Onboard and empanel payers, bind a payer to an admission, file a coded claim, and work pre-auth, denials and settlements.
Overview
Onboard and empanel payers, bind a payer to an admission, file a coded claim, and work pre-auth, denials and settlements. Vault is billing and finance: charges, invoices, deposits, refunds, payer claims and the financial audit trail.
It is an advanced course in the Revenue & Billing part of the catalog, built as 6 modules and 25 lessons. It is written for the Billing Staff and Hospital Administrator roles.
This course takes about 2.5 hours to complete.
Outcomes
Prerequisites
Navigate the 16 Vault sections, read a patient's finance account, and follow a rupee from a Forge order to the ledger voucher.
Clear conflicted charges, force what must go through, and choose correctly between cancelling and reversing a charge.
Contents
6 modules · 25 lessons · 2h 15m
Payer types, scheme types, and the deterministic onboarding flow.
4 lessons
Payer allocations, coverage overlays, and the one primary rule.
4 lessons
The single guarded claim writer and the gates it enforces before submission.
4 lessons
Pre-auth through adjudication, across rails and submission channels.
4 lessons
The regulatory clock, denial categories, and how to prioritise rework.
4 lessons
Posting payer money, matching remittances, and what happens when transport is off.
5 lessons
Audience
Keep going
Same tool, same subject, or written for the same people.
Prove you can run a stay's money in Vault end to end, from first charge to a cleared discharge and a filed insurance claim.
Run a stay's money end to end: the running bill, deposits, Pay Now, the finalized invoice, and finance clearance at discharge.
Build the charge master, tariffs and packages, author policies on Vault's one policy substrate, and get GST right on every line.