Facility type
Hospitals, medical centers, polyclinics, dental centers, pharmacies, and optical centers have different payer and claims workflows.
- Facility category
- Payer mix
- Workflow complexity
NPHIES pricing · Scoped quote
Compliant inunder 4 weeks.
NPHIES Integration is scoped per facility—never per claim. Facility type, claims volume, ERPNext readiness, deployment, onboarding, and support define the proposal.
- Lower TCO
- 50%
- Claimed outcome without middleware
- Authorization rejection reduction
- 70%
- Compliant go-live
- Under 4 weeks
- Claimed delivery target
Pricing model
Four factors define the engagement scope.
A short discovery call establishes the inputs needed for a credible facility proposal.
Claims volume
Eligibility checks, prior authorizations, claim submissions, exceptions, and monthly throughput shape configuration and support effort.
- Monthly throughput
- Claim mix
- Exception volume
ERPNext readiness
Master data, healthcare workflows, permissions, integrations, NPHIES test access, and decision readiness affect the delivery path.
- ERPNext environment
- Master-data quality
- Test readiness
Deployment model
On-premise and Frappe Cloud have different infrastructure, security, data-residency, and operating responsibilities.
- Data residency
- Environment ownership
- Managed hosting
Commercial conditions
Know what is included, excluded, and operated by whom.
The signed proposal defines the complete commercial and operational boundary.
Included when scoped
Inclusions
The proposal identifies the validation, workflows, onboarding, testing, deployment, training, launch, and support LavaLoon will own.
- Eligibility through reconciliation
- Rule-based claim validation
- Agreed onboarding and handover
Excluded unless stated
Exclusions
Infrastructure, third-party charges, source-data remediation, unlisted workflows or integrations, and post-acceptance changes are not silently included.
- Hardware and vendor fees
- Unlisted interfaces
- New change requests
Two supported paths
Deployment responsibility
On-premise prioritizes data-residency control. Frappe Cloud prioritizes managed platform operations and faster environment setup.
- Security scope
- Backup responsibility
- Environment readiness
Reviewed 19 July 2026
Billing, support, and review
The quote states currency, milestones, tax treatment, validity, support hours, SLA, effective date, and review triggers.
- Taxes stated explicitly
- Support and SLA stated explicitly
- Proposal controls the engagement
Proof and timing
Use production claims without hiding facility dependencies.
Proof supports the business case; discovery turns it into a responsible delivery commitment.
Reference claims
Claimed production outcomes
The current source reports improvements from live NPHIES deployments; facility outcomes depend on data quality, adoption, payer behavior, and implementation scope.
- 70% fewer authorization rejections
- 50% lower TCO
- 50% better payment reconciliation
Readiness-dependent target
Fast, with explicit dependencies
The reference claims compliant go-live in under four weeks through four onboarding sessions. The committed date follows readiness and dependency review.
- Certified onboarding path
- Four-session target
- External readiness still applies
Scope the facility
Tell us how your claims operation works.
Bring your facility type, monthly claims, payer mix, ERPNext environment, deployment preference, target date, and support expectations.