Skip to main content

Billing Domain

Domain Summary​

The Billing domain manages the financial billing processes for healthcare services provided to clients. It handles the creation, validation, issuance, and tracking of invoices for care services, as well as generating various reports required for billing and compliance purposes.

This domain enables healthcare providers to bill clients, funding agencies, and insurance companies for services rendered, track billing periods, generate required documentation, and integrate with external financial systems. It serves as a critical component for revenue management within the healthcare platform.

Key operations​

Billing Period Management​

  • Create and retrieve billing periods for clients
  • Recreate billing periods for clients or residential parks
  • Apply work items to billing periods
  • Track and update billing period status

Invoice Management​

  • Create invoices for client billing periods
  • Validate and revalidate invoices
  • Issue invoices to recipients
  • Track invoice status through the billing lifecycle

Report Generation​

  • Generate performance reports
  • Generate blood sugar and insulin reports
  • Generate report sheets
  • Sign reports with employee signatures

Document Generation​

  • Render invoice PDFs
  • Generate DTA files (electronic billing data for care insurance funds)
  • Create billing documentation for compliance

Invoice transmission​

  • Send invoices to clearing centers for processing
  • Track the transmission status of invoices

Validation and Compliance​

  • Validate invoices against business rules
  • Ensure compliance with healthcare billing regulations
  • Track and manage validation responses

Integration with Other Domains​

The Billing domain integrates with several other domains:

  1. Client Domain - Billing periods and invoices are associated with clients
  2. Residential Park Domain - Billing is organized by residential parks
  3. Employee Domain - Employees sign reports and perform billable services
  4. Tour Planning Domain - Tour work items contribute to billable services
  5. Funding Agency Domain - Funding agencies are invoice recipients
  6. PDF Generator Domain - Used to generate invoice and report PDFs