SIMRS Billing, Payments & Claims Module: The Revenue Cycle Flow
The Billing, Payments & Claims module is HealthCore’s revenue cycle: from the invoice created while the patient is being served, to payments received, to clear guarantor claim statuses. The module keeps cashiers, front office, and management looking at the same numbers. The same invoice is never recorded twice, and revenue can be explained down to the last transaction.
Patient invoices and partial payments
Patient invoices are created from the services provided. Visits, supporting examinations, medicine, and procedures. Patients can pay in installments: part paid upfront and the rest later, with the invoice status tracked until settled. Unpaid, in-process, and paid statuses are recorded in one flow, so cashiers and management always know where every invoice stands.
Cash, transfer, and guarantor methods
Payments can be received through various methods: cash, transfer, and guarantors (for example insurance or another party covering the cost). Clear method recording helps daily cash reconciliation and makes it easy to trace discrepancies. For guarantor patients, the invoice is recorded against the guarantor and claim status can be monitored.
Recording BPJS and insurance claims
Guarantor claims (including BPJS and insurance claims) are recorded with clear statuses in the module. This recording keeps patient invoices and guarantor receivables separate, and admin staff can see which claims have been submitted and which are still in progress.
Daily and monthly revenue reports
The module produces daily and monthly revenue reports, including summaries per clinic and per period. Management can see actually received revenue, invoices still in progress, and period-over-period comparisons without summarizing from cashier paper. These reports are the basis for operational decisions and facility reporting needs.
Who uses this module
Cashiers receive payments and record methods; administrative staff manage invoice status and guarantor claims; and management reads revenue reports. Access is role-based so recording and transaction cancellation can only be done by authorized parties.
One data set, one flow
Billing reads data from the entire service flow and returns financial data to other modules. Invoices are built from visits, procedures, and medicine recorded in their own modules; payments and invoice status appear on the management dashboard; and revenue reports use the same transaction data the cashier sees. Because there is no separate financial system re-summarizing the numbers, daily and monthly revenue figures stay consistent between cashier, front office, and management.
Getting started with this module
The module can start from the facility’s core needs first, then grow in phases. In line with HealthCore’s implementation principles. In the early phase, the facility team prepares fee patterns and payment methods, defines the cashier flow, then trains cashier staff on that flow. Role-based training, go-live support, and data migration are quoted separately from subscription pricing, so the facility starts from the highest-impact flow without changing every process at once.