Finance Credit Company Scheme

Credit Company Scheme

Introduction

A credit company scheme is a payment scheme linked to a specific insurance company, corporate client, or credit organisation. It defines which services are covered, what co-payment the patient must pay, what discount the credit company negotiates, and which billing and approval rules apply. When a patient presents with an insurance card or credit letter, the cashier selects the appropriate credit company scheme.

Navigation

Main Menu → Administration → Credit Company → Schemes OR Main Menu → Configuration → Finance → Credit Company Schemes

Credit Company vs Payment Scheme

A credit company scheme extends the standard payment scheme with additional insurance-specific configuration:

Feature	Payment Scheme	Credit Company Scheme
Allowed payment methods	Yes	Yes (Credit + co-pay method)
Discounts	Yes	Yes (negotiated rates)
Co-payment rules	No	Yes
Pre-authorisation flags	No	Yes
Coverage limits	No	Yes
Claim reference tracking	No	Yes

Creating a Credit Company Scheme

1. Navigate to Credit Company → Schemes.
2. Click New Scheme.
3. Fill in:
   • Credit Company — select from the credit company master
   • Scheme Name — e.g., "Ceylinco Life Inpatient Plan A"
   • Coverage Type — Inpatient, OPD, Pharmacy, All
   • Co-payment — percentage or fixed amount the patient pays directly
   • Negotiated Discount — discount the facility applies for this insurer
   • Services Covered — all services, or restricted list
   • Claim Form Required — whether a claim form must be attached
4. Save.

Credit Company Scheme Fields

Field	Description
Credit Company	Insurance company or corporate client
Scheme Name	Name for this specific plan/arrangement
Coverage Type	Services covered (Inpatient, OPD, Pharmacy)
Co-payment (%)	Patient's share of each bill
Negotiated Discount (%)	Facility discount for this insurer
Limit Per Admission	Maximum covered amount per stay (if applicable)
Pre-auth Required	Whether prior authorisation is needed for admission
Claim Form	Whether claim form is mandatory

Using a Credit Company Scheme at Billing

1. When billing a patient with insurance, select the Credit Company field.
2. The system loads the linked scheme's rules automatically.
3. The co-payment portion is calculated and shown to the cashier.
4. The patient pays the co-payment; the balance is billed to the credit company.
5. A credit bill is created for the insurance company's portion.

Managing Credit Company Balances

Credit company bills accumulate as receivables. See Credit Company Bill Settlement for the settlement workflow.

Technical Reference

Item	Detail
Entity	CreditCompanyScheme (or equivalent)
Related	Credit Company Payment Management, Payment Schemes