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DawaSmartHMIS
Billing, payers and insurance

The bill is built as the visit happens, so the cashier collects what was actually done.

Every order, prescription, procedure and bed day creates a bill item on the visit's invoice. The cashier sees a worklist of invoices awaiting payment, takes cash, M-Pesa, card or bank, and the dashboard shows billed, collected and outstanding for the period.

Capabilities
10
Workflow steps
3
Works on
Web · App

Used by

  • Cashiers
  • Credit control
  • Claims officers
  • Finance managers
A hospital cashier serving a patient's relative who is paying by mobile phone
Billing, payers and insuranceLive in the product today

How it works

How the work moves, step by step.

  1. 1

    Charge

    Orders and dispensing add items to the visit's invoice.

  2. 2

    Collect

    The cashier takes payment; M-Pesa confirmations post automatically.

  3. 3

    Reconcile

    Billed, collected and outstanding are reported by period, department and payer.

Video guide

SHA claims, from check‑in to submission.

A short walkthrough of a patient going from the front desk to a submitted SHA claim, on the real DawaSmart screens.

  1. 1Check cover
  2. 2Patient consent
  3. 3Submit claim

See it

The real screens your staff will use.

From a demonstration hospital. Names and figures are fictitious.

westlands.dawasmart.app/billing/worklist
The cashier worklist: billing tickets with patient, priority, status, waiting time and continue-billing actions
01

Cashier worklist

Billing tickets with patient, priority, status, waiting time and continue-billing actions.

What it does

Everything included, as it exists today.

Charging and cashiering

4
  • A billable-services catalogue with prices per branch, including consultations, procedures, tests, examinations and bed days
  • Invoices per visit with items added automatically by orders and dispensing
  • A cashier worklist, receipts, and payment by cash, M-Pesa STK Push, Paybill or Till, card or bank
  • Deposits and interim payments for inpatients, applied against the running bill

Controls

3
  • Bill reductions (discounts and waivers) requested on an invoice and approved or rejected by an authorised manager
  • Payment matching that prevents the same M-Pesa receipt being applied twice
  • Outstanding balances and follow-up lists

Payers and insurance

3
  • Payers and insurance schemes recorded on the patient and the visit
  • Eligibility checks, pre-authorisations and claims tracked per payer, with remittances recorded when paid
  • Payer integrations configured per facility, with electronic submission to SHA on the roadmap

Questions

About billing, payers and insurance

Can a patient pay part cash and part insurance?
Yes. Payer coverage and patient contributions are recorded against the same invoice, and the claim carries the payer's portion.
Do you submit claims to SHA electronically?
The claims workflow is built with an SHA adapter and each hospital configures its own provider credentials. Live submission depends on SHA onboarding, so we list it as a roadmap item rather than a feature in use today.
Next moduleProcedures, referrals and scheduling

Next step

See billing, payers and insurance running on your hospital's workflows.

A demo takes about 45 minutes. We walk through the departments you run, on real screens, and leave you with a written scope and quote.

Or call +254 746 289 413 · Monday to Saturday, 8:00 to 18:00 EAT