Hospital billing · Finance · Operations software
Every rupee accounted for — and one click away.
From the front-desk receipt to the month’s P&L, MedStream tracks every payment mode, every instalment and every pending rupee — and shows your accountant the whole day on one screen.
Cash · Card · UPI · Bank · Cheque — every mode, receipted
Doctor-wise collection — today
Tue · 14 Jul · Accounts
OPD collection
₹52,300
Consultations · today
Procedure collection
₹2,18,500
OPD + indoor bills
Pending · morning
₹9,400
3 bills to follow up
Pending · evening
₹5,100
2 bills to follow up
| Doctor | OPD | Procedures | Pending | Total |
|---|---|---|---|---|
| Dr. A. Mehta | ₹18,400 | ₹1,24,000 | ₹4,800 | ₹1,42,400 |
| Dr. S. Desai | ₹21,600 | ₹64,500 | ₹6,200 | ₹86,100 |
| Dr. R. Iyer | ₹12,300 | ₹30,000 | ₹3,500 | ₹42,300 |
| All doctors | ₹52,300 | ₹2,18,500 | ₹14,500 | ₹2,70,800 |
Collection by source
₹2,70,800
01
Billing that matches reality
How do you bill the way families actually pay?
Indian families pay for care the way life allows — a little now, a cheque next month, UPI on discharge day. MedStream bills the way your patients actually pay.
Any way a family can pay
Cash, card, UPI, bank transfer or cheque — with part-payments when treatment spans months, free-visit reasons when it shouldn't be charged, and a receipt every single time.
Instalments with memory
EMI schedules with due-date reminders. Post-dated cheques tracked to the bank — deposit status, deposit reminders and bounce tracking — with payment documents uploaded against the bill.
Discounts with discipline
Every discount carries a reason and passes through discount control — generosity stays a decision, never a leak.
Indoor stays, billed right
A bill-item master, indoor bills as print-ready PDFs, an alternate separate indoor-billing mode — and an audit report that flags anything missed.
Procedure bill — Kavita Joshi
UHID 24-01502 · IVF-ICSI
Net bill
₹1,40,000
Paid
₹80,000
Balance
₹60,000
Discount ₹10,000 · Reason: camp referral · approved under discount control
Instalment schedule
02
Safeguards
Where can money leak — and who’s watching?
Most billing software records money. MedStream also watches the places it quietly slips away — and leaves a trail wherever hands touch it.
Missing-billing detection
The Missing Indoor Billing report compares what was done against what was billed — services delivered but never charged surface before month-end, not after.
Cash handover logs
Every movement of cash from counter to custodian is recorded — who handed over, who received, how much, when. The day closes with a trail, not a shrug.
Audit-trailed refunds
A refund is never a quiet deletion. Who refunded, why, how much and when stays on the record — permanently.
Discount control
Discounts pass through control with a stated reason, so the difference between goodwill and leakage is always visible.
Referral payouts — July
Auto-computed from share %
| Referring doctor | Cases | Share | Status |
|---|---|---|---|
| Dr. N. Vora | 6 consults · 2 procedures | ₹12,400 | Pending |
| Dr. P. Gandhi | 4 consults · 1 procedure | ₹8,750 | Paid |
| Dr. K. Solanki | 3 consults | ₹2,100 | Paid |
| Dr. M. Trivedi | 1 procedure | ₹4,500 | Voided |
Pending this month · ₹12,400
03
Referral accounting
How do referral shares settle themselves?
Set a share percentage per consultation and per procedure for each referring doctor — MedStream computes every payout from the bills themselves, keeps an edit-history audit, and prints the settlement.
No more month-end diary reconciliation with the doctors who trust you with their patients — the ledger is already agreed upon, because it was never manual.
04
Reports & the HMIS register
How does month-end shrink to minutes?
The numbers your accountant, your auditor and the district health office ask for — already tallied, already formatted, already exportable.
- Profit & lossThe clinic's true bottom line, income against expense.
- Cumulative collectionEverything collected, across any date range.
- Collection by procedureWhich services earn — and which quietly don't.
- Payment collection & pending billsWho has paid, who hasn't, and how much is due.
- Procedure billing reportEvery procedure bill, filterable and exportable.
- Bank bookIncome and expense entries against each bank in the master.
- Daily cashCollected amounts tracked day by day at the counter.
Every report exports to Excel or PDF · one click
HMIS — Service Delivery Report
01 Jun – 30 Jun
Auto-tallied from the month’s records · any month range
The government’s monthly Service Delivery Report — deliveries, C-sections, live births, OPD and IPD counts — compiled the moment you pick the month. What used to be a day with three registers is now one click.
05
Automation & operations
What sits behind every WhatsApp confirmation?
Patients see a WhatsApp confirmation arrive. Your team sees this — every message queued, retried, delivered and read-tracked, with the rest of the clinic's busywork automated the same way.
WhatsApp — message logs
| Time | Patient | Template | Status |
|---|---|---|---|
| 09:02 | Riya Shah | Appointment confirmation | Read ✓✓ |
| 09:04 | Meera Patel | Appointment confirmation | Delivered ✓✓ |
| 09:06 | Ayesha Khan | Appointment confirmation | Retrying · 2 ↻ |
| 09:07 | Kavita Joshi | Appointment confirmation | Queued • |
Queued · Retried · Logged · Read-tracked
Reminder call worklists
Injection, OPU-prep and β-hCG follow-ups become daily call queues — with editable English and Gujarati templates, and every call's outcome recorded.
Task boards
A kanban for clinic work — assignee, priority, due date, and an edit history so handovers survive shift changes.
Nightly off-site backup
Every night, automatically: database dump → zipped → emailed off-site. Your data survives anything that happens to the machine it lives on.
Bulk import & one-click exports
Bring your existing patients in from a spreadsheet in one go — and take any list or report out as Excel or PDF, everywhere in the system.
Integration API
Token-secured endpoints for the systems around you — pharmacy export, billing, P&L, patient lookup by UHID.
In short
- MedStream bills the way Indian families pay — cash, card, UPI, cheque and part-payments, with EMI schedules and post-dated cheque tracking built in.
- Referral payouts compute themselves from the bills, with an edit-history audit and printable settlements.
- Missing-billing detection and cash handover logs watch the places money quietly leaks.
- Month-end reports and the government HMIS register are already tallied — exportable to Excel and PDF.
Thirty minutes · No commitments, no jargon
Watch a day’s money balance itself.
- Personalised walkthrough of your patient journey
- Assisted data migration from registers or legacy software
- On-site & remote training for every role
- White-label setup — your name, logo and colours