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Billing & finance

Cashless Treatment

In short

Treatment where the insurer settles the hospital directly, so the patient pays only what is not covered.

Category
Billing & finance

In a cashless arrangement the patient is treated at an empanelled hospital and the payer settles with the hospital directly. The patient still pays anything excluded, any co-payment, and any amount above the approved limit. It contrasts with reimbursement, where the patient pays in full and claims afterwards.

Why it matters in a hospital

Cashless shifts the collection risk from the patient to the hospital. What the family experiences as convenience, the hospital experiences as a receivable and a documentation obligation — the claim can be short-paid or queried months later over paperwork that was never assembled properly at the time. The practical discipline is to treat the discharge as the deadline for the file, not the beginning of it, because assembling records after the patient has left is far harder.

How Trisvio handles it

Trisvio does not process cashless claims or connect to any insurer system. A cashless patient is billed as a credit patient against the hospital's tariff, with what remains payable by the patient visible separately, so the counter can collect the patient's share without waiting on the payer.

Related

Related terms