and applied at every billing desk.

  • CGHS rate master with 6,459 services and one-click import
  • General and CGHS rates side by side in the service master
  • CGHS patient category on registration and every bill
  • Sponsor-wise service masters for CGHS, ECHS and corporate panels
  • Lab and radiology test catalogue with General and CGHS rates
  • Doctor master with CGHS consultation rates
  • Outstanding sponsor balances in the collection reports
NexoraHMS lab test catalogue showing pathology, radiology and cardiology tests with General and CGHS rates, sample type and TAT
Test catalogue with General and CGHS rates, sample type and TAT. Demo data.

CGHS Billing in Four Steps

1

Import rates

Load the CGHS service list with rates, GST and HSN codes in one step.

2

Set your General tariff

Enter your own rates next to CGHS so both are maintained in one place.

3

Register as CGHS

Mark the patient's sponsor category at registration.

4

Bill and track

Every desk bills at CGHS rates; balances appear in outstanding reports.

NexoraHMS TPA and insurance screen listing partners with credit limits, discounts and rate card
Sponsors and TPA partners with credit limits and rate cards. Demo data.

CGHS, ECHS and Other Sponsors Together

  • ECHS and corporate panels configured the same way as CGHS
  • TPA partners with credit limits, discounts and rate cards
  • PM-JAY and scheme packages for IPD
  • Sponsor-wise outstanding for follow-up with the panel
See all NexoraHMS modules

Who Uses NexoraHMS CGHS Billing

CGHS-empanelled hospitals

Consistent CGHS rates across OPD, lab and IPD.

Diagnostic centres on the CGHS panel

Test catalogue with CGHS rates and sample details.

Hospitals with ECHS and corporate tie-ups

Several sponsors handled from one service master.

NexoraSoft installs NexoraHMS on site across Delhi NCR from our Kirti Nagar, New Delhi office, sets up masters, migrates data and trains staff. Hospitals elsewhere in India are set up remotely.

CGHS Billing: FAQ

NexoraHMS includes a CGHS rate master of 6,459 services with rates, GST and HSN codes that can be imported in one click. Rates should be reviewed against the current CGHS notification for your city before going live.

Yes. Both rates sit side by side in the service master, and the patient's category decides which applies.

Yes. ECHS and corporate panels are handled as sponsors with their own rates.

Yes. The lab and radiology test catalogue carries General and CGHS rates.

Yes. Outstanding and collection reports show sponsor balances.

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