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Hospital TPA & Insurance Billing Software

NexoraHMS Module

Hospital TPA & Insurance Billing Software Features

Organise TPA and insurance-related billing coordination with patient, encounter, billing and documentation workflows.

TPA

TPA and insurance patient record coordination

Billing

Billing and claim-document workflow support

Department-wise status

Department-wise status and follow-up tracking

Administrative reports for insurance workflows

Administrative reports for insurance workflows

Discuss your workflow with NexoraSoft

Share your requirements for a guided NexoraHMS walkthrough and implementation discussion.

Request a Demo

NexoraHMS — offline-first hospital management software India that connects OPD, IPD, Pharmacy, Lab, CGHS Billing (6,400+ services), TPA Claims, Prescription & HR in one system. ABDM-ready, NABH & GST compliant. Works without internet. One-time license, no monthly SaaS fee. Trusted by hospitals, nursing homes, and clinics across Delhi NCR, Noida, Gurgaon and Faridabad.

Free Demo +91 98115 51004
✓ Works Offline ✓ CGHS 6,400+ Services ✓ TPA & Insurance ✓ WhatsApp Bills ✓ ABDM Ready ✓ No Monthly Fee ✓ Delhi NCR

Most hospital management software needs a constant internet connection — a real problem for Indian hospitals where connectivity is unreliable. NexoraHMS is built offline-first: all OPD, IPD, billing, pharmacy and lab data is saved locally on your computer, with automatic cloud sync to Firebase whenever internet is available.

35+ modules covering every hospital department, a built-in CGHS rate master with 6,400+ pre-loaded services, TPA & insurance claims, WhatsApp bill sharing and HR/payroll — all in one system, with no monthly SaaS fee.

All Hospital Departments in One Hospital Management Software

NexoraHMS covers OPD, IPD, Pharmacy, Lab, CGHS, TPA, Prescription, HR and more — no need to buy separate software for each department.

OPD Management Software

Token & queue management, instant OPD billing, doctor-wise tracking, and CGHS + General pricing side by side.

IPD & Discharge Billing

Bed & ward management, admission-to-discharge workflow, IPD final bill generation and discharge summary printing.

CGHS Billing — 6,400+ Services

All CGHS rates pre-loaded — no manual entry. CGHS-compliant bills and claims, ready for empanelled hospitals.

TPA & Insurance Claims

Pre-authorisation requests, final bills and claim documents for all major TPAs. Outstanding claims tracking included.

Hospital Pharmacy Management

Real-time medicine stock tracking, near-expiry alerts, automated purchase orders and prescription-to-pharmacy workflow.

Laboratory Management

Lab order & billing, report generation, CGHS test catalog, and instant report sharing on WhatsApp.

Prescription & EMR for Doctors

Diagnosis master with auto-fill, medicine & lab test search, and full patient prescription history.

Hospital WhatsApp Integration

Send OPD bills, pharmacy receipts, lab reports and IPD final bills directly to the patient's WhatsApp — one click.

Hospital HR & Payroll

Staff profiles, attendance & leave tracking, salary calculation and payslip generation — no separate HR software.

ABDM-Ready, NABH & GST Compliant Hospital Software

NexoraHMS is built for Indian healthcare compliance — so your hospital is always audit-ready.

ABDM / ABHA Ready

Ayushman Bharat Digital Mission (ABDM) ke liye ready. ABHA number integration ke saath patient records digitally link karein.

NABH Compliant

NABH accreditation ke liye required reports, audit trails aur documentation — sab built-in.

Data Security

AES-256 encryption, role-based access control (RBAC), aur full audit trail. Aapka patient data surakshit.

GST & DPDP Compliant

GSTIN-ready bills, e-Invoice support, aur DPDP Act 2023 ke according data handling.

Serving Hospitals Across Delhi NCR

NexoraSoft provides on-site installation, data migration and staff training for hospitals, nursing homes and clinics throughout the National Capital Region.

Hospital Software in Noida Hospital Software in Gurgaon Hospital Software in Faridabad

Hospital Management Software for Every Type of Facility

From a single-doctor clinic to a 500-bed multi-specialty hospital — NexoraHMS scales with you.

Small Hospitals & Nursing Homes

Affordable, offline-first HMS for 10–50 bed nursing homes. No monthly fee.

Multi-Specialty Hospitals

35+ modules for large hospitals — OPD, IPD, OT, ICU, Pharmacy, Lab, HR, Accounts.

Polyclinics & Day-Care Centres

Fast OPD billing, appointment scheduling, and WhatsApp reports for polyclinics.

Diagnostic Centres & Labs

Lab order management, report generation, and CGHS test catalog.

Eye Hospitals & Dental Clinics

Specialty workflows for ophthalmology and dental practices.

Government-Empanelled Hospitals

CGHS, PM-JAY, and ECHS billing ready — built for empanelled hospitals.

NexoraHMS vs Typical Hospital Management Software

Most HMS products charge monthly fees, need constant internet, and exclude CGHS billing. NexoraHMS is built for the realities of Indian hospitals.

Feature NexoraHMS Typical HMS
Works Without Internet✓ Yes✗ No
CGHS Billing (6,400+ services)✓ Built-inExtra cost
WhatsApp Bill Sharing✓ Yes✗ No
Prescription / EMR✓ IncludedAddon
HR & Payroll✓ IncludedAddon
Cloud Backup✓ FreePaid extra
Monthly SaaS Fee✗ None₹3k–₹15k/mo
ABDM / ABHA Ready✓ YesRare
NABH Reports✓ IncludedAddon
Data Encryption (AES-256)✓ YesNot standard
Ayushman Bharat PM-JAY✓ SupportedExtra cost
Time to Go Live2–4 weeks3–6 months

Frequently Asked Questions About NexoraHMS

Yes, completely. NexoraHMS is built offline-first — all patient data is stored locally on your computer and the software works 100% without any internet connection. OPD billing, pharmacy, lab, IPD — everything runs locally. When internet is available, data auto-syncs to cloud via Firebase for backup and multi-device access.

Yes. NexoraHMS has a built-in CGHS rate master with 6,400+ Central Government Health Scheme services and rates pre-loaded — no manual entry required. CGHS-compliant bills and claims can be generated directly. CGHS and General pricing are maintained separately for each service — essential for government-empanelled hospitals across Delhi, Faridabad, Gurgaon and Noida.

NexoraHMS is a one-time licensed software — no monthly SaaS fees. Pricing is customised based on hospital size, number of computers, and required modules. Contact NexoraSoft at +91 98115 51004 or info@nxorasoft.com for a free demo and pricing.

Yes. NexoraHMS scales from a single-doctor OPD clinic to a 500-bed multi-specialty hospital. You pay only for the modules you need. Many nursing homes, polyclinics, and small hospitals across Delhi NCR use NexoraHMS as their primary hospital management system.

Yes. NexoraHMS supports all major TPAs and insurance companies. Claims are generated directly from the billing module with supporting data auto-populated. Credit billing, part payment, and advance adjustment are all supported with full audit trail.

Yes. NexoraHMS has built-in WhatsApp integration. Staff can send OPD bills, pharmacy receipts, lab reports, IPD final bills, and registration confirmations directly to the patient's registered WhatsApp number — one click from any screen in the software.

NexoraHMS typically goes live in 2–4 weeks. This includes installation, configuration of all masters (doctors, services, wards, CGHS rates, medicines), data migration from Excel or paper records, and staff training. NexoraSoft provides hands-on support throughout the entire setup process at no additional charge.

Yes. All bills in NexoraHMS include GSTIN and are fully GST-compliant. The software handles both GST-applicable and GST-exempt healthcare services, and generates detailed GST reports for easy filing.

Yes. NexoraSoft provides on-site installation, training and support for hospitals and clinics across Noida, Gurgaon and Faridabad, along with the rest of Delhi NCR.

NexoraHMS combines offline-first operation, a pre-loaded CGHS rate master (6,400+ services), ABDM/ABHA readiness, and a one-time licence with no monthly SaaS fee — a combination most hospital management software in India does not offer together. Most competing products require constant internet and charge recurring subscription fees.

Yes. NexoraHMS is built to support ABDM (Ayushman Bharat Digital Mission) and ABHA (Ayushman Bharat Health Account) integration. Patient records can be linked with ABHA numbers, making your hospital ready for India's digital health ecosystem.

Yes. NexoraHMS includes the reports, audit trails, and documentation required for NABH accreditation. Many NABH-seeking hospitals use NexoraHMS to maintain compliance-ready records.

Yes. NexoraHMS supports Ayushman Bharat PM-JAY empanelment workflows, including package-based billing and claim tracking for empanelled hospitals.

Yes. NexoraHMS uses AES-256 encryption, role-based access control (RBAC), and maintains a full audit trail of every action. Data is stored locally on your computer and synced to Firebase cloud with encryption. The software follows DPDP Act 2023 data handling guidelines.

Ready to Digitalise Your Hospital?

Get a free demo of NexoraHMS — live on your computer, with your hospital's sample data. No commitment, no pressure.

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