Family Planning Centers Business Guide
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All 17 Documented Cases
बीमा क्लेम सेटलमेंट में देरी
30-60 days high AR days; interest loss at 12-18% p.a. on ₹20,000-2 lakhs claims[1][3][8]Claims under the scheme are settled at state/district levels, causing delays in receiving payments for covered services.
परिवार नियोजन मुआवजा दावे की प्रसंस्करण विलंब
₹10,000–₹100,000 per claim (average indemnity payout); 30–60 day delay = ₹25,000–₹250,000 opportunity cost (working capital loss) per center annually. Manual document handling: 20–30 hours/month per claim processor.FPIS claims require sequential verification: (1) Claim form completeness check, (2) CMO/DMO authentication, (3) District QAC (DQAC) validation, (4) State QAC (SQAC) approval. Stipulated settlement time is 30 working days after submission, but manual document collection and incomplete records delay initial submission by 30–60 days.
बीमा बिलिंग में अनबिल्ड सर्विसेज
₹2 lakhs max per case indemnity not claimed; typical 2-5% revenue loss from unbilled services[1][3][10]Family planning centers handle complex insurance billing for government-backed schemes, resulting in unbilled services due to manual processes and claim denials.
नैदानिक प्रतिष्ठान पंजीकरण दस्तावेज़ अनुपालन विफलता
₹50,000–₹500,000 per incident (estimated license suspension, operational downtime, re-registration fees). Typical compliance cost: 40–60 hours/month for manual document verification and correction.Family planning centers conducting sterilization procedures must maintain complete documentation compliance per Clinical Establishment Act and Family Planning Indemnity Scheme (FPIS) guidelines. Missing or improperly filled consent forms, medical certificates, sterilization certificates, or diagnostic reports trigger regulatory action.