💹 Revenue Recovered (MTD)
₹4.2L
↑ 18% vs last month
📌 Click → Revenue Intelligence
📋 Billing Capture Rate
91.4%
↑ 8.3% since RRE
📌 Click → Analytics & Reports
🔁 Follow-Up Adherence
78.2%
↑ 22% since RRE
📌 Click → Patient Engagement
⚠️ Revenue Leakage (Est.)
₹38,400
↓ from ₹1.2L pre-RRE
📌 Click → Revenue Intelligence
Revenue Recovery Trend
Monthly recovered revenue vs leakage (₹ Lakhs)
6M
1Y
All
■ Revenue Recovered
▲ Leakage (Residual)
Revenue Leakage Status
Pre-RRE baseline: 13.4% · Target: < 5%
Leakage by Source
Missed Follow-ups₹14,200
Billing Under-capture₹11,800
Documentation Gaps₹7,400
Inventory Mismatch₹5,000
Live Alerts
Requires action today
3 diabetic patients missed 3-month HbA1c review
2m ago
Billing gap detected: Consultation code missing for 4 sessions
18m ago
Hypertension review overdue — 7 patients (risk: escalation)
1h ago
Insurance pre-auth pending for 2 claims > 48 hours
3h ago
Follow-up engagement rate reached 78% this week ↑
Today
Today's Operations
18 May 2026
24
Appointments
6
Pending Follow-ups
₹18.4K
Billed Today
2
No-shows
Engine Activity
WhatsApp nudges sent (47)
Medication reminders + follow-up confirmations
08:30 AM
Billing anomaly detected
3 under-coded procedures flagged before closure
10:15 AM
Protocol update applied
ADA 2026 Diabetes Guidelines integrated
11:00 AM
High-risk patient flagged
Kavitha R – BP spike + missed review. Alert escalated.
2:45 PM
RRE Engine Status — Live Intelligence Layers
WhatsApp
Engagement
→
Engagement
Behaviour
AI Model
→
AI Model
HMIS/EMR
Integration
→
Integration
Billing
Anomaly Det.
→
Anomaly Det.
Compliance
Guard
→
Guard
Revenue
Recovery
→
Recovery
Governance
Console
Console
🟢 Engine: Active
🔄 Last sync: 4 min ago
📶 HMIS: Connected
💬 WhatsApp API: Connected
📑 Knowledge Graph: v8.3 (ADA 2026)
🚨 Exception Alerts
3 urgent
Kavitha R — HbA1c overdue 8 weeks
Session #2847 — Diagnosis code missing
AI Resident: Drug interaction flagged
Today's Queue
24 patients
🏥 In-Clinic
📹 Tele
🤝 Referral
🔄 Follow-up
🚨 Emergency
KR
Kavitha Rajendran
DM Type 2 · 3M Review
🏥 Sree Balaji — Main
🔄 Follow-up
High Risk
9:00 AM
MS
Murugan Subramanian
HTN · BP Review
📹 Telemedicine
🔄 Follow-up
Moderate
9:30 AM
PT
Priya Thangavel
Acute URI · New Visit
🏥 Sree Balaji — Srirangam
📲 Self-Appt
Low
10:00 AM
AK
Arun Kumar
Post-op Follow-up (Lap Chole)
🏥 KMC Hospital, Trichy
🔄 Post-op F/U
Low
10:30 AM
SR
Sunita Rao
Thyroid · TSH Review
🏥 Sree Balaji — Main
🤝 Care Advocate
Moderate
11:00 AM
RV
Rajan Venkatesh
Chest Pain · Dyspnoea — WALK-IN
🏥 Sree Balaji — Main · ER
🚨 Emergency
Critical
NOW
🩺 Active Session — Kavitha Rajendran
Session #2851 · ABHA: 12-3456-7890-1234 · Authenticated ✓
● In Progress
DM Type 2
Age/Sex
48F
Last Visit
23 Mar 2026
HbA1c
8.4% ↑
BP
138/88
Allergies
Sulfa drugs
🤖
AI Resident — Chart Pre-Read
HbA1c 8.4% (Mar) — consider intensification per ADA 2026. Nephropathy screen (eGFR/ACR) overdue 6 months. Statin therapy gap detected. Revenue opportunity: bundle nephropathy panel.
Session Record
Prescription
Lab Orders
Revenue Tagging
E11.9 – DM Type 2
I10 – Essential HTN
E11.40 – Diabetic Neuropathy
⚠️ Drug Interaction Alert: Ibuprofen (NSAID) + Metformin — risk of renal impairment. Use Paracetamol for pain instead.
| Drug | Dose | Frequency | Duration | Action |
|---|---|---|---|---|
Metformin 500mg Glucophage · Generic ✓ |
500mg | BD (After meals) | 90 days | |
Glimepiride 1mg Amaryl |
1mg | OD (Morning) | 90 days | |
Amlodipine 5mg Norvasc · HTN |
5mg | OD (Evening) | 90 days | |
Atorvastatin 10mg 🤖 AI Suggested (Gap detected) |
10mg | OD (Night) | 90 days |
🤖 AI Bundle Suggestion: Diabetic Monitoring Panel (HbA1c + eGFR + ACR + Lipid Profile) — reduces leakage, improves care.
| Test | Panel | Priority | Revenue |
|---|---|---|---|
| HbA1c | Glycaemic Control | Urgent | ₹480 |
| eGFR (Serum Creatinine) | Nephropathy Screen | Routine | ₹320 |
| Urine ACR (Albumin:Creatinine) | Nephropathy Screen | Routine | ₹280 |
| Lipid Profile | Cardiovascular Risk | AI-Added | ₹540 |
| Fundus Photography | Ophthalmology Referral | Routine | ₹800 |
Total Lab Revenue Bundle
₹2,420
Session Revenue Summary
Consultation Fee₹600
Lab Orders (bundled)₹2,420
Prescription Dispense₹1,240
Total Session Value₹4,260
RRE-Recovered (vs pre-RRE)+₹1,840 (76% gain)
KR
Kavitha Rajendran
F, 48 · DM Type 2 + HTN + Early Neuropathy
5 active providers · 3 unread messages · Last interaction: Today
Adherence this month
91%
👨⚕️ My Care Providers
Tap a provider to view your conversation
RK
Dr. Ramesh Kumar
MBBS, MD
General Medicine · Sree Balaji Clinic
Today
2
PS
Dr. Priya Sundarajan
Nephrology · KMC Hospital, Trichy
Your kidney test results look stable. Nex…
2 days ago
1
AV
Dr. Anand Venkatesh
Ophthalmology · Sri Aravind Eye, Salem
Annual eye screening is now due. Please book…
1 week ago
RD
Ms. Radha Krishnaswamy
BPT, MPT
Physiotherapy · PhysioFirst, Woraiyur
Great progress on foot exercises this week! Cont…
3 days ago
PM
Ms. Priya Mohan
🟢 Online
Care Advocate · Sree Balaji Clinic
Your July appointment with Dr. Priya at KMC has been confirmed…
Just now
📱 Conversation with Dr. Ramesh Kumar
GP · Sree Balaji
RK
Dr. Ramesh Kumar
● Sree Balaji Clinic · GP
🙋 Ask a Doubt
Tap a template to send to your provider
💊 About My Medicine
"Doctor, can I take [medicine] with food / at night? I am not sure about the timing."
→ Tap to customise and send to Dr. Ramesh
🔬 About My Test Result
"Doctor, my [test name] result was [value]. What does this mean? Should I be worried?"
→ Tap to customise and send
📅 About My Next Visit
"Doctor, when should I come for my next check-up? Can I change my appointment to [preferred date/time]?"
→ Tap to customise and send
⏭ Missed Medicine Dose
"Doctor, I forgot to take my [medicine] today morning / last night. Should I take it now or skip?"
→ Tap to customise and send
🤔 Side Effects Question
"Doctor, since starting [medicine] I am feeling [symptom]. Is this a normal side effect? Should I stop taking it?"
→ Tap to customise and send
🚨 Report Red Flag Sign
Send urgent alert to your care team immediately
❤️
Chest Pain / Breathlessness
HIGH
🚨 "I am having chest pain / tight feeling / difficulty breathing since [time]. My BP is [reading]."
→ Sends to Dr. Ramesh + Care Advocate immediately
🩸
Very High / Very Low Blood Sugar
HIGH
🚨 "My blood sugar reading is [value] mg/dL. I am feeling [dizzy/shaking/sweating/confused]."
→ AI triage + Dr. Ramesh alerted
💢
High BP + Severe Headache
MEDIUM
⚠️ "I have a severe headache with blurred vision. My BP reading is [value]. Since [time]."
→ Sends to Dr. Ramesh + Care Advocate
🌡️
Persistent High Fever
MEDIUM
⚠️ "I have had fever above 102°F for more than [hours/days]. Paracetamol is not helping. I also have [chills/body pain/vomiting]."
→ Care Advocate notified · Home visit or clinic visit advised
🦶
Swollen Foot / Wound (Diabetic)
MEDIUM
⚠️ "My [left/right] foot is swollen / has a wound / redness / black patch. I have diabetes. Sending a photo."
→ Photo attached to Dr. Ramesh + Dr. Priya
👁
Sudden Vision Change
HIGH
🚨 "I suddenly have blurred vision / black spots / flashes of light in my [left/right] eye since [time]."
→ Sends to Dr. Anand (Ophthalmology) immediately
💬 Messages Sent (MTD)
1,247
98% open rate
✅ Response Rate
73.4%
↑ from 48% (pre-RRE)
📅 Follow-up Conversions
312
↑ 22% this month
⚠️ At-Risk (No Engagement)
28
Escalation required
Patient Engagement Tracker
No-show risk · Follow-up status · RRE Score
| Patient | Condition | Last Visit | No-show Risk | Follow-up Status | Action |
|---|---|---|---|---|---|
|
KR
Kavitha Rajendran F, 48 |
DM Type 2 | 23 Mar (8 wk ago) | 87 |
Overdue · Escalated | |
|
MS
Murugan Subramanian M, 62 |
Hypertension | 28 Apr 2026 | 64 |
Reminder Sent | |
|
PT
Priya Thangavel F, 34 |
Thyroid | 05 May 2026 | 22 |
Confirmed · 20 May | |
|
RK
Ramesh Kumar (Sr.) M, 74 |
DM + HTN + CKD | 10 Apr (5 wk ago) | 91 |
Family Alert Sent | |
|
SR
Sunita Rao F, 41 |
Hypothyroid | 12 May 2026 | 18 |
Compliant |
📱 WhatsApp Engagement Flow
Live Preview
K
Kavitha Rajendran
● Online · RRE Adaptive Follow-up
🎯 Adaptive Nudge Templates
NCD Follow-up (Diabetes)
Personalised HbA1c/BP reminder with appointment booking link
Medication Refill Alert
Pharmacy push + refill reminder 5 days before medication runs out
Family Coordinator Alert
Secure update to caregiver/family when high-risk patient misses visit
Post-Visit Education
Condition-specific education snippets, diet tips, lifestyle guidance
🏨 Referrals to Higher Centres
Patients referred out · Status tracking · Outcome feedback
9 Favourable
2 Pending
1 Adverse
PS
Priya Suresh
→ Apollo Hospitals · Lap Cholecystectomy (Gallstones)
Referred: 10 May · Admitted: 12 May
✅ Surgery Done · Discharged
Discharge: 15 May · Recovery: Good
AK
Arjun Krishnan
→ Fortis Malar · Coronary Angioplasty (NSTEMI)
Referred: 2 May · Emergency transfer
✅ Angioplasty Done · Discharged
Discharge: 8 May · 2 stents placed
LM
Lakshmi Moorthy
→ SRMC · Total Knee Replacement (severe OA)
Referred: 28 Apr · Elective admission
✅ Surgery Done · Rehab ongoing
Discharge: 5 May · Physio follow-up
RV
Ramesh Kumar (Sr.)
→ SRMC Nephrology · CKD Stage 3 (DM + HTN)
Referred: 16 May · Outpatient consultation
⏳ Appt. 22 May
RRE reminder sent to patient
KR
Kavitha Rajendran
→ MMC Ophthalmology · NPDR follow-up
Referred: 18 May · Elective
⏳ Appt. 24 May
Confirmation pending
KM
Krishnamurthy R
→ RGGGH · Haemorrhagic Stroke (emergency)
Referred: 5 Apr · Emergency — delayed 8h ⚠️
🔴 Adverse · Deceased
Medico-legal case #ML-2025
📊 Referral Outcomes (Last 90 Days)
75% favourable outcome rate
across all referred patients
across all referred patients
🏆 Favourable Outcomes
Surgeries completed & discharged7
Medical management + recovery2
Awaiting procedure2
Adverse outcomes1
Post-discharge follow-up compliance67%
Patients returned for continued care8
💰 Total Billed (MTD)
₹8.34L
↑ 14% vs May 2025
✅ Claims Approved
84.2%
↑ from 72% pre-RRE
🚨 Anomalies Detected
5
Est. loss: ₹14,200
🔄 Recovery Pipeline
₹32,800
In active recovery
🔍 Billing Anomaly Detector
AI-detected discrepancies before claim submission
Under-coded Consultation — Session #2847
OP-CONSULT-001 (₹200) used for complex DM review. Should be OP-CONSULT-003 (₹600).
-₹400
Fix →
Lab Bundle Unbilled — Session #2839
Lipid Profile ordered but not captured in final bill (Priya T). LIMS sync gap detected.
-₹540
Fix →
Medication Dispensed — Not Billed (4 items)
Inventory usage exceeded prescription billing for Metformin × 3, Amlodipine × 1.
-₹860
Fix →
Missing Procedure Code — Neuropathy Exam
Session #2851 documents neuropathy examination but no procedure code tagged for insurance.
-₹350
Fix →
Unusual Discount Pattern — 3 Waivers This Week
100% fee waivers granted without override approval. Policy deviation flagged for admin review.
-₹2,100
Review →
Total recoverable this cycle
₹4,250
🏦 Insurance Claims
FHIR R4
Claim #84208 — Kavitha R
ICICI Lombard · DM Review
₹3,200
ApprovedClaim #84210 — Arun K
Star Health · Post-op
₹8,400
Pending 52hClaim #84218 — Sunita R
New India · Thyroid
₹1,800
Pending 48hClaim #84201 — Rajan M
Max Bupa · Missing doc
₹5,600
Denied💰 Revenue Recovery Pipeline
Staged recovery amounts
Anomaly Auto-Fix Queue₹4,250
₹4,250
Pending Follow-up Conversions₹18,400
₹18,400
Insurance Claim Resubmission₹6,200
₹6,200
Pharmacy Billing Gap₹3,950
₹3,950
Total Pipeline₹32,800
Active Patients
1,284
↑ 18% QoQ
Repeat Visit Rate
67.3%
↑ from 41%
Avg Revenue/Patient
₹6,480
↑ ₹1,820
NCD Adherence
78.2%
↑ 22 pts
Gross Margin
53.4%
↑ from 21%
ARR Scaling Trajectory — Network View
Clinics onboarded vs Annual Recurring Revenue
Current Clinics
847
Current ARR
₹2.54Cr
Target (Y7)
₹75Cr
Revenue by Speciality & Department
General Medicine / NCD₹3.42L 41%
Pharmacy / Dispensing₹2.08L 25%
Laboratory & Diagnostics₹1.67L 20%
Insurance Reimbursements₹84K 10%
Other Procedures₹33K 4%
Clinic vs RRE Network Benchmark
Follow-up Rate
78% ↑ Top 15%
Billing Capture
91% ↑ Top 10%
Claim Approval
84% Network avg: 72%
Patient Retention
67% Network avg: 71%
Unit Economics — RRE SaaS Model
Per-clinic subscription economics at scale
| Year | Clinics Onboarded | ARR (₹ Cr) | ARR (USD Mn) | Service Cost/Clinic | Gross Margin | Status |
|---|---|---|---|---|---|---|
| Year 1 | 800 | ₹2.4 Cr | $0.7M | ₹13,500 | 20% | ● Current |
| Year 2 | 2,500 | ₹7.5 Cr | $2.3M | ₹11,200 | 32% | Projected |
| Year 3 | 5,000 | ₹15 Cr | $4.5M | ₹8,400 | 45% | Projected |
| Year 4 | 10,000 | ₹30 Cr | $9.0M | ₹6,800 | 51% | Projected |
| Year 5 | 15,000 | ₹45 Cr | $13.5M | ₹5,900 | 54% | Projected |
| Year 6–7 | 25,000 | ₹75 Cr | $22.5M | ₹5,700 | 55%+ | Exit Window |
Exit Strategy: Healthcare SaaS 4–8× ARR multiple. ₹75Cr ARR → ₹300–600Cr enterprise value.
Options: Strategic M&A (global HMIS player), PE rollover, or IPO at ₹400Cr+ valuation.
LTV/CAC target: >15× · Payback: 9–15 months · Projected IRR: 35–45% over 7 years.
ABDM Building Blocks
🟢 M1 — ABHA ID Creation
Patients registered with Ayushman Bharat Health Account. Unique health identity linked to all records.
1,284
ABHA Linked
47
Pending OTP
🔵 M2 — HIP Data Sharing
Clinic acts as Health Information Provider. FHIR R4 bundles pushed to Health Data Fiduciary upon consent.
3,841
Records Shared
99.2%
Success Rate
🟣 M3 — HIU Data Access
Clinic requests prior records from other facilities as Health Information User. Consent-gated FHIR fetch.
218
Records Fetched
14
Consent Pending
Live FHIR R4 Exchange Log
Real-time clinical record transactions via ABDM gateway
| Timestamp | Direction | FHIR Resource | Patient / ABHA | Source / Destination | Status |
|---|---|---|---|---|---|
| 14:52:03 | ↓ FETCH | DiagnosticReport | Kavitha R · 12-3456-7890 | Apollo Hospitals, Chennai | ✓ Success |
| 14:51:30 | ↑ PUSH | MedicationRequest | Murugan S · 98-7654-3210 | → ABDM Health Locker | ✓ Success |
| 14:48:17 | ↓ FETCH | Observation (BP) | Ramesh K Sr. · 55-1234-5678 | Govt. GH Egmore | ✓ Success |
| 14:45:09 | ↑ PUSH | Encounter | Priya T · 44-9988-7766 | → ABDM Health Locker | ⏳ Pending |
| 14:39:44 | ↓ FETCH | Condition (ICD-10) | Arun K · 22-5566-8899 | Fortis Malar, Chennai | ✓ Success |
| 14:31:00 | ↓ FETCH | AllergyIntolerance | Sunita R · 77-3344-5566 | SRMC Hospital | ✗ Consent Expired |
Connected HMIS Platforms
🏥
Live
HealthPlix EMR
Primary HMIS · API v3.2
🔬
Live
SRL Diagnostics LIMS
Lab Integration · LOINC
💊
Partial
Practo Pharmacy POS
Billing sync · pending config
📡
Live
NHA ABDM Gateway
Central exchange · TLS 1.3
DPDP Consent Tracker
Data Personal Data Protection Act 2023 — consent status per patient
Active Consents1,241
Expired (renewal pending)31
Revoked by patient12
📋 Breach notification SLA: 72 hours · Last audit: 12 May 2026
Clinical Records Fetched via ABDM (Last 30 Days)
218
Total Records Fetched
14
Hospitals Queried
2.1s
Avg Fetch Latency
🔐 All record exchanges are end-to-end encrypted (TLS 1.3). Data localised within India per DPDP Act. No raw patient identifiers transmitted — only pseudonymous ABHA token.
🆔 My ABHA Identity
12-3456-7890
Linked to 3 hospitals · 2 labs · 1 pharmacy
📋 Consents Given
6
Active
1
Expired
📂 Records in Locker
47
Documents
5
Hospitals
🏥 Who Accessed My Records
Every hospital or doctor who viewed your health data via ABDM — consent-gated and audited
HL7 FHIR R4
6 Active
| Date & Time | Hospital / Doctor | Records Viewed | Reason | Consent Scope | Status | Action |
|---|---|---|---|---|---|---|
| 22 May 2026 14:52 |
KMC Hospital, Trichy
Dr. Priya Sundarajan · Nephrology
|
Observation (Creatinine)
DiagnosticReport
MedicationRequest
|
📋 Referral Consultation
Diabetic nephropathy follow-up; kidney panel review before July appointment
|
Diabetes & Kidney | ✓ Active | |
| 18 May 2026 09:14 |
Apollo Hospitals, Chennai
Emergency & Critical Care
|
AllergyIntolerance
MedicationStatement
Condition (ICD-10)
|
🚨 Emergency Admission
Hypoglycaemia episode — allergy & medication check before treatment
|
Diabetes Overview | ✓ Active | |
| 10 May 2026 11:30 |
Aravind Eye Institute, Salem
Dr. Anand Venkatesh · Ophthalmology
|
Observation (HbA1c)
Condition (Diabetes)
|
👁 Annual Screening
Diabetic retinopathy risk — HbA1c trend needed for screening frequency
|
Diabetes Records Only | ✓ Active | |
| 08 May 2026 16:05 |
SRL Diagnostics, Trichy
Laboratory · LOINC-coded results
|
DiagnosticReport (KFT)
Observation (CBC)
|
🔬 Lab Result Delivery
Kidney & blood count panel pushed to locker after processing
|
Lab & Diagnostics | ✓ Active | |
| 02 May 2026 20:18 |
Govt. General Hospital, Trichy
Casualty OPD
|
Observation (Temp)
Condition (Fever)
Condition (Diabetes)
|
🌡 OPD Visit — Fever
Fever with high blood sugar — diabetes history needed for safe antipyretic dose
|
Diabetes + Fever | ✓ Active | |
| 10 Apr 2026 13:44 |
Fortis Malar, Chennai
Pre-surgery Anaesthesia Team
|
Procedure (Surgery)
AllergyIntolerance
MedicationRequest
|
🔪 Pre-Operative Assessment
Cholecystectomy — surgery history, allergies, medications reviewed
|
Surgery Record | ✗ Expired |
🔐 All accesses are consent-gated via ABDM. Revoking blocks further access immediately. Emergency accesses are logged but cannot be pre-blocked for life-safety reasons.
Share My Records — Consent Management
🔐 Choose What to Share
Tap a preset to grant a hospital access to only those records — your data, your choice
🩺
Diabetes Records Only
HbA1c, blood sugar, insulin prescriptions, diabetic observations
Observation (HbA1c)
Condition (T2DM)
MedicationRequest
🌡
Diabetes Overview & Fever
Diabetes summary + fever episodes & temperature readings — for general OPD visits
Condition (Diabetes)
Condition (Fever)
Observation (Temp)
🔪
Share Surgery Record
Procedure notes, anaesthesia record, discharge summary (Cholecystectomy Apr 2026)
Procedure
DischargeSummary
AllergyIntolerance
📂
Share All Records
⚠️ Full access — only for your primary doctor
Complete history: conditions, medications, labs, procedures, vitals, encounters
All FHIR Resources
My Active Consents
🏥
Active
KMC Hospital
Diabetes & Kidney · Expires 22 Aug 2026
🏥
Active
Apollo Hospitals
Diabetes Overview · Expires 18 Aug 2026
👁
Active
Aravind Eye Institute
Diabetes Only · Expires 10 Aug 2026
🔬
Active
SRL Diagnostics
Lab Records · Expires 08 Aug 2026
🏥
Active
Govt. General Hospital
Diabetes + Fever · Expires 02 Aug 2026
🏥
Expired
Fortis Malar
Surgery Record · Expired 10 Jul 2026
🔐 Your Data Rights
✔ You can revoke any consent at any time
✔ Emergency accesses are always logged
✔ No data leaves India (DPDP Act 2023)
✔ You will receive an SMS for every access
📋 Last audit: 12 May 2026
💊 Patient Rx & Offers
🗂️ Virtual Rack
📦 Drug Indenting
📋 Current Stock
🔍 Drug Search
⚠️ Interactions
📋 Active Prescription
Dr. Ramesh Kumar · 18 May 2026 · Session #2851
Kavitha Rajendran
48F · DM Type 2 + HTN · ABHA: 12-3456-7890-1234
💊
Metformin 500 mg (Glycomet / Diamet)
1 tab BD after meals · 30 days · Rack A1-1
Indication: Type 2 DM — first-line
₹48
✓ In Stock
💊
Metformin SR 1 g (Glycomet SR / Obimet SR)
1 tab OD with dinner · 30 days · Rack A1-2
Intensification — HbA1c 8.4%
₹72
✓ In Stock
💊
Atorvastatin 10 mg (Atorva / Tonact)
1 tab OD at bedtime · 30 days · Rack A3-1
Lipid management — LDL 142 mg/dL
₹36
✓ In Stock
💊
Amlodipine 5 mg (Stamlo / Amlong)
1 tab OD morning · 30 days · Rack A2-1
HTN — BP 138/88
₹22
✓ In Stock
💊
Telmisartan 40 mg (Telma / Telsartan)
1 tab OD morning · 30 days · Rack A2-3
HTN + diabetic nephropathy protection
₹55
⚠ Only 8 leftTotal MRP ₹233
AI Discount (12%) −₹28
Net Payable ₹205
🏪 Rack — Prescription Highlight
Cells matching active Rx are highlighted · Click to locate
Rx Match
Critical
Full
R1
R2
R3
R4
R5
R6
Metformin
500mg
500mg
A1-1·Rx✓
Metformin
1g SR
1g SR
A1-2·Rx✓
Glimepiride
1mg
1mg
A1-3
Glimepiride
2mg
2mg
A1-4
Sitagliptin
100mg
100mg
A1-5·⚠
Voglibose
0.2mg
0.2mg
A1-6
Gliclazide
80mg
80mg
A1-7·Exp
—
A1-8
Amlodipine
5mg
5mg
A2-1·Rx✓
Amlodipine
10mg
10mg
A2-2
Telmisartan
40mg
40mg
A2-3·Rx⚠
Losartan
50mg
50mg
A2-4
Atenolol
25mg
25mg
A2-5·⚠
Ramipril
5mg
5mg
A2-6
HCTZ
25mg
25mg
A2-7
Carvedilol
6.25
6.25
A2-8
Atorvastatin
10mg
10mg
A3-1·Rx✓
Atorvastatin
20mg
20mg
A3-2
Rosuvastatin
10mg
10mg
A3-3·⚠
Aspirin
75mg
75mg
A3-4
Clopidogrel
75mg
75mg
A3-5
NTG SL
0.5mg
0.5mg
A3-6·!
Digoxin
0.25mg
0.25mg
A3-7
—
A3-8
Amoxicillin
500mg
500mg
A4-1
Azithromycin
500mg
500mg
A4-2
Cipro
500mg
500mg
A4-3
Doxycycline
100mg
100mg
A4-4·⚠
Flagyl
400mg
400mg
A4-5
Cefuroxime
500mg
500mg
A4-6·Exp
Clarith.
250mg
250mg
A4-7
Nitrofur.
100mg
100mg
A4-8
Levothyrox.
25mcg
25mcg
A5-1
Levothyrox.
50mcg
50mcg
A5-2
Levothyrox.
100mcg
100mcg
A5-3
Prednisolone
5mg
5mg
A5-4·⚠
Methyl pred.
4mg
4mg
A5-5
Pantoprazole
40mg
40mg
A5-6
Ranitidine
150mg
150mg
A5-7
—
A5-8
Paracetamol
500mg
500mg
A6-1
Ibuprofen
400mg
400mg
A6-2
Diclofenac
50mg
50mg
A6-3
Cetirizine
10mg
10mg
A6-4
Montelu.
10mg
10mg
A6-5
Fexofenadin.
120mg
120mg
A6-6·⚠
ORS
sachet
sachet
A6-7
—
A6-8
✓ 4 of 5 Rx items in stock
⚠ Telmisartan 40mg — only 8 tabs. Indent raised.
🏪 Purchase History — RRE Pharmacy Network
Last 6 months
| Date | Pharmacy | Items | MRP | Discount | Paid | Mode |
|---|---|---|---|---|---|---|
| 18 May 2026 | Sree Balaji — Main Gandhi Nagar, Trichy |
Metformin 500mg, Atorva 10mg, Amlodipine 5mg | ₹106 | −₹13 | ₹93 | 🏥 In-Clinic |
| 23 Mar 2026 | Sree Balaji — Main Gandhi Nagar, Trichy |
Metformin 500mg×2, Telmisartan 40mg, Atorva 10mg | ₹231 | −₹27 | ₹204 | 🏥 In-Clinic |
| 14 Feb 2026 | MedPlus — Srirangam RRE Network Partner |
Amlodipine 5mg, Metformin SR 1g | ₹94 | −₹9 | ₹85 | 🏪 Retail |
| 10 Jan 2026 | Apollo Pharmacy RRE Network Partner |
Atorvastatin 10mg, Telmisartan 40mg, Vit D3 | ₹178 | −₹20 | ₹158 | 🏪 Retail |
| 18 Dec 2025 | Sree Balaji — Srirangam Branch Clinic |
Full prescription (5 items) | ₹240 | −₹29 | ₹211 | 🏥 In-Clinic |
| 02 Dec 2025 | Netmeds (Home Delivery) RRE Network · Online |
Metformin 500mg×3, Amlodipine 5mg×3 | ₹210 | −₹26 | ₹184 | 🚚 Delivery |
📊 6-Month Summary
18
Pharmacy visits
₹1,059
Total purchased
₹124
Total saved (AI)
11.7%
Avg discount rate
Medication Adherence
82% pick-up rateGood
🤖 AI Recommended Discounts
Metformin 500mg
High-volume; generic available
Metformin SR 1g
Chronic long-term — loyalty tier
Atorvastatin 10mg
Generic alt: Tonact / Storvas
3-month combo buy
All 5 Rx items × 3 months
🎁 Personalised Packages & Offers — Kavitha Rajendran
👩⚕️
Home Nurse Visit
Trained nurse visits for vitals (BP, glucose, SpO₂), injection administration, wound care or medication compliance check. Linked to Kavitha's care plan.
₹250/visit · 3-visit pack ₹650
🩸
Home Lab Collection
HbA1c, FBS, Lipid profile, eGFR, ACR collected at home by certified phlebotomist. Results on ABHA within 24h. Bundled with Dr. Ramesh's pending lab orders.
₹150 collection fee · Tests billed separately
🥗
Diabetic Diet & Wellness Pack
Monthly diabetes-friendly meal planner, low-glycaemic recipe kit delivered, 2 virtual dietician sessions, HbA1c tracker app with RRE integration.
₹399/month · 3 months ₹999
📦 Drug Indent — Multi-Distributor Price Comparison
Compare prices from registered distributors for Drugs, Surgical items, and Injections
| Item | Category | Qty Needed | Distributor A MedPlus Pharma |
Distributor B Apollo Pharma |
Distributor C Mankind Dist. |
Best Price | Select |
|---|---|---|---|---|---|---|---|
Telmisartan 40mg × 10 Micardis · Strip of 10 |
Drug | 20 strips | ₹84/strip | ₹76/strip ✓ | ₹81/strip | Apollo ₹76 | |
Inj. Amikacin 500mg/2ml Amikin · 2ml vial |
Injection | 10 vials | ₹38/vial ✓ | ₹45/vial | ₹41/vial | MedPlus ₹38 | |
ORS Sachets (Electral) Glucose/Electrolyte · 26.7g |
OTC | 50 sachets | ₹12/sachet | ₹14/sachet | ₹10/sachet ✓ | Mankind ₹10 | |
Nitroglycerin SL 0.5mg × 25 Nitrostat · Sublingual |
Drug | 4 strips | ₹62/strip | ₹55/strip ✓ | ₹59/strip | Apollo ₹55 | |
Surgical Gloves (L) Box/100 Nitrile · Latex-free |
Surgical | 5 boxes | ₹480/box ✓ | ₹540/box | ₹510/box | MedPlus ₹480 | |
Inj. Normal Saline 500ml 0.9% NaCl · IV bag |
Injection | 20 bags | ₹28/bag | ₹31/bag | ₹24/bag ✓ | Mankind ₹24 |
Estimated saving vs highest price: ₹1,240 on this order
412
Total SKUs
—
In Stock
—
Zero / Unknown
—
Low (<30)
412
Showing
| # | Brand Name | Molecule / Generic | Category | Marketed By | Stock (nos) | Purchase ₹ | MRP ₹ | Selling ₹ | Margin | Status |
|---|---|---|---|---|---|---|---|---|---|---|
| Loading… | ||||||||||
🧪 Orders & Results
🎁 Wellness Packages
🔬 Individual Tests
📊 Package Performance
📋 Lab Order Tracking — Kavitha Rajendran
Dr. Ramesh Kumar · Session #2851 · 18 May 2026 · ABHA: 12-3456-7890-1234
✓Completed
●In Progress
○Pending
!Action Needed
| Test | 1. Ordered | 2. Sample Given | 3. Sample Accepted | 4. Processing | 5. Report Ready | 6. Provider Review | 7. Shared to Patient | Status / Note |
|---|---|---|---|---|---|---|---|---|
HbA1c SRL Lab · 14 May |
✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | Complete Result: 8.4% ↑ · Dr. reviewed |
Lipid Profile SRL Lab · 14 May |
✓ | ✓ | ✓ | ✓ | ✓ | ● | ○ | Awaiting Dr. Comment LDL 142 · Pending note |
eGFR / Creatinine Thyrocare · 18 May |
✓ | ✓ | ✓ | ● | ○ | ○ | ○ | ⚙ Lab Processing TAT 4h · ETA 2:30 PM |
Urine ACR Sree Balaji Lab · Today |
✓ | ! | ○ | ○ | ○ | ○ | ○ | ⚠ Sample Awaited Patient to provide mid-stream urine |
CBC Thyrocare · 18 May |
✓ | ✓ | ! | ○ | ○ | ○ | ○ | ⚠ Sample Rejected Haemolysed · Re-collect needed |
Microalbumin Sree Balaji Lab |
● | ○ | ○ | ○ | ○ | ○ | ○ | Order Placed Awaiting sample collection |
📈 Lab Test Trends — 18-Month History with Reference Ranges
HbA1c (%)
Target <7.0% · Pre-DM <5.7%
Target 7.0%
Caution 9.0%
LDL Cholesterol (mg/dL)
Optimal <100 · Borderline 130–159
Optimal <100
Borderline 130
eGFR (mL/min/1.73m²)
Normal ≥90 · CKD Stage 2: 60–89
Normal ≥90
CKD threshold 60
BP Systolic (mmHg)
Normal <120 · Hypertension ≥140
Normal <120
HTN ≥140
🏪 Tests at RRE Network Labs — Last 12 Months
| Test | Lab / Network Partner | Date | MRP | Paid | Saved | AI Discount |
|---|---|---|---|---|---|---|
| HbA1c | SRL Diagnostics RRE Preferred Partner |
14 May 2026 | ₹600 | ₹480 | ₹120 | 20% |
| Lipid Profile | SRL Diagnostics RRE Preferred Partner |
14 May 2026 | ₹700 | ₹540 | ₹160 | 23% |
| HbA1c + FBS | Thyrocare RRE Network · Home Collection |
02 Feb 2026 | ₹800 | ₹590 | ₹210 | 26% |
| eGFR / KFT | KMC Hospital Lab RRE Network Partner |
15 Sep 2025 | ₹900 | ₹720 | ₹180 | 20% |
| CBC + ESR | Sree Balaji In-House Lab Clinic Lab — Lowest cost |
23 Mar 2026 | ₹350 | ₹280 | ₹70 | 20% |
| Urine R&M + ACR | Apollo Diagnostics RRE Network Partner |
10 Jan 2026 | ₹550 | ₹420 | ₹130 | 24% |
| Total (12 months) | ₹3,900 | ₹3,030 | ₹870 | 22% avg | ||
🤖 AI Recommended Discounts
HbA1c (quarterly)
High-frequency chronic test
Diabetes Care Plus pkg
Bundle 7 tests — best value
eGFR + ACR combo
Nephropathy screen bundle
Home collection add-on
Save clinic visit cost
📊 Lab Spend Summary
14
Tests done (12M)
₹3,030
Total paid
₹870
Saved via RRE
3
Partner labs used
🎁 Personalised Pre-Visit Packages — Make Your Next Visit More Productive
🗓️
Next Appointment: 18 Jul 2026 — Dr. Ramesh Kumar, Sree Balaji Clinic
Book home sample collection 2–3 days before your visit so results are ready when you meet the doctor. All results auto-uploaded to your ABHA and shared with Dr. Ramesh before the session.
🏆 AI TOP PICK
🧪
Pre-Visit DM Panel
All tests due before Jul visit — HbA1c, Lipid, eGFR, ACR, CBC. Home collection on 15 Jul. Results ready by 16 Jul so Dr. Ramesh reviews them before you arrive.
HbA1c
Lipid Profile
eGFR + KFT
Urine ACR
CBC
🚚 Free home collection · 15 Jul
Save ₹651 (30%)
⚠ LDL Elevated
❤️
Cardiac Risk Add-On
LDL at 142 — AI recommends hs-CRP, Lp(a), Homocysteine to assess cardiovascular risk before dose adjustment decision. Home collection included.
hs-CRP
Lp(a)
Homocysteine
ApoB
🚚 Free home collection · 15 Jul
Save ₹601 (33%)
eGFR 62 — Watch
🫘
Nephropathy Deep Screen
eGFR stable at 62 but annual nephropathy screen overdue 6 months per ADA 2026. Includes 24h urine protein, Cystatin C, and spot urine ACR. Home collection compatible.
Cystatin C
24h Urine Protein
Urine ACR
Serum Electrolytes
🚚 Home collection · 24h urine kit delivered
Save ₹450 (32%)
🏠
Home Sample Collection
Certified phlebotomist at your doorstep. Fasting samples collected between 6–8 AM. Results linked to ABHA and auto-shared with Dr. Ramesh.
₹0 collection fee for RRE network bookings
📱
WhatsApp Result Delivery
Lab results sent on WhatsApp as soon as available. AI summary included — "Your HbA1c is 8.4%, Dr. Ramesh has added comments." No need to download or log in.
Already enabled for Kavitha ✓
🗓️
Smart Pre-Visit Reminder
RRE auto-reminds Kavitha 7 days before her appointment to complete pending tests. Sends lab appointment link, collects results, and pre-fills session notes for Dr. Ramesh.
Next reminder: 11 Jul 2026
Popular Packages — Bundled Discounts
⭐ Best Seller
💊 Diabetes Care Plus
Complete diabetic monitoring — quarterly or annual
HbA1c
FBS & PPBS
Lipid Profile
eGFR
Urine ACR
Microalbumin
CBC
₹1,499
₹2,280
34% OFF
❤️ Cardiac Wellness
Heart risk assessment — recommended annually
Lipid Profile
hs-CRP
ECG
Homocysteine
Lp(a)
Troponin I
₹1,849
₹2,750
33% OFF
🌿 Thyroid & Women's Health
Thyroid + hormonal + anaemia screen
TSH
T3 / T4
CBC
Ferritin
Vitamin D
B12
FSH / LH
₹1,199
₹1,840
35% OFF
🧬 Full Body Checkup — Basic
Comprehensive annual health screen
CBC
LFT
KFT
Lipid
FBS
TSH
Urine R&M
Chest X-Ray
₹1,999
₹3,200
38% OFF
🦴 Bone & Joint Health
Musculoskeletal and mineral screen
Vitamin D
Calcium
Phosphorus
uric Acid
RA Factor
CRP
₹899
₹1,380
35% OFF
+
Create Custom Package
Bundle any tests with a custom discount
💡 RRE AI Suggestion: 84 NCD patients are due for their 6-month review. Sending the Diabetes Care Plus package via WhatsApp could generate ₹1.26L revenue this month.
Individual Test Catalogue
| Test Name | Category | TAT | MRP | Clinic Price | Package Price |
|---|---|---|---|---|---|
| HbA1c | Glycaemic | 4 hrs | ₹600 | ₹480 | ₹399 in Diabetes Care |
| Lipid Profile (Full) | Cardiac | 6 hrs | ₹700 | ₹540 | ₹450 in Cardiac Pkg |
| TSH | Thyroid | 6 hrs | ₹450 | ₹350 | ₹299 in Thyroid Pkg |
| CBC (Complete Blood Count) | Haematology | 2 hrs | ₹350 | ₹280 | ₹220 in Full Body |
| eGFR (Creatinine) | Renal | 4 hrs | ₹400 | ₹320 | ₹280 in Diabetes Care |
| Vitamin D (25-OH) | Vitamins | 24 hrs | ₹1,200 | ₹900 | ₹750 in Bone Pkg |
Top Package (MTD)
Diabetes Care
84 bookings · ₹1.26L
Avg Discount Given
34.8%
↑ Volume up 42%
Package vs Individual Rev.
2.4×
Bundles drive more revenue
KR
Kavitha Rajendran
F, 48 · DM Type 2 + HTN + Early Neuropathy
ABHA: 12-3456-7890-1234 · 4 active providers · 2 missed visits detected
Plan Year
Adherence Score
62%
🚨
AI Detected 2 Missed Visits — Rescheduling Required
Action Needed
●
Nephrology Review (Dr. Priya Sundarajan, KMC Hospital) — Scheduled Jan 2026, not attended · 4 months overdue
●
Diabetic Eye Screening (Sri Aravind Eye Institute) — Last done May 2025, due annually · 12 months overdue
●
HbA1c (Lab) — Due Feb 2026 (quarterly, per ADA 2024 §6.6) · 3 months overdue
🤖 RRE Auto-Scheduler has generated a revised plan. View AI Scheduler tab to review and send for patient approval.
🏥 Hospital Interactions
11
4 clinic + 2 nephrology + 1 ophthalmology + 2 physio + 2 emergency est.
👨⚕️ Active Providers
4
GP · Nephrologist · Ophthalmologist · Physiotherapist
🔬 Lab Interactions
8
Quarterly HbA1c + nephropathy + lipid + annual full panel
📱 Virtual / Home
24
Bi-weekly WhatsApp check-ins + adherence nudges
📅 12M Overview
🏥 Provider Network
🤖 AI Scheduler
✅ Approval & Notifications
📅 12-Month Interaction Timeline
Hospital
Pharmacy
Lab
Home/Virtual
May 26
🏥 Consult (Plan Review)
💊 Med Refill
🏠 WhatsApp ×2
Jun 26 ⚡
💊 Med Refill
🔬 HbA1c (catch-up) ↗
🔬 Nephropathy Screen ↗
🏠 WhatsApp ×2
Jul 26 ⚡
🏥 Nephrology (Dr. Priya) ↗
💊 Med Refill
🏠 WhatsApp ×2
Aug 26
🏥 3M Review (Dr. Ramesh)
💊 Med Refill
🔬 HbA1c
🏠 WhatsApp ×2
Sep 26 ⚡
🏥 Eye Screening (Aravind) ↗
💊 Med Refill ×2
🏠 WhatsApp ×4
Nov 26
🏥 6M Review + Physio
💊 Med Refill
🔬 HbA1c + Lipid
🏠 WhatsApp ×2
Dec–Mar
💊 Med Refill ×4
🏠 WhatsApp ×8
Apr 27
🏥 Annual Review + Full Panel
💊 Med Refill
🔬 Full Body Panel
🏠 WhatsApp ×2
⚡ Months highlighted with ⚡ have AI-rescheduled items (dashed border). See AI Scheduler tab for details.
💰 Expected Revenue — Kavitha R
🏥 Hospital / Consultation
4 × GP Consult @ ₹600₹2,400
2 × Nephrology (Dr. Priya)₹2,000
1 × Ophthalmology (Eye Institute)₹1,200
2 × Physio sessions₹1,200
Subtotal₹6,800
💊 Pharmacy
12 × Metformin 90-tab₹2,880
12 × Glimepiride 90-tab₹2,160
12 × Amlodipine + Atorvastatin₹2,400
Subtotal₹7,440
🔬 Laboratory
4 × HbA1c @₹480₹1,920
2 × Nephropathy Screen₹1,200
1 × Full Body Panel₹1,999
Subtotal₹5,119
🏠 Virtual / Subscription
24 × WhatsApp follow-up (RRE)₹2,500
Subtotal₹2,500
Total Expected Revenue₹21,859
vs low adherence (no RRE)₹9,800
RRE Revenue Uplift+₹12,059 (123%)
🏥 Active Provider Network — Kavitha Rajendran
Primary GP
Sree Balaji Clinic
Dr. Ramesh Kumar
MBBS, MD · General Practice & Internal Medicine
Last: 22 May 2026 ✓
Next: Aug 2026 (3M Review)
📍 Anna Nagar, Trichy · 📞 98430 10010
Missed Visit
KMC Hospital
Dr. Priya Sundarajan
DM, MD (Nephrology) · Diabetic Nephropathy
⚠ Last scheduled: Jan 2026 (NOT ATTENDED)
Rescheduled: Jul 2026 ↗ (AI)
📍 KK Nagar, Trichy · 📞 0431-2318900
Overdue 12M
Sri Aravind Eye Institute
Dr. Anand Venkatesh
MS (Ophthalmology) · Diabetic Retinopathy
Last: May 2025 · Annual — OVERDUE
Rescheduled: Sep 2026 ↗ (AI)
📍 Alagapuram, Salem · 📞 0427-2331401
On Track
PhysioFirst Clinic
Ms. Radha Krishnaswamy
BPT, MPT · Neuropathy Rehabilitation
Last: Mar 2026 ✓
Next: Jun 2026 (Bi-monthly)
📍 Woraiyur, Trichy · 📞 98421 33456
💊 Active Therapies (All Providers)
Prescribed by Dr. Ramesh Kumar (GP)
Metformin 500mg BDDM · Ongoing
Glimepiride 2mg ODDM · Ongoing
Amlodipine 5mg ODHTN · Ongoing
Atorvastatin 10mg ODLipid · Ongoing
Methylcobalamin 1500mcg ODNeuropathy · Ongoing
Other Providers
Cilnidipine 10mg ODDr. Priya · Nephro-protection
Telmisartan 40mg ODDr. Priya · ACEi equiv.
Physio exercises ×5/weekMs. Radha · Neuropathy rehab
⚠ Potential interaction: Telmisartan + AmlodipineReview needed
🤖
RRE AI Scheduler has detected 2 missed visits and 1 overdue lab. The plan below rearranges upcoming months to catch up without overloading any single visit. Based on GoI NCD DM Protocol 2019 · ADA 2024 §6 & §12 · WHO PEN Module 2.
📊 Original vs AI-Rescheduled Plan — Next 6 Months
📋 Original Plan (before rescheduling)
Jun 26
💊 Med Refill
🏠 WhatsApp ×2
Jul 26
💊 Med Refill
🏠 WhatsApp ×2
Aug 26
🏥 3M Review
💊 Med Refill
🔬 HbA1c
Sep–Oct
💊 Med Refill ×2
🏠 WhatsApp ×4
Nov 26
🏥 6M Review + Ophthalmology
🔬 HbA1c + Lipid
💊 Med Refill
Feb 27
💊 Med Refill
🏠 WhatsApp ×2
🤖 AI Rescheduled Plan (proposed)
Jun 26 ⚡
💊 Med Refill
🔬 HbA1c — catch-up ↗
🔬 Nephropathy Screen ↗
🏠 WhatsApp ×2
Catching up: HbA1c overdue Feb 2026 + Nephropathy missed Jan 2026
Jul 26 ⚡
🏥 Nephrology — Dr. Priya ↗
💊 Med Refill
🏠 WhatsApp ×2
Was scheduled Jan 2026, missed. Rescheduled to Jul 2026 — 6 months gap maintained per ADA §12.
Aug 26
🏥 3M Review (GP)
💊 Med Refill
🔬 HbA1c (scheduled)
No change — routine quarterly review maintained.
Sep 26 ⚡
🏥 Eye Screening — Aravind ↗
💊 Med Refill ×2
🏠 WhatsApp ×4
Annual eye screening was May 2025, overdue 12 months. Per ADA 2024 §12.2 — annual retinopathy check mandatory.
Nov 26
🏥 6M Review + Physio
🔬 HbA1c + Lipid
💊 Med Refill
Eye review result incorporated — ophthalmology follow-up if abnormal.
Feb 27
🏥 Nephrology F/U — Dr. Priya ↗
💊 Med Refill
6-month follow-up after Jul 2026 nephrology review — per ADA §12 nephropathy monitoring protocol.
📲 Patient Approval — Rescheduled Care Plan
Proposed Schedule Change
3 missed/overdue visits rescheduled by AI · Based on ADA 2024 + GoI NCD Protocol
WhatsApp Preview — Message to Kavitha Rajendran
🏥 Sree Balaji Clinic — RRE Care Plan Update
Dear Kavitha akka,
Our care coordinator noticed you missed 2 scheduled visits. We have rearranged your plan to catch up — no extra burden, just moved into the upcoming months:
✅ Jun 2026 — Blood tests: HbA1c + Kidney screen (catch-up)
✅ Jul 2026 — Dr. Priya (Nephrology, KMC) — was missed in Jan
✅ Sep 2026 — Eye check (Aravind Eye Institute) — 1 year overdue
✅ Feb 2027 — Nephrology follow-up (Dr. Priya)
✅ Jul 2026 — Dr. Priya (Nephrology, KMC) — was missed in Jan
✅ Sep 2026 — Eye check (Aravind Eye Institute) — 1 year overdue
✅ Feb 2027 — Nephrology follow-up (Dr. Priya)
Please reply YES to confirm the new schedule, or NO to keep your existing dates. Your doctors will be informed once confirmed. 🙏
— Sree Balaji Clinic, Trichy · Powered by RRE · Opt out: STOP
💬 Actual patient response is collected via WhatsApp reply (YES/NO). These buttons simulate the approval outcome for demo purposes.
KR
Kavitha Rajendran
F, 48 · DM Type 2 + HTN + Early Neuropathy
ABHA: 12-3456-7890-1234 · Plan: May 2026 – Apr 2027 · 2 missed visits — AI rescheduled
Adherence
62%
Providers
8
🚨
2 Missed Visits Detected — Your Care Plan Has Been Updated
Please Review
●Kidney check with Dr. Priya (KMC Hospital) — Was due January 2026 · 4 months overdue
●Eye screening (Aravind Eye Institute) — Last done May 2025, overdue 12 months
●HbA1c blood test (SRL Diagnostics) — Due Feb 2026 · 3 months overdue
🤖 AI has automatically rescheduled these into the coming months. Tap AI Reminders tab to review and approve.
🏥 Hospitals & Clinics
3
Sree Balaji · KMC Hospital · Aravind Eye
🔬 Laboratories
2
SRL Diagnostics · Thyrocare
💊 Pharmacies
2
Sree Balaji Pharmacy · Jan Aushadhi
🤝 Other Services
2
PhysioFirst · RRE Virtual Care
📅 Annual Care Plan
🏥 My Provider Network
🤖 AI Reminders
✅ Approve Changes
🏥 Hospitals & Clinics
Primary GP
Sree Balaji Clinic
Dr. Ramesh Kumar
MBBS, MD · General Medicine
Last visit: 22 May 2026 ✓
Next: Aug 2026 (3-month review)
📍 Anna Nagar, Trichy · 📞 98430 10010
Missed — Rescheduled
KMC Hospital
Dr. Priya Sundarajan
MD, DM Nephrology · Kidney Specialist
⚠ Missed: January 2026
AI Rescheduled → Jul 2026
📍 KK Nagar, Trichy · 📞 0431-2318900
12 Months Overdue
Sri Aravind Eye Institute
Dr. Anand Venkatesh
MS Ophthalmology · Eye Specialist
Last: May 2025 — Annual due
AI Rescheduled → Sep 2026
📍 Alagapuram, Salem · 📞 0427-2331401
🔬 Laboratories
🔬
SRL Diagnostics
📍 Thillai Nagar, Trichy · NABL Accredited
HbA1c (quarterly)⚠ Overdue Feb
Nephropathy Screen⚠ Missed Jan
Lipid PanelNov 2026
📞 1800-120-0054 · Home collection available
🧪
Thyrocare
📍 Home Collection · NABL + CAP
Annual Full Body PanelApr 2027
Thyroid Function (TFT)Apr 2027
📞 1800-419-5858 · Results in 24h
💊 Pharmacies
💊
Sree Balaji Pharmacy
📍 Anna Nagar, Trichy · Attached to Clinic
Metformin + GlimepirideMonthly refill
Amlodipine + AtorvastatinMonthly refill
Next refill dueJun 2026
📞 98430 10010 · WhatsApp refill alerts ON
🏪
Jan Aushadhi Store
📍 Woraiyur, Trichy · Generic medicines
Cilnidipine + TelmisartanMonthly refill
Methylcobalamin 1500mcgMonthly refill
Savings vs brand~₹480/month
📞 1800-180-8080 · Govt. scheme · PM-BJAY
🤝 Other Services
🦶
PhysioFirst Clinic
📍 Woraiyur, Trichy · Neuropathy Rehab
Ms. Radha Krishnaswamy (BPT)On track
Session frequencyBi-monthly
Next sessionJun 2026
📞 98421 33456 · In-clinic + home visit
📱
RRE Virtual Care
WhatsApp AI Health Assistant
Check-in frequencyBi-weekly
Adherence nudgesActive
Last check-in20 May 2026
24 WhatsApp follow-ups planned this year
💊 My Current Medicines (All Providers)
From Dr. Ramesh Kumar (Sree Balaji)
Metformin 500mg BDFor Diabetes
Glimepiride 2mg ODFor Diabetes
Amlodipine 5mg ODFor Blood Pressure
Atorvastatin 10mg ODFor Cholesterol
Methylcobalamin 1500mcgFor Nerve health
From Dr. Priya Sundarajan (KMC)
Cilnidipine 10mg ODKidney protection
Telmisartan 40mg ODBlood pressure + Kidney
Physio exercises ×5/weekNerve rehab
⚠ Telmisartan + AmlodipineAsk your doctor
View:
📅 My Health Schedule — May 2026 to Apr 2027
Hospital
Pharmacy
Lab
Virtual/Home
May 26
🏥 Sree Balaji (Plan Review)
💊 Med Refill
📱 WhatsApp ×2
Jun 26 ⚡
💊 Med Refill
🔬 HbA1c — SRL (catch-up) ↗
🔬 Kidney Screen — SRL ↗
📱 WhatsApp ×2
Jul 26 ⚡
🏥 KMC Hospital — Dr. Priya ↗
💊 Med Refill
📱 WhatsApp ×2
Aug 26
🏥 Sree Balaji — 3M Review
💊 Med Refill
🔬 HbA1c — SRL
📱 WhatsApp ×2
Sep 26 ⚡
🏥 Aravind Eye — Dr. Anand ↗
💊 Med Refill ×2
📱 WhatsApp ×4
Oct–Nov 26
🏥 Sree Balaji — 6M Review
🦶 PhysioFirst session
💊 Med Refill
🔬 HbA1c + Lipid — SRL
Dec–Mar
💊 Med Refill ×4
📱 WhatsApp ×8
Feb 27
🏥 KMC — Nephrology Follow-up ↗
💊 Med Refill
Apr 27
🏥 Sree Balaji — Annual Review
💊 Med Refill
🔬 Full Panel — Thyrocare
⚡ Months with ⚡ have AI-rescheduled items (dashed border). Go to AI Reminders tab to approve.
🤖
Your AI Care Assistant found 3 overdue appointments and rescheduled them into your upcoming months without overloading any single visit. Your current doctors approved this plan.
📋 What Changed in Your Plan
🔬
Blood Test — HbA1c & Kidney Screen
Moved to Jun 2026 ↗
Was overdue since Feb 2026. Added to June visit at SRL Diagnostics. Both tests done in one trip — HbA1c + Kidney screen together. (ADA 2024 guideline: quarterly HbA1c for DM)
🫘
Kidney Doctor — Dr. Priya (KMC Hospital)
Moved to Jul 2026 ↗
You missed the January 2026 appointment. Rescheduled to July 2026 — 6 months after your last kidney check. KMC Hospital slot request sent. (ADA 2024 §12.6 — 6-monthly nephrology for DM with early nephropathy)
👁
Eye Check — Aravind Eye Institute
Moved to Sep 2026 ↗
Last eye check was May 2025 — 12 months overdue. Rescheduled to September 2026. Aravind Eye Institute appointment request sent. (ADA 2024 §12.2 — annual dilated eye exam mandatory for DM)
📲 Your New Schedule — Please Confirm
3 visits rescheduled by AI
Your care team and AI assistant prepared this update · Based on ADA 2024 + GoI Guidelines
Your WhatsApp message from Sree Balaji Clinic
🏥 Sree Balaji Clinic — Your Care Plan Update
Dear Kavitha akka,
We noticed you missed 2 checkups. We have rearranged your upcoming visits to catch up easily:
✅ Jun 2026 — Blood tests at SRL Diagnostics (HbA1c + Kidney)
✅ Jul 2026 — Dr. Priya at KMC Hospital (Kidney check — missed Jan)
✅ Sep 2026 — Eye check at Aravind Eye Institute (1 year due)
✅ Feb 2027 — Kidney follow-up at KMC (Dr. Priya)
✅ Jul 2026 — Dr. Priya at KMC Hospital (Kidney check — missed Jan)
✅ Sep 2026 — Eye check at Aravind Eye Institute (1 year due)
✅ Feb 2027 — Kidney follow-up at KMC (Dr. Priya)
Reply YES to confirm, or NO to keep your current dates. Your doctors will be told once you confirm. 🙏
— Sree Balaji Clinic, Trichy · Opt out: STOP
💬 These buttons simulate your WhatsApp YES/NO reply for demo purposes.
ℹ️
Clinic Lite Mode — Smart patient identification, episode-aware clinical context, and AI-guided triage workflow for small clinics. Works offline; syncs to RRE & ABDM when connected.
Choose Identification Method
Face Recognition
Camera-based biometric
Works on tablet / kiosk
Works on tablet / kiosk
👤
Tap to activate camera
Biometric (Fingerprint)
Aadhaar-linked fingerprint
UIDAI OTP-free auth
UIDAI OTP-free auth
👆
Place finger on reader
Phygital Card
NFC tap or QR code scan
Patient-held health card
Patient-held health card
📶 NFC Tap
▦ QR Scan
— or search by —
Full or partial name
12-digit ABHA number
Registered mobile
Patient's village or area
👤
My Insurance — Kavitha Rajendran
2 active policies · ICICI Lombard Mediclaim + TCS Group Health · Total cover: ₹10L
₹10L
Cover Available
1
Claim Active
₹1.32L
Claimed YTD
👨⚕️
Provider Claims Dashboard — Dr. Ramesh Kumar
3 patients awaiting additional documentation · 2 clarifications pending from TPA · 1 pre-auth under review
3
Docs Pending
2
TPA Queries
₹4.8L
Approved MTD
🏥
Clinic Claims — Sree Balaji Clinic
Empanelled: TCS GHI · ICICI Lombard · PMJAY · New India Assurance · 85% claim approval rate this quarter
₹1.32L
Active Claims
85%
Approval Rate
4
Insurers
🛡
Insurer Dashboard — TCS Group Health Insurance
12 empanelled clinics · ₹8.4L pending claims · 3 clinics require site audit · Claims TAT: avg 6.2 days
12
Clinics
₹8.4L
Pending
3
Audit Due
AM
Arjun Mehta M, 52 · Senior Manager, TCS Chennai
ABHA: 44-8821-0034-5566 · Admission: Post-op Lap Cholecystectomy + Complication re-admission
Total Claim Value
₹1,32,400
RRE Routing Active
Active Insurance Policies — 3 Policies Detected
Employer Group Health
TCS Group Health Insurance
✅ Pre-auth approved · Cashless empanelled · Renewal: Dec 2026
Individual Private Policy
ICICI Lombard Health Guard
✅ Deductible met this year · Reimbursement mode · Renewal: Aug 2026
Government Scheme
Ayushman Bharat PMJAY
✅ Empanelled facility · Cashless · Day care & inpatient · Not claimed this year
🤖 RRE Claim Routing Guidance
Optimised claim allocation across all 3 policies to maximise coverage and minimise out-of-pocket
🏢
Claim 1 — Primary Surgery: Laparoscopic Cholecystectomy
Procedure: Lap Chole + 2-day admission + anaesthesia + OT charges
Route → TCS Group Health (Employer)
Rationale: No deductible, cashless, fastest pre-auth (24h), full OT + anaesthesia coverage. Preserves individual & govt cover for future use.
₹85,000
Pre-auth Approved
🏠
Claim 2 — Re-admission: Post-op Wound Infection (Day 5)
IV Antibiotics + dressing + 3-day admission + culture tests
Route → ICICI Lombard Individual Policy
Rationale: Annual deductible ₹10,000 already met (Jan visit). This admission is fully claimable at no out-of-pocket. Employer cover better preserved for larger future events.
₹42,400
Filing Initiated
🏛️
OPD Follow-ups & Medicines Post-discharge
3 × post-op OPD visits + wound dressing × 5 + oral antibiotics
Route → Ayushman Bharat PMJAY (Day Care / OPD)
Rationale: PMJAY covers OPD procedures and day-care at empanelled facilities. Zero out-of-pocket for patient. Reserves employer and private cover for larger admissions.
₹5,000
Cashless
Total claim value routed
₹1,32,400
Out-of-pocket for patient
₹0 (fully covered, optimally routed)
📋 Claim Status Summary
Employer (TCS GHI)₹85,000
StatusPre-auth approved
Private (ICICI)₹42,400
StatusFiling in progress
PMJAY (Govt)₹5,000
StatusCashless · Active
Total Covered₹1,32,400
Patient out-of-pocket₹0
💡 RRE Recommendation
Add-On: Catastrophic Cover
Current max cover (employer + private) = ₹8L. A catastrophic event (cancer, organ failure, major accident) could exhaust all policies. A ₹10L super top-up activates only when other policies are exhausted.
₹10,00,000
Additional Cover
~₹2,400/yr
Est. Premium (age 52)
✅ Activates after ₹8L threshold crossed · Covers cancer, ICU >14 days, organ transplant, major trauma · Tax benefit under 80D
📋 Total Licences
83
11 categories
✅ Valid & Current
8
No action needed
🔴 Expired / Overdue
3
Immediate action
⚠️ Expiring Soon
4
Initiate renewal
🏥
RRE Network Compliance Engagement
Select your engagement level per licence — Processing Support (document prep), Consultation (expert guidance + filing), or Facilitation (end-to-end managed service). Costs shown are RRE network rates.
Potential savings
Up to 40%
vs market rate
📋 Licence Registry
✅ Check Readiness
👥 Expert Panel
Showing 83 / 83
| # | Category | Licence / Requirement | Licence Fee | RRE Engagement | Cost | Status | Actions |
|---|---|---|---|---|---|---|---|
| Loading… | |||||||
Readiness Checklist
Auto-populated from RRE vault · Available documents highlighted
✅ Valid
⚠️ Expiring Soon
🔴 Expired
⬜ Not Applied / Unknown
Click the tab to load checklist…
Facilitation Experts
Select a specialist for end-to-end managed compliance facilitation through RRE network
Click the tab to load experts…
⚖️ Active ML Cases
4
1 high risk
💸 Total Exposure
₹9.65L
Estimated liability
👥 Staff Implicated
6
Across 4 cases
🏥 Scope Violations
3
Treated beyond facility capacity
Active Medico-Legal Cases
Case #ML-2025 · Filed: 6 Apr 2026
🔴 Delayed Referral — Adverse Outcome (Death)
Patient Krishnamurthy R (M, 68) presented with sudden severe headache and vomiting. Diagnosed as hypertensive urgency and managed conservatively. Haemorrhagic stroke confirmed on CT at RGGGH after 8-hour delay. Patient expired 3 days later. Family has engaged advocate.
Patient
Krishnamurthy R · M, 68
Staff Responsible
Dr. Ramesh K (treating), Nurse Geetha (triage)
Allegation
Missed stroke diagnosis · 8-hour delay in tertiary referral
Expected Loss
₹3,00,000 – ₹5,00,000
⚖️ Consumer Court notice served · Hospital legal counsel engaged · Records sealed and secured · Incident report filed with medical council
Case #ML-2026 · Reported: 2 May 2026
🟠 Prescription Error — Drug Name Confusion
Patient Suresh Pillai (M, 58) was prescribed Metoprolol 25mg (beta-blocker) instead of Metformin 500mg (anti-diabetic) — phonetically similar names. Patient experienced symptomatic bradycardia and was admitted for 1 day. Identified on follow-up by RRE billing anomaly check.
Patient
Suresh Pillai · M, 58 · DM Type 2
Staff Responsible
Dr. Rajan S (prescriber), Pharmacist Meena K (dispenser)
Allegation
Prescription error · Failure of double-check protocol at pharmacy
Expected Loss
₹25,000 – ₹75,000
📋 Internal inquiry in progress · LOOK-ALIKE / SOUND-ALIKE (LASA) protocol now enforced in RRE prescription module · Patient offered settlement ₹30,000
Case #ML-2027 · Potential complaint — flagged by RRE
🟠 Alleged Unnecessary Surgery — Appendectomy
Patient Lalitha Shankar (F, 34) underwent appendectomy. Post-op, patient and family question necessity of surgery citing "absence of classical symptoms at presentation." Histopathology confirms acute appendicitis. Patient recovering well but has consulted an advocate.
Patient
Lalitha Shankar · F, 34
Staff Responsible
Dr. Venkat G (surgeon), Dr. Rajan S (anaesthesia)
Allegation
Unnecessary surgery · Inadequate pre-op informed consent documentation
Expected Loss
₹50,000 – ₹2,00,000
📄 Histopath report strongly supports surgical decision · Consent form present but not detailed enough · RRE flagging incomplete consent documentation pre-surgery
Case #ML-2028 · Complaint letter received: 12 May 2026
🟡 Delay in Treatment — OPD Wait Time Complaint
Patient Balu Rajan (M, 44) with chest pain waited 47 minutes in OPD before triage. Turned out to be musculoskeletal, not cardiac. Patient wrote formal complaint citing potential cardiac emergency dismissal.
Patient
Balu Rajan · M, 44
Staff Responsible
Reception Staff Divya (triage delay), Nurse Saravanan
Allegation
Delayed triage · Chest pain not fast-tracked per protocol
Expected Loss
₹10,000 – ₹40,000
🔔 Chest pain fast-track protocol now implemented · Response letter drafted · Likely to resolve without legal proceedings · RRE to flag future chest pain/stroke presentations for immediate triage
⚠️ Patients Treated Beyond Facility Capacity — Not Referred
Cases where patient complexity exceeded this facility's capability and tertiary referral was indicated but not made
🫁
Muthuvel K (M, 61) — Septic Shock with Multi-Organ Dysfunction
Required ICU-level care, vasopressors, and invasive ventilation. Managed in general ward for 36 hours before deterioration. Referred only after family escalation. Facility: No ICU, no ventilator.
Scope Violation
Risk: HIGH · Outcome: Died at RGGGH
🤰
Vasantha R (F, 29) — Severe Pre-eclampsia (BP 180/120, 36 weeks)
High-risk obstetric emergency. No obstetrician on staff. MgSO₄ started but delivery deferred for 6 hours. Referred to GH eventually. Neonate required NICU care. Facility has no NICU or operation theatre for LSCS.
Scope Concern
Risk: MEDIUM · Outcome: Survived, NICU discharge
🧒
Dhruv S (M, 4 yrs) — Status Epilepticus (continuous seizure >30 min)
Paediatric emergency. No paediatrician on roster. IV lorazepam administered by general physician. Child stabilised but referral to paediatric neurology delayed 90 minutes. Facility has no on-call paediatric specialist.
Scope Concern
Risk: MEDIUM · Outcome: Full recovery
🤖 RRE Recommendation: Define and publish a written list of conditions exceeding this facility's scope (septic shock, obstetric emergencies, paediatric status epilepticus, acute MI requiring cath lab). Implement automatic referral pathway trigger for these diagnoses. Consider embedding a "red-flag diagnosis" alert in the Clinician Workspace.
DR
Dr. Ramesh Kumar
MBBS, MD (General Medicine), Fellowship Diabetology
NMC Reg: MCI-12-34567
TNMC Reg: TN-2001-41892
25 Years Experience
NMC Compliant
87
CME Points (cycle)
150 needed · 58%
4
Facilities
3 in-person · 1 tele
📜 Certificates & Licences
🎓 CME Credits
🏥 Facilities & Schedule
Academic Qualifications
MBBS — Bachelor of Medicine, Bachelor of Surgery
Madras Medical College, Chennai · Madras University · Batch 1996–2001
Reg. No: MMC/MBBS/1996/0842 · Passed: May 2001 · Certificate issued: Aug 2001
✅ Verified
Permanent
MD — General Medicine (Doctor of Medicine)
Sri Ramachandra Institute of Higher Education, Chennai · Dr. MGR Medical University
Enrolment: 2002 · Passed: Apr 2005 · Certificate issued: Jul 2005
✅ Verified
Permanent
Fellowship in Diabetology (FRCP equivalent)
Apollo Education and Research Foundation, Chennai · 2-year structured programme
Completed: Mar 2008 · Certificate No: AERF-DIAB-2008-0234 · Issued: Apr 2008
✅ Verified
Permanent
PG Diploma in Cardiology (PGDC)
Indira Gandhi National Open University (IGNOU) · Distance Learning
Completed: Dec 2011 · Enrolment: 2009 · Certificate: Feb 2012
✅ Verified
Permanent
Registrations & Licences
National Medical Commission (NMC) Registration
National Medical Commission of India · MCI Legacy → NMC 2020 Migration
Reg. No: MCI-12-34567 · First issued: Sep 2001 · Renewal due: 31 Aug 2026
⚠️ Renewal Due
105 days left
Tamil Nadu Medical Council (TNMC) Registration
State Medical Council · First registration post MBBS
Reg. No: TN-2001-41892 · Issued: Oct 2001 · Permanent registration (no periodic renewal required)
✅ Active
Permanent
Basic Life Support (BLS) Certification
American Heart Association · Issued by Apollo Training Centre, Chennai
Issued: 14 Mar 2024 · Expiry: 13 Mar 2026 — Renewed ✓ · Next renewal: Mar 2028
✅ Valid
Valid 2 yrs
Advanced Cardiac Life Support (ACLS) Certification
American Heart Association · 2-day provider course
Issued: 8 Nov 2023 · Expiry: 7 Nov 2025 — OVERDUE ⚠️ · Renewal not yet scheduled
🔴 Expired
193 days overdue
Good Clinical Practice (GCP) — ICH-GCP E6 R2
CDSCO / NIH Training Center · Online completion
Completed: 22 Jan 2025 · Certificate No: GCP-2025-09341 · Validity: 3 years
✅ Valid
Till Jan 2028
⚠️ Action required: NMC renewal due 31 Aug 2026 (105 days) · ACLS certification expired 193 days ago. RRE will send reminders 60, 30, and 7 days before each expiry.
NMC CME Compliance — 5-Year Renewal Cycle (2022–2027)
National Medical Commission mandates 150 CME credit points per 5-year cycle for re-registration of medical practitioners. Credits must include both clinical and ethics components.
Points Earned
87
Points Needed
63
Cycle Ends
Aug 2027
Time Remaining
15 months
Ethics Credits
12 / 20 reqd.
On Track
✅
~4.2 pts/mo needed
CME Sessions Attended
Online
In-person
Ethics
RSSDI Annual Conference 2025 — Diabetes & Endocrine Update
Research Society for Study of Diabetes in India · Hyderabad · 3-day conference
12 pts
Nov 2025
ADA Standards of Medical Care in Diabetes 2026 — Live Webinar
American Diabetes Association · 2-hour live session with faculty Q&A
4 pts
Jan 2026
Medical Ethics & Patient Rights in Clinical Practice
NMC Ethics Module · Mandatory credit programme · Self-paced e-learning
6 pts
Dec 2025
CSI Annual Conference 2025 — Cardiology Update Chennai Chapter
Cardiological Society of India, Chennai · 2-day regional conference · ITC Hotel
10 pts
Oct 2025
Hypertension Management 2025 — ESC/ISH Guidelines Review
Indian Society of Hypertension · Zoom webinar · 90 min
3 pts
Sep 2025
IMA Tamil Nadu State Conference 2025
Indian Medical Association · Coimbatore · 2-day CME programme
8 pts
Aug 2025
DPDP Act 2023 & Patient Data Privacy for Clinicians
NMC Compliance Module · Recorded session + assessment · RRE integrated
4 pts
Jul 2025
Informed Consent & Medico-Legal Risk Management
SRMC CME Department · Half-day hands-on workshop
6 pts
Jun 2025
CKD & Diabetic Nephropathy — Masterclass Series (6 sessions)
National Kidney Foundation India · Monthly webinar series · Jan–Jun 2025
12 pts
Jan–Jun 2025
APICON 2024 — API National Annual Conference
Association of Physicians of India · Mumbai · 3-day national conference
15 pts
Dec 2024
AI in Clinical Medicine — ChatGPT, Diagnostic Tools & Ethics
IMA e-Learning Portal · 4-hour self-paced module
4 pts
Nov 2024
Thyroid Disorders — South India Endocrine Society Workshop
SIES · Chennai · Full-day workshop with case presentations
3 pts
Sep 2024
📊 CME Points Breakdown
In-person Conferences48 pts
Online Webinars / e-Learning27 pts
Ethics (NMC Mandatory)12 pts
Total Earned87 / 150
Ethics needed (min 20)8 more needed
📅 Upcoming CME Events
IMA Chennai Chapter CME
28 May 2026 · In-person · Hotel GRT Grand
Est. 6 CME points
NMC Ethics Module 2 — Patient Safety
Online · Self-paced · Available now
8 CME points (Ethics)
RSSDI Annual 2026 — Bangalore
Oct 2026 · In-person · 3-day conference
Est. 12 CME points
ℹ️ Configure your visiting schedule and telemedicine slots below. RRE will route appointments, patient recalls, and follow-ups according to these settings.
Sree Balaji Clinic
Own Clinic · 10-bed observation · Primary care · Diabetology · Adyar, Chennai
Active Days
Mo
Tu
We
Th
Fr
Sa
Su
Consultation Timings
Mon–Fri: 9:00 AM – 1:00 PM
Mon–Fri: 5:00 PM – 8:00 PM
Saturday: 9:00 AM – 2:00 PM
Sunday: Closed
Avg patients/day:24
Slot duration:
Kaveri Multi-Speciality Hospital
50-bed Hospital · Visiting Physician (General Medicine & Diabetology) · Velachery, Chennai
Visiting Days
Mo
Tu
We
Th
Fr
Sa
Su
Ward Round & OPD Timings
Tue & Thu: 7:30 AM – 9:00 AM (Ward rounds)
Tue & Thu: 11:00 AM – 1:00 PM (OPD)
Saturday: 10:00 AM – 1:00 PM
In-patients currently under care:6
On-call:
Yes
Sri Ramachandra Medical College & Research Institute
Medical College Hospital · Visiting Faculty — Dept. of General Medicine · Porur, Chennai
Teaching Days
Mo
Tu
We
Th
Fr
Sa
Su
Teaching & Clinical Rounds
Friday: 8:00 AM – 10:00 AM (Teaching ward rounds)
Friday: 10:30 AM – 12:30 PM (Resident teaching session)
Role:Associate Professor (Honorary)
UG / PG teaching:UG MBBS 3rd year + PG MD
Telemedicine — Practo & RRE Virtual Consult
Online consultations · Video + chat · Follow-up management · Available via Practo platform & RRE patient portal
Telemedicine Days
Mo
Tu
We
Th
Fr
Sa
Su
Available Slots
Mon: 8:00 PM – 9:30 PM
Wed: 8:00 PM – 9:30 PM
Fri: 7:00 PM – 9:00 PM
Weekends: Not available
Slot duration:
Max slots/day:
Teleconsult fee:₹400/session
Platform:
📅 Weekly Schedule Overview
| Time | Monday | Tuesday | Wednesday | Thursday | Friday | Saturday |
|---|---|---|---|---|---|---|
| 7:30–9 AM | — | 🏥 Kaveri Ward Rounds | — | 🏥 Kaveri Ward Rounds | 🎓 SRMC Teaching | — |
| 9 AM–1 PM | 🏪 SB Clinic OPD | 🏪 SB Clinic OPD | 🏪 SB Clinic OPD | 🏥 Kaveri OPD | 🎓 SRMC Teaching | 🏥 Kaveri OPD |
| 2–5 PM | Break / Admin | Break / Admin | Break / Admin | Break / Admin | Break / Admin | Break |
| 5–8 PM | 🏪 SB Clinic OPD | 🏪 SB Clinic OPD | 🏪 SB Clinic OPD | 🏪 SB Clinic OPD | 🏪 SB Clinic OPD | Closed |
| 8–9:30 PM | 📱 Telemedicine | — | 📱 Telemedicine | — | 📱 Telemedicine 7–9 PM | — |
🏥 My Health
🔬 My Condition
⚕️ Treatment Options
💰 Cost Optimiser
📚 Evidence
🤖 AI Assistant
🩺 Active Conditions
🎗️
Invasive Ductal Carcinoma — Right Breast
ICD-10: C50.911 · Stage IIA (T2N0M0) · ER+ PR+ HER2–
Primary
ER+ PR+
Dx: Apr 2026
Treatment: Pending decision
🩸
Type 2 Diabetes Mellitus
ICD-10: E11.9 · HbA1c: 7.8% · On Metformin 500mg BD
Managed
Since 2019
❤️
Hypertension — Stage 1
ICD-10: I10 · BP avg 138/88 · On Amlodipine 5mg
Managed
Since 2021
💊 Current Medications
💊
Active
Metformin 500 mg
Twice daily after meals · For Diabetes
💊
Active
Amlodipine 5 mg
Once daily morning · For Hypertension
⚠️
Pending
Cancer treatment medications
Will be prescribed after treatment decision
🔬 Recent Investigations
🏥
Positive
Core Needle Biopsy — Right Breast
10 Apr 2026 · Histopathology confirmed IDC Grade II
🖼️
Reviewed
MRI Breast (Bilateral)
12 Apr 2026 · 2.4cm mass, right UOQ, no axillary nodes
🧬
Reviewed
IHC Receptor Panel
15 Apr 2026 · ER+++ PR++ HER2 (0) Ki-67: 18%
🩸
Normal
CBC + HbA1c + LFT + RFT
18 Apr 2026 · HbA1c 7.8%, rest WNL
📅 Upcoming Appointments
23
MAY
Oncology MDT Meeting
Dr. Priya Venkat, Apollo Cancer Centre · 10:30 AM
⚡ Treatment decision today
28
MAY
Pre-operative Blood Work
Sree Balaji Clinic Lab · Fasting, 8 AM
3
JUN
Anaesthesia Pre-assessment
Kaveri Hospital · Dr. Suresh, 11 AM
📊 Health Risk Overview
Cancer Treatment ReadinessGood
HbA1c and BP within acceptable pre-op range
Cardiovascular RiskModerate
Hypertension on medication — monitor during chemo
Diabetic Complication RiskLow–Moderate
HbA1c 7.8% — will need tighter control during steroids
Treatment Adherence (Predicted)High
Strong family support, no prior missed appointments
🤖 AI Health Summary
Mrs. Kavitha Rajan is a 54-year-old woman diagnosed with Stage IIA Invasive Ductal Carcinoma (ER+PR+HER2–), a hormone receptor-positive breast cancer. Her overall health — while complicated by controlled diabetes and hypertension — makes her a good candidate for curative treatment. The ER+PR+ status means hormone therapy will likely be a key part of her long-term plan. Early-stage diagnosis significantly improves her outlook. Recommended next step: attend MDT meeting on 23 May to finalise treatment pathway.
🎗️ What is Breast Cancer?
Breast cancer begins when cells in the breast tissue grow uncontrollably, forming a lump or mass. The most common type — Invasive Ductal Carcinoma (IDC) — starts in the milk ducts and invades surrounding tissue. "Invasive" means the cancer has grown beyond the duct but does not necessarily mean it has spread to other organs.
What ER+ PR+ HER2– means for you:
Your cancer cells have receptors for oestrogen (ER+) and progesterone (PR+), which means these hormones help the cancer grow. The good news: this makes the cancer responsive to hormone-blocking therapies (like Tamoxifen), which are effective and have fewer side effects than chemotherapy. HER2– means you do not need targeted HER2 therapy (e.g., Trastuzumab), which keeps treatment costs lower.
Your cancer cells have receptors for oestrogen (ER+) and progesterone (PR+), which means these hormones help the cancer grow. The good news: this makes the cancer responsive to hormone-blocking therapies (like Tamoxifen), which are effective and have fewer side effects than chemotherapy. HER2– means you do not need targeted HER2 therapy (e.g., Trastuzumab), which keeps treatment costs lower.
📊 Your Stage — What It Means
Your diagnosis is Stage IIA (T2 N0 M0) — the tumour is 2.4 cm (T2 = 2–5 cm), no lymph nodes involved (N0), no distant spread (M0). This is an early-stage, potentially curable cancer.
Stage 0
99%
Stage I
99%
Stage IIA ← You
93%
Stage IIB
87%
Stage III
72%
Stage IV
28%
5-year relative survival rates, SEER database 2015–2021. Rates may vary by individual factors, receptor status, and treatment centre.
❓ Questions to Ask Your Doctor
💬 Am I a candidate for breast-conserving surgery, or do I need a full mastectomy?
💬 Do I need chemotherapy in addition to surgery and radiation?
💬 What is the Oncotype DX score for my tumour, and does it guide my chemo decision?
💬 How long will I need to take Tamoxifen — 5 years or 10 years?
💬 Will my diabetes medication need to change during treatment?
💬 Is genetic testing (BRCA1/BRCA2) recommended for me or my children?
💬 What support groups or resources are available in Chennai?
🗓️ Your Treatment Journey (Projected)
Apr–May
2026
2026
Diagnosis & Staging Complete
Biopsy confirmed IDC Grade II. MRI, IHC receptor panel done. MDT meeting 23 May for treatment decision.
Jun
2026
2026
Surgery
Breast-conserving surgery (lumpectomy) or modified radical mastectomy. 1–3 day hospital stay. Sentinel node biopsy at time of surgery.
Jul–Aug
2026
2026
Radiation Therapy
25 daily fractions (5 weeks). Outpatient — no admission needed. Targets residual breast tissue after lumpectomy. Mild fatigue and skin changes expected.
Sep–Dec
2026
2026
Adjuvant Chemotherapy (if recommended)
4–8 cycles AC-T or TC regimen. Day-care infusions every 3 weeks. Decision depends on Oncotype DX score (risk of recurrence test).
Jan 2027
onwards
onwards
Hormone Therapy — 5 to 10 Years
Tamoxifen 20 mg daily (pre-menopausal) or Aromatase Inhibitor (post-menopausal). Dramatically reduces recurrence risk in ER+ cancer.
Ongoing
Q3-monthly
Q3-monthly
Long-term Surveillance
Annual mammogram, quarterly clinical review, yearly bone density scan (if on AI), and DM/BP management throughout.
📖 Plain-Language Glossary
IDC (Invasive Ductal Carcinoma) — Cancer starting in the milk ducts that has grown into surrounding breast tissue.
ER+ / PR+ — Cancer cells have oestrogen and progesterone receptors — they "feed" on these hormones. This is good news: hormone-blocking drugs work well.
HER2– — The HER2 protein is not overexpressed. This means you do not need costly targeted therapies like Herceptin.
T2 N0 M0 — Tumour 2–5 cm (T2), no lymph node spread (N0), no distant metastasis (M0).
Sentinel Node Biopsy — Checking the first lymph nodes the tumour drains to, to confirm cancer hasn't spread.
Oncotype DX — A genomic test on the tumour that predicts if chemotherapy will benefit you — helps avoid unnecessary chemo.
🤖
Personalised for Mrs. Kavitha Rajan — ER+ PR+ HER2– Stage IIA IDC. Tumour 2.4 cm. No lymph node involvement. Controlled DM + Hypertension. Pre-menopausal status unclear — confirm at MDT. Recommended pathway is highlighted below.
⭐ RECOMMENDED
Breast Conservation Surgery + Radiotherapy
Lumpectomy removing tumour with clear margins, followed by 5-week radiation course to eliminate residual cells
93%
5-yr survival
🕐 Duration: 4–6 months (active treatment)
🏥 Hospital stay: 1–2 days (surgery only)
💰 Estimated cost: ₹2.8L – ₹3.5L
🛡️ Insurance (TCS GHI): ~80% covered
💳 Est. out-of-pocket: ₹56K – ₹70K
Side effects
FatigueSkin changesArm stiffnessMild lymphedema risk
✅ Breast is preserved · Evidence equal to mastectomy for Stage II · Best for ER+ tumours combined with hormone therapy
ALTERNATIVE
Modified Radical Mastectomy (MRM)
Complete removal of the breast and lymph nodes. Removes all breast tissue, eliminating local recurrence risk.
90%
5-yr survival
🕐 Duration: 3–4 months (active treatment)
🏥 Hospital stay: 3–5 days
💰 Estimated cost: ₹2.0L – ₹2.8L
🛡️ Insurance (TCS GHI): ~80% covered
💳 Est. out-of-pocket: ₹40K – ₹56K
Side effects
Body image changesLymphedemaLonger recoveryPhantom sensation
⚠️ No radiation needed post-op · Lower cost · Consider if BRCA+ or strong family history · Reconstruction possible
CONSIDER IF NEEDED
Neoadjuvant Chemotherapy → Surgery
Chemotherapy given before surgery to shrink the tumour, then surgery. Used to convert inoperable to operable or to downsize for BCS.
86–89%
5-yr survival
🕐 Duration: 9–12 months total
🏥 Hospital stay: Day-care (chemo) + 2d (surgery)
💰 Estimated cost: ₹5.5L – ₹7.5L
🛡️ Insurance (TCS GHI): ~70% covered
💳 Est. out-of-pocket: ₹1.65L – ₹2.25L
Side effects
Nausea & vomitingHair lossFatigueInfection riskDM fluctuations
ℹ️ Not primary recommendation for 2.4 cm tumour · Used when tumour is larger or to assess chemo response · Adds cost & time
ADJUVANT ONLY
Hormone Therapy (Tamoxifen) — Adjuvant
Tamoxifen 20 mg daily blocks oestrogen receptors, starving cancer cells. Used after surgery as long-term prevention, not standalone curative.
75–80%
if standalone
🕐 Duration: 5–10 years (ongoing)
🏥 Hospital stay: None (oral daily tablet)
💰 Cost (5 years): ₹18K–₹90K (brand vs generic)
🛡️ Insurance (TCS GHI): 60% OPD drugs covered
💳 Generic Tamoxifen: ₹4/tablet (₹18K/5yr)
Side effects
Hot flashesJoint painBlood clot riskMood changes
✅ Essential adjuvant after surgery for ER+ cancer · Reduces recurrence by ~50% · Very low cost with generic
🤖 AI Treatment Recommendation
For Mrs. Kavitha Rajan's profile (ER+PR+ HER2–, Stage IIA, 2.4 cm, N0), the current global standard of care and Indian (AIIMS/TMH) guidelines support Option 1: Breast Conservation Surgery + Radiation as the primary approach, followed by adjuvant chemotherapy (if Oncotype DX score > 25) and long-term Tamoxifen. Survival is equivalent to mastectomy with breast preservation. This combination also optimises insurance coverage while keeping out-of-pocket costs below ₹1 lakh with generics.
Cost Breakdown — BCS + Radiation + Adjuvant
Item
Standard
Cover
OOP
Optimised
Saving
🔪 BCS Surgery (lumpectomy + SNB)
Day surgery reduces stay cost
₹1,80,000
80%
₹36,000
₹28,000
↓ ₹8K
☢️ Radiation Therapy (25 fractions, LINAC)
LINAC equivalent to older Cobalt at lower dose
₹75,000
80%
₹15,000
₹12,000
↓ ₹3K
💉 Chemo: AC-T 8 cycles (if indicated)
Day-care vs admitted chemo
₹1,20,000
75%
₹30,000
₹24,000
↓ ₹6K
💊 Tamoxifen 20 mg — 5 years
Brand ₹16/tab vs generic ₹4/tab
₹90,000
60%
₹36,000
₹7,200
↓ ₹28.8K
🩸 Follow-up labs (CBC, TFT, LFT quarterly)
Annual Care Plan package vs individual tests
₹40,000
50%
₹20,000
₹15,000
↓ ₹5K
🩺 Oncologist visits (monthly, year 1)
9 of 12 visits via telemedicine
₹9,600
OPD (none)
₹9,600
₹5,400
↓ ₹4.2K
🏋️ Physiotherapy (post-surgery, 20 sessions)
Home physio vs clinic sessions
₹20,000
Not covered
₹20,000
₹12,000
↓ ₹8K
TOTAL
₹5,34,600
₹1,66,600
₹1,03,600
↓ ₹63K
💡 Optimisation Suggestions
💊
Switch to Generic Tamoxifen — Saves ₹28,800 over 5 years. Generic Tamoxifen (Sun Pharma / Cipla) is bioequivalent to branded Nolvadex. Available at ₹4/tablet. Ask your pharmacist to prescribe by generic name.
📱
Telemedicine for Stable Follow-ups — Saves ₹4,200. After the first 3 in-person oncology visits, stable check-ups (asking about symptoms, reviewing labs) can be done via RRE Telemedicine at ₹300 vs ₹800 in-clinic.
🧪
Annual Care Plan Lab Package — Saves ₹5,000. Enrol in the Sree Balaji Annual Care Plan which bundles CBC, LFT, RFT, TFT, and HbA1c at ₹3,000/quarter vs ₹4,000+ individually.
🏠
Home Physiotherapy — Saves ₹8,000. Post-surgery arm exercises and lymphedema management can be taught in 2 clinic sessions, then continued at home with a WhatsApp video follow-up programme.
🔬
Oncotype DX Test — Avoid Unnecessary Chemo — Potential saving ₹1.2L. This genomic test (₹60K, often covered partially) identifies if chemotherapy will actually benefit you. Low-score patients skip chemo entirely, saving ₹1.2L+ in treatment and associated costs.
🛡️ Insurance Coverage Summary
🏢
Primary
TCS Group Health Insurance
Employer-paid · Cashless · Pre-auth required for surgery
80% covered on all in-patient procedures · Sum insured: ₹5L · No room rent limit
🔒
Secondary
ICICI Lombard (Individual)
Private policy · Deductible ₹10K · Pre-auth 48h
Use for expenses exceeding TCS GHI limit · Sum insured: ₹3L
💡 Coordination of Benefits: Claim surgery and radiation under TCS GHI (fastest pre-auth, no deductible). Use ICICI Lombard for chemotherapy and physiotherapy costs that exceed TCS GHI limits. This minimises out-of-pocket to ~₹1.03L after optimisations.
Your Optimised Cost Summary
Total treatment cost₹5,34,600
Insurance covers (est.)– ₹3,68,000
Unoptimised OOP₹1,66,600
Savings from optimisations– ₹63,000
Final Out-of-Pocket
₹1,03,600
Scientific Evidence Base
Curated literature for Mrs. Kavitha Rajan's diagnosis — ER+ IDC Stage IIA
All
RCTs
Guidelines
India-specific
1
Twenty-Year Follow-up of a Randomised Trial Comparing Total Mastectomy, Lumpectomy, and Lumpectomy plus Irradiation for Invasive Breast Cancer
At 20-year follow-up, there was no significant difference in overall survival between total mastectomy and lumpectomy with radiation (46% vs 46%). Lumpectomy alone had higher local recurrence; adding radiation reduced this to mastectomy-equivalent levels. This landmark trial validates BCS + radiation as the standard of care for Stage I–II breast cancer.
PMID: 12393820NEJM 2002;347:1233High Impact · RCT · 20-yr follow-up
2
Effect of Radiotherapy after Breast-Conserving Surgery on 10-Year Recurrence and 15-Year Breast Cancer Death: Meta-analysis of Individual Patient Data
Meta-analysis of 17 RCTs (10,801 women). Radiotherapy after BCS reduced 10-year recurrence from 35% to 19.3% and 15-year breast cancer mortality from 25.2% to 21.4%. For every 4 recurrences prevented, 1 breast cancer death was avoided. Strongly supports radiation after lumpectomy.
PMID: 22019144Lancet 2011;378:1707Meta-analysis · 17 trials
3
Tamoxifen for Early Breast Cancer: An Overview of the Randomised Trials (ATLAS)
Continuing Tamoxifen to 10 years rather than stopping at 5 years further reduced recurrence and breast cancer mortality. Absolute breast cancer mortality reduction: 2.8% (10 years) vs 1.4% (5 years). For ER+ disease, 10 years of Tamoxifen is now recommended where tolerated. Generic Tamoxifen offers the same benefit at fraction of the branded cost.
PMID: 23219286Lancet 2013;381:805RCT · 12,894 women
4
Oncotype DX Recurrence Score and Clinical Benefit of Adjuvant Chemotherapy in Hormone Receptor-Positive, HER2-Negative Breast Cancer (TAILORx)
Women with ER+ HER2– Stage I–II breast cancer and Oncotype DX score 0–25 (70% of patients) had no benefit from chemotherapy in addition to hormone therapy. Only patients with score ≥26 benefited. This test can spare majority of patients from unnecessary chemotherapy and its costs and toxicity. Highly applicable to Mrs. Kavitha Rajan's profile.
PMID: 30012075NEJM 2018;379:111Practice-changing RCTDirectly relevant
5
NCCN Clinical Practice Guidelines in Oncology: Breast Cancer, Version 4.2024
Current gold-standard clinical guideline. For Stage IIA ER+ PR+ HER2– IDC: recommends BCS + radiation as equivalent to mastectomy, adjuvant hormone therapy 5–10 years, and Oncotype DX testing to guide chemotherapy decision. Also recommends BRCA testing for patients diagnosed ≤45 years or with family history.
NCCN GuidelineNCCN.org 2024Category 1 Evidence
6
Guidelines for Management of Breast Cancer — National Cancer Grid, India
India-specific guidelines adapted for resource settings. Recommends BCS + radiation for eligible Stage I–II patients even in tier-2 cities with LINAC access. Endorses generic hormone therapy equivalence. Notes that neoadjuvant chemotherapy should be reserved for locally advanced disease. Provides cost-sensitive protocol for public hospital settings.
NCG India 2023Tata Memorial CentreIndia-specific
7
Cost-Effectiveness of Breast Cancer Treatment Strategies in India: A Systematic Review
Systematic review of 14 Indian studies on breast cancer treatment costs. BCS + radiation was more cost-effective than mastectomy alone when accounting for quality-of-life. Generic Tamoxifen was 4× cheaper than branded with equivalent efficacy. Telemedicine follow-up reduced per-visit cost by 62% without affecting outcomes. Insurance coverage gaps for OPD medication in India remain the largest financial burden.
PMID: 35462601Indian J Cancer 2022India-specificCost analysis
8
Breast Cancer — Nature Reviews Disease Primers (Comprehensive Overview)
Comprehensive state-of-the-science review. ER+ breast cancer has the best prognosis among subtypes; 5-year survival for Stage II ER+ exceeds 90%. Ki-67 index of 18% (intermediate) supports consideration of adjuvant chemotherapy but Oncotype DX remains the definitive arbiter. Emphasises that hormone therapy compliance over 5–10 years is the most important determinant of long-term outcome.
PMID: 31548545Nat Rev Dis Primers 2019;5:66Review · High impact
References are curated by the RRE AI from PubMed, NCCN, NCG India and WHO databases. These are for educational purposes — all treatment decisions should be made with your treating oncologist.
22 May 2026 · Fever & Weakness · Sources: My LHR + Research
🤖
RRE AI
Hello Kavitha akka! 🙏 I can see from your health record that you have 3 active conditions and your next appointment is 23 May — Oncology MDT.
How can I help you today?
Hello Kavitha akka! 🙏 I can see from your health record that you have 3 active conditions and your next appointment is 23 May — Oncology MDT.
How can I help you today?
10:42 · 🫀 LHR
KR
I have a fever since this morning. Temperature is 101°F. Feeling weak.
10:43
🤖
RRE AI — Fever Assessment
🌡 Symptom Check — 101°F Fever
✓Vitals: HR 88 · BP 118/78 · SpO₂ 98% — STABLE
→No red flags (no chest pain, no severe headache, SpO₂ normal)
✅ Recommendation — STABLE
💊 Take Paracetamol 500mg now with water
🛌 Rest and drink fluids
📱 I will check back with you after 3 hours
10:44 · 🫀 LHR 🧬 Research
⏳ Auto follow-up scheduled — 3 hours later
🤖
RRE AI — 3-Hour Follow-up
📋 How are you feeling now?
Select your current status:
13:44
🤖 AI Rules Active
10
of 16 configured
🚨 Critical Flags Today
3
↑ 1 vs yesterday
📋 Next Steps Pending
11
3 high priority
📞 Bot Calls Handled
47
3 forwarded today
📞 AI Call Bot
⚙️ Rules Engine
🧠 Next Best Steps
🌿 Self & Family Time
Automated Flag Rules
Rules trigger real-time alerts, red flags, and next-step recommendations across all RRE modules.
All Sections
Clinician
Patient
Revenue
Pharmacy
Medico-Legal
Compliance
CLINICIAN
BP > 180/110 mmHg at any consultation
🔴 Flag patient row in queue · Show "Hypertensive Urgency" banner in active session · Auto-add to Clinical Decision Support alert feed
CRITICAL
CLINICIAN
SpO₂ < 92% recorded in vitals
🔴 Critical alert banner · Prompt ED referral · Notify nominated backup doctor via WhatsApp
CRITICAL
CLINICIAN
LASA drug pair detected in current prescription
🔴 Block prescription save · Require explicit double-confirmation · Log in Medico-Legal watchlist · Flag dispensing staff
CRITICAL
CLINICIAN
Patient has 3+ missed follow-up appointments
🟠 Highlight in patient queue · Add to WhatsApp re-engagement campaign · Generate "Lapsed Patient" risk tag
WARNING
CLINICIAN
HbA1c > 9.0% recorded in last lab result
🟡 Add to Diabetic High-Risk watch panel · Trigger 30-day recall for lifestyle + medication review · Flag in Annual Care Plan
WATCH
PATIENT
No response to 2 consecutive follow-up WhatsApp messages (> 48h)
🟠 Escalate to phone call attempt · Add to "Unresponsive" patient list · Flag in Patient Engagement for manual outreach
WARNING
PATIENT
Patient message contains keywords: "complaint", "legal", "consumer forum", "negligence"
🔴 Auto-create Medico-Legal case draft · Notify doctor immediately · Pause automated messaging for this patient
CRITICAL
REVENUE
Insurance claim unpaid for more than 30 days
🟡 Escalate to insurer helpdesk via automated follow-up · Notify billing staff · Flag in Revenue Intelligence claims tracker
WATCH
PHARMACY
Drug stock < 20 units AND active prescriptions > 5 patients
🟠 Highlight rack cell in red · Auto-generate indent advisory · Send WhatsApp to pharmacist · Appear in Next Best Steps
WARNING
MEDICO-LEGAL
ML case estimated exposure > ₹1 Lakh
🔴 Immediate doctor notification · Auto-assign legal risk tier "HIGH" · Prompt documentation checklist · Flag at Governance Console
CRITICAL
COMPLIANCE
Any regulatory certificate expires in < 60 days
🟠 Renewal reminder in Compliance screen · Add to doctor's weekly digest WhatsApp · Appear in Next Best Steps
PAUSED
INSURANCE
Pre-authorisation pending > 48 hours with no insurer response
🟠 Flag in Insurance Claims screen · Prompt billing staff to call insurer · Suggest alternate policy routing
PAUSED
💡 10 of 12 rules active. Rule flags appear as coloured rows in each module, real-time alerts in Governance Console, and auto-populated Next Best Steps recommendations.
AI-Generated Recommendations
Automatically prioritised actions across all RRE modules · Updated every 15 minutes
Mr. Suresh Kumar — BP 192/112, no follow-up booked
Last consultation 3 days ago. BP critically elevated. No follow-up appointment scheduled. Patient has history of hypertensive crisis.
Critical
ML-2025 (Delayed Stroke Referral) — Hearing in 12 days
Consumer court date: 2 Jun 2026. Documentation package incomplete — 3 items missing. Legal counsel not confirmed.
Critical
LASA Risk — Metoprolol 25mg & Metformin 500mg adjacent in rack (B3/B4)
Two look-alike drugs stored in adjacent rack cells. ML-2026 originated from identical dispensing error. Requires physical separation.
Critical
8 patients unresponsive to follow-up messages (> 48h)
Includes 2 diabetic patients overdue for HbA1c review and 1 hypertension patient. Re-engagement call campaign recommended.
Warning
3 insurance claims unpaid > 30 days — escalate to insurers
TCS GHI: Claim #GHI-7821 (₹42,000). ICICI Lombard: Claim #ICL-3390 (₹18,500). PMJAY: Claim #PMJ-1124 (₹9,200). Total: ₹69,700 at risk.
Warning
Metformin 500mg — 14 units remaining, 9 active prescriptions
At current dispensing rate, stock runs out in ~3 days. Best price: Apex Pharma ₹2.40/tab (vs ₹3.10 MedPlus). Recommended indent: 500 units.
Warning
BMW Manifest submission due in 18 days — contact vendor
Bio-Medical Waste quarterly manifest (Q2 2026) due by 8 Jun 2026. TNPCB vendor Eco Green has not confirmed pickup schedule.
Info
4 diabetic patients with HbA1c > 9% — no recall booked
Patients: Rajesh Kumar, Murugesan P, Vimala S, Arokia Doss. Suggest scheduling a Diabetes Review Camp (Saturday morning, 6–8 patients batch).
Info
Mrs. Meena Devi — Annual Care Plan Q2 review overdue by 6 days
Q2 milestone: Cardiology review + Lipid profile + DEXA scan. All three pending. Total billable: ₹4,200. Patient last visited 47 days ago.
Info
ACLS Certification expired — may affect 2 pending pre-authorisations
Dr. Ramesh Kumar's ACLS cert expired 193 days ago. TCS GHI and ICICI Lombard require valid ACLS for surgical pre-auth. Renewal: Apollo Education, 2-day course.
Info
Billing anomaly corrections recovered ₹18,400 this week
3 unbilled procedures auto-detected and corrected. 3 more anomalies remain in the queue (potential ₹9,200 additional recovery).
Good
🌿 Upcoming Personal Blocks
AI Bot auto-activates during blocked hours · Critical cases forwarded to Dr. Priya Nair
👨👩👦
Family Outing — Son's School Annual Day
Sat 23 May 2026 · 2:00 PM – 7:00 PM
🤖 AI Bot will handle all calls · Urgent cases → Dr. Priya Nair
😴
Rest Day
Sun 24 May 2026 · All Day
🤖 AI Bot active all day · Emergencies forwarded
🎓
CME — Diabetes Summit Chennai 2026
Mon 25 May 2026 · 9:00 AM – 5:00 PM
📋 Adds 8 NMC CME points · AI Bot active
🔁
Weekly Rest — Every Sunday
Recurring · All day · No OPD
🔁 Permanent recurring block
➕ Add Personal Time Block
🤖
AI Bot will auto-activate during this block. Critical triage cases will be forwarded to your nominated doctor.
📅 Week of 18–24 May 2026
Time
Mon
Tue
Wed
Thu
Fri
Sat
Sun
7–9 AM
Kaveri Rounds
—
Kaveri Rounds
—
—
Kaveri Rounds
Rest Day
9–1 PM
OPD Clinic
OPD Clinic
OPD Clinic
Kaveri OPD
SRMC Teaching
OPD Clinic
Rest Day
2–5 PM
Admin
Admin
Admin
Admin
SRMC Teaching
Admin
Rest Day
5–8 PM
Evening OPD
Evening OPD
Evening OPD
Evening OPD
Evening OPD
👨👩👦 Family
Rest Day
8–10 PM
Telemedicine
—
Telemedicine
—
Telemedicine
👨👩👦 Family
Rest Day
Clinic / Hospital
CME / Teaching
Family Time
Rest / Blocked
📊 Time Balance This Month
Clinical hours112 hrs
Teaching / CME18 hrs
Admin / Travel24 hrs
Family / Personal14 hrs
Target: ≥ 12 hrs family time / month · Current: 14 hrs ✓
🤖
AI Call Bot — ACTIVE
Handling routine calls · Forwarding critical cases to Dr. Priya Nair
OFF
ON
47
Calls handled today
3
Forwarded (critical)
2.8m
Avg handle time
📞 Recent Call Log
Live
📱
✓ Handled
2 min ago
Mrs. Rajalakshmi (+91 98761 XXXXX)
Appointment booking for BP review
📱
✓ Handled
8 min ago
Mr. Ravi Kumar (+91 94442 XXXXX)
Lab report query — HbA1c result
🚨
⚡ Forwarded
12 min ago
Mr. Subbaiah (+91 90003 XXXXX)
"Chest pain since morning, feeling breathless"
📱
Disconnected
15 min ago
Unknown (+91 80011 XXXXX)
Wrong number — Pharma distributor
📱
✓ Handled
22 min ago
Karthik Kumar (+91 77894 XXXXX)
Prescription refill — Metformin + Telmisartan
🚨
⚡ Forwarded
38 min ago
Mrs. Devika (+91 96660 XXXXX)
"Mother fell unconscious, what to do?"
📱
✓ Handled
51 min ago
Premnath S (+91 88881 XXXXX)
Directions to clinic — Google Maps link sent
🚨
⚡ Forwarded
1h 10m ago
Mr. Balakrishnan (+91 99994 XXXXX)
"Severe abdominal pain, vomiting since 2 hours"
🏥 Nominated Backup Doctor
Active
PN
Dr. Priya Nair
MD General Medicine · Kaveri Multi-Specialty Clinic
📍 1.2 km away · +91 98765 43210
"Hi Dr. Priya, a patient is being forwarded to you. Patient: [Name], Concern: [Summary]. Please attend. — RRE AI Bot, Sree Balaji Clinic"
⚡ Critical Triage Rules
Matched calls are immediately forwarded — Bot does not attempt resolution
🫀
Forward
Chest pain / cardiac symptoms
Keywords: chest pain heart attack breathless
🧠
Forward
Neurological emergency
Keywords: unconscious stroke fitting paralysis
🩸
Forward
Bleeding / trauma
Keywords: bleeding accident injury vomiting blood
🤒
Forward
Paediatric emergency
Keywords: child not breathing baby blue infant emergency
⚠️
Forward if unclear
General "emergency" keyword
Keywords: emergency urgent dying
✅ Bot Handles Autonomously
✓ Appointment booking & rescheduling
✓ Lab report query — reads result summary aloud
✓ Prescription refill confirmation (existing patients)
✓ Clinic address, timings & holiday schedule
✓ Bill / payment status enquiry
✓ Routine follow-up reminder confirmation
✓ Insurance pre-auth status (reads from RRE data)
👩
Kavitha Rajendran Female · 47 yrs · ID: P-20041
Primary: Breast Cancer Stage IIA · Co-morbidities: DM Type 2, Hypertension · HbA1c 9.2 · BP 148/96
HIGH RISK
3 Active Alerts
📋 Longitudinal Record
🔮 5-Year Projection
💰 Cost Simulation
✅ Recommendation Impact
Health Timeline · 2018 – 2026
🩺 DIAGNOSIS
Jan 2018
Type 2 Diabetes Mellitus
FBG 198 mg/dL · HbA1c 8.4% · Started Metformin 500mg BD
🔬 LAB RESULTS
Jun 2018
Baseline Metabolic Panel
HbA1c 8.1% · LDL 142 · eGFR 78 · BP 138/88 · BMI 29.4
🏥 CLINIC VISIT
Mar 2019
Annual Diabetic Review — Dr. Ramesh Kumar
HbA1c 7.8% (improved) · Metformin increased to 1000mg BD · Referred to dietitian
🩺 DIAGNOSIS
Feb 2020
Hypertension Stage II
BP 156/98 on 3 readings · Started Amlodipine 5mg OD + Enalapril 5mg OD
🔬 LAB RESULTS
Aug 2020
Renal & Lipid Panel
HbA1c 8.6% ↑ · eGFR 72 · LDL 138 · Microalbumin 42 mg/g · BMI 30.1
💊 MEDICATION CHANGE
Jan 2021
Added Statin Therapy + Dose Adjustment
Atorvastatin 20mg added · Metformin continued · Amlodipine 10mg (dose up)
🏥 CLINIC VISIT
Oct 2022
Routine Follow-up — City Diabetes Clinic
HbA1c 8.9% (worsening) · Reported fatigue, weight 74 kg · Added Sitagliptin 50mg OD
🔬 LAB RESULTS
Apr 2023
Annual Health Screen
Mammogram: no abnormality · HbA1c 9.0% · eGFR 68 · LDL 118 (improved) · BP 144/92
🔧 PROCEDURE
Jan 2024
Ophthalmic Review — Diabetic Retinopathy Screen
Mild non-proliferative diabetic retinopathy (NPDR) detected in right eye · Laser referral advised
🔬 LAB RESULTS
Mar 2025
Pre-operative Work-up Labs
HbA1c 9.1% · eGFR 64 · Creatinine 1.18 · Urine protein ++ · BP 150/94 · ECG: normal
🩺 MAJOR DIAGNOSIS
Apr 2026
Breast Cancer — Stage IIA (pT2 N0 M0)
ER+/PR+ HER2− · Luminal A subtype · Oncotype DX Score: 18 (intermediate)
Treatment plan: Lumpectomy → Radiation (5 wks) → Tamoxifen 20mg OD × 5 yrs
🔧 PROCEDURE
May 2026
Lumpectomy + Sentinel Node Biopsy
Successful resection · Margins clear · 0/3 sentinel nodes positive · Post-op HbA1c 9.2%
🔬 CURRENT LABS
May 2026 · Now
Post-op Metabolic & Oncology Panel
HbA1c
9.2%
↑ High
BP
148/96
↑ High
eGFR
62
CKD 2
LDL
112
Controlled
CA 15-3
18
Normal
BMI
30.7
Obese I
Legend
Diagnosis
Lab Results
Clinic Visit
Procedure
Medication
8-Year Summary
Diagnoses3
Lab Tests6
Clinic Visits3
Procedures3
Medication Changes4
Risk Score (Current)HIGH
5-Year Health Projection · 2026 – 2031
AI simulation based on current clinical parameters, treatment plan adherence, and evidence-based progression models.
⚠️
Without Recommendations
Current trajectory · No behavioural change
HbA1c 2031
10.8%
↑ +1.6
BP 2031
162/104
↑ Worse
Cancer Risk
38%
↑ High
eGFR 2031
41
↓ CKD 3b
CV Risk
28%
↑ Elevated
QoL Score
42/100
↓ Poor
Likely Outcomes by 2031
CKD Stage 3b progression · High probability of insulin initiation · Retinopathy worsening · 38% breast cancer recurrence · Estimated 2 major hospitalisations
✅
With Recommendations Adopted
Optimal adherence · Lifestyle + medication
HbA1c 2031
6.9%
↓ −2.3
BP 2031
128/82
↓ Controlled
Cancer Risk
12%
↓ Low
eGFR 2031
60
→ Stable CKD 2
CV Risk
11%
↓ Low
QoL Score
76/100
↑ Good
Likely Outcomes by 2031
Stable CKD 2 function · Diabetes well-controlled without insulin · Retinopathy stabilised · Only 12% recurrence risk · Estimated 0–1 hospitalisation
Metric Projections 2026 – 2031
Without recommendations
With recommendations
🩸 HbA1c (%)
💓 Blood Pressure Systolic (mmHg)
🎗️ Cancer Recurrence Risk (%)
🫘 Kidney Function eGFR (mL/min)
😊 Quality of Life Score (out of 100)
Cost Simulation · 2026 – 2031
Projected quarterly healthcare expenditure based on disease trajectory and intervention adoption. Figures in INR.
5-Year Cost WITHOUT Recommendations
₹18.4L
Avg ₹3.68L / year
5-Year Cost WITH Recommendations
₹8.2L
Avg ₹1.64L / year
Projected Net Savings
₹10.2L
↓ 55% cost reduction
Annual Healthcare Cost Projection (₹ Lakhs)
Without recommendations
With recommendations
Recommendation Impact Analysis
Each recommendation's projected effect on 5-year health outcomes and cost savings if fully adopted.
✅ 7 Active Recommendations
💰 ₹10.2L Potential Saving
📈 34pt QoL Improvement
🤖 AI Clinical Insight
The 3 most impactful actions for Kavitha in the next 6 months are: (1) uninterrupted Tamoxifen adherence which alone reduces 5-year recurrence risk by 26%, (2) achieving HbA1c < 7.5% which significantly reduces surgical complication risk and renal deterioration, and (3) BP target of < 130/80 which reduces CVD and CKD progression. Addressing these three will account for approximately ₹7.6L of the ₹10.2L projected saving.
KR
Kavitha Rajendran
Female · 47 yrs · DOB: 14 Mar 1979 · Blood Group: B+ve · ABHA: 91-2233-4455-6677
Breast Cancer IIA
DM Type 2
Hypertension
BMI
30.7
HbA1c
9.2%
🪪 Demographics
🌿 Personal Habits
🏥 Treatment History
🤝 Caregivers & Contacts
📁 Reports & Images
Personal Information
Full NameKavitha Rajendran
Date of Birth14 Mar 1979 (47 yrs)
GenderFemale
Marital StatusMarried
ReligionHindu
OccupationSchool Teacher
EducationB.Ed Graduate
LanguageTamil, English
Contact & Address
Mobile+91 98421 56789
Alternate+91 98765 43210
Emailkavitha.r@gmail.com
Address14, Gandhi Nagar, Trichy-620 017
City / StateTiruchirappalli, TN
Pincode620 017
ABHA ID91-2233-4455-6677
PanBRXPK7823M
Physical Measurements
Height
158
cm
Weight
76.8
kg
BMI
30.7
Obese I
Waist
96
cm
Blood Group
B+
HR
78
bpm
Insurance Details
InsurerTCS Group Health Insurance
Policy No.TCS-GHI-2024-089412
Sum Insured₹10,00,000
Valid Until31 Mar 2027
Govt. SchemeCMCHIS (TN)
CMCHIS CardTN-CM-2023-567890
Lifestyle & Habits
🚬 SmokingNon-smoker
🍺 AlcoholNone
🏃 ExerciseOccasional (1–2×/week)
🥗 DietVegetarian, high carb
😴 Sleep6–7 hrs, poor quality
💊 Medication AdherenceGood (~91%)
🧘 Stress LevelHigh (work + illness)
Dietary Details
Food preference: South Indian vegetarian — rice, idli, dosa
Calories/day: ~2,100 kcal (above target)
Water intake: ~1.2 L/day (below optimal)
Salt intake: High — adds extra salt
Allergies: Penicillin, Sulfa drugs
Supplements: Vitamin D3 1000 IU, Calcium
Family History
FatherDM Type 2, HTN
MotherBreast cancer (dx age 52)
SiblingNone reported
Past Diagnoses & Surgeries
🎗️
Lumpectomy + Sentinel Node Biopsy
Breast Cancer IIA (ER+/PR+ HER2−) · KMC Hospital, Trichy · Surgeon: Dr. Venkatesh A.
Clear margins · 0/3 nodes positive · Post-op recovery: uneventful
May 2026
Surgery
Surgery
👁️
Laser Photocoagulation — Right Eye
Mild NPDR · Aravind Eye Hospital, Trichy · Dr. Geetha K.
Single session · No complications · Review in 6 months
Jan 2025
Procedure
Procedure
🩺
Appendectomy
Acute appendicitis · Govt. Hospital, Trichy · 2009
Emergency laparoscopic surgery · No complications
2009
Surgery
Surgery
Current Medications
Primary Caregiver
RR
Rajesh Rajendran
Husband · Age 50 · IT Professional
Mobile+91 98765 12345
Emailrajesh.r@tcs.com
AvailableEvenings & Weekends
AccessFull health record view
SA
Shanthi Ammal
Mother-in-law · Age 72 · Homemaker
Mobile+91 94440 78901
AvailableAll day (at home)
AccessAppointment view only
Emergency Contacts
🚨
Emergency Contact 1
NameRajesh Rajendran
RelationHusband
Mobile+91 98765 12345
🚑
Emergency Contact 2
NamePriya Rajendran
RelationSister
Mobile+91 99400 23456
🏥 Preferred Hospital
KMC Hospital, Trichy
+91 431-234-5678 · ER: 24×7
+91 431-234-5678 · ER: 24×7
🩺 Primary Doctor
Dr. Ramesh Kumar · +91 98421 99999
Attach CT scans, X-rays, lab reports, discharge summaries or any medical image. Visible to you and your care team.
➕
Add Report / Image
🚨
2 Active Alerts Require Attention
Blood glucose 218 mg/dL (high) detected at 08:42 · Resting HR elevated 102 bpm at 07:15
💧
CGM Sensor
FreeStyle Libre 3
218 mg/dL
↑ HIGH · Trend rising
Last sync: 2 min ago · Battery 87%
💓
BP Monitor
Omron HEM-7156
144/92 mmHg
⚠️ Borderline high
Last reading: 8:30 AM · Battery 62%
⌚
Smartwatch
Galaxy Watch 6
102 bpm
🔴 Elevated HR · SpO₂ 97%
Last sync: live · Battery 41%
⚖️
Smart Scale
Withings Body+
76.8 kg
→ No change (7 days)
Last sync: Yesterday · Offline
💧 Blood Glucose — 7-Day Trend (mg/dL)
DR
Dr. Ramesh Kumar
MBBS, MD (General Medicine), Fellowship Diabetology
NMC: MCI-12-34567
25 Yrs Experience
Diabetology · Cardiology
87
CME Points
58% of 150
4
Facilities
3 in-person · 1 tele
📜 Certificates
🎓 CME Credits
🏥 Facilities & Schedule
📋 Prescriptions & Advice
✍️ Handwritten Notes
MBBS — Madras Medical College, Chennai
Madras University · Batch 1996–2001 · Reg: MMC/MBBS/1996/0842
✅ Verified
Permanent
MD — General Medicine, Sri Ramachandra Institute
Dr. MGR Medical University · 2002–2005 · Passed Apr 2005
✅ Verified
Permanent
Fellowship in Diabetology — Apollo Education & Research Foundation
2-year structured · AERF-DIAB-2008-0234 · Completed Mar 2008
✅ Verified
NMC Registration — National Medical Commission
Reg: MCI-12-34567 · Issued 2001 · Renewed 2021
🟢 Active
Valid till 2026
TNMC Registration — Tamil Nadu Medical Council
Reg: TN-2001-41892 · State registration
🟢 Active
87
Points Earned (cycle)
63
Points Remaining
8
Months to Deadline
🏥
Primary
Sree Balaji Clinic, Trichy
14, Gandhi Nagar, Trichy-620 017 · +91 431-234-5678
Mon–Sat: 9:00 AM – 1:00 PM & 5:00 PM – 8:00 PM
General Medicine · Diabetology · Consultation fee ₹300
🏨
Visiting
KMC Hospital, Trichy
OP Block, 2nd Floor · Tue & Thu: 2:00 PM – 5:00 PM
Consulting Physician · Fee ₹500
💻
Tele
CGR Telehealth Platform
Online video consultations · Wed & Sat: 8:00 PM – 10:00 PM
Teleconsult fee ₹200 · Avg 18 sessions/month
Digital prescriptions and care advice issued. Visible to patient and care team.
💊
Prescription — Post Lumpectomy Follow-up
Kavitha Rajendran · Tamoxifen 20mg OD, Metformin 1000mg BD, Amlodipine 10mg OD
Issued: 22 May 2026 · Next review: 22 Jun 2026
Active
📝
Dietary Advice — Low-GI Diabetic Diet
Kavitha Rajendran · Avoid white rice >1 cup/meal · Increase fibre · Reduce salt
Issued: 10 May 2026
Advice
🏃
Exercise Plan — Post-op Physiotherapy
12-week arm mobility programme · 30 min walk daily · Avoid lifting >2 kg for 6 weeks
Issued: 22 May 2026 · Physio: Ms. Rekha, KMC
Active
🔒
Doctor Reference Only — Not visible to patient, hospital admin, or insurer
Upload photos of handwritten notes, paper prescriptions, or clinical sketches for your own reference.
📷
Upload Handwritten Note
SB
Sree Balaji Medical Centre
Multi-specialty Outpatient Clinic · Est. 2005 · Trichy, Tamil Nadu
NABH Accredited
NHA Empanelled
Ayushman Bharat
Doctors
12
Beds
24
Daily OP
180
Rating
4.6⭐
📍 Locations
🩺 Specialities
🕐 Timings
📞 Contact & Social
🏥
Main
Sree Balaji Medical Centre — Main Branch
14, Gandhi Nagar, Karur Bypass Road, Trichy — 620 017
📞 +91 431-234-5678 | 📠 +91 431-234-5679
Google Maps: 10.7905°N, 78.7047°E · Landmark: Near Gandhi Statue
🏪
Branch
Sree Balaji Clinic — Srirangam Branch
22, Cauvery Street, Srirangam, Trichy — 620 006
📞 +91 431-246-1234
Landmark: Opposite HDFC Bank, Srirangam
💻
Virtual
Telehealth — CGR Platform
Online video consultation · Patients across Tamil Nadu
Servicing 6 districts · Avg 120 teleconsults/month
🩺
General Medicine
4 doctors · Primary care hub
🩸
Diabetology & Endocrinology
2 specialists · CGM programmes
💓
Cardiology
1 visiting consultant · ECG, Echo
🫘
Nephrology
1 visiting · Dialysis referrals
👁️
Ophthalmology
Diabetic retinopathy screening
🦷
Dental
General & cosmetic dentistry
🧠
Neurology
Monthly OPD · Referral basis
🤸
Physiotherapy
In-house · Post-op rehab
🧪
Laboratory & Diagnostics
NABL certified · Same-day reports
🚨 Emergency: Available 24×7 via +91 431-234-5600 · Nearest ER: KMC Hospital (2.3 km)
📞 Contact Details
Main Reception+91 431-234-5678
Emergency+91 431-234-5600
Appointments+91 431-234-5680
WhatsApp+91 98431 00001
Billing+91 431-234-5681
Emailinfo@sreebalaji.clinic
Websitewww.sreebalaji.clinic
🌐 Social Media
📘
Facebook
@SreeBalajiclinictrichy · 4.2K followers
📸
Instagram
@sreebalaji.clinic · 2.8K followers
🐦
Twitter / X
@sreebalaji_clinic · 890 followers
💼
LinkedIn
Sree Balaji Medical Centre · 1.1K
▶️
YouTube
Sree Balaji Health · 32 videos
TG
TCS Group Health Insurance (GHI)
Administered by New India Assurance Co. Ltd. · IRDAI Reg: 190
Corporate Group
IRDAI Compliant
NHA Empanelled
Lives Covered
42K
Hospitals
1,840
Claim Settlement
96%
TAT (Claims)
4.2d
🏢 Provider Details
📋 Schemes & Coverage
📞 Contacts
Organisation Details
Insurer NameTCS Group Health Insurance
Administered ByNew India Assurance Co. Ltd.
IRDAI Reg. No.190
TPA PartnerMedi Assist India TPA Pvt. Ltd.
TPA Reg. No.TPA-2005-052
TypeCorporate Group Health
Policy Period1 Apr 2026 – 31 Mar 2027
Renewal Date31 Mar 2027
Network Coverage
Empanelled Hospitals1,840 across India
States CoveredAll 28 states + UTs
Cashless Hospitals (TN)214
International CoverNot included
TelemedicineCovered (CGR platform)
NHA / AyushmanCo-ordinated
TCS GHI — Standard Plan
For employees Grade 1–5 & dependants (max 4 members)
Sum Insured
₹10,00,000
Room Rent
Single AC Room
Pre-existing
Covered (day 1)
Maternity
₹50,000 (Normal) / ₹75,000 (C-Sec)
Day Care
Covered (540+ procedures)
Cancer / Oncology
Full cover — no sub-limit
Government Scheme Co-ordination
Ayushman Bharat PM-JAY
Top-up coordination available · ₹5L govt base
CMCHIS (Tamil Nadu)
Coordinate for surgical procedures · 1,016 covered
ESI Top-up
Available for ESI-covered employees on transfer
Claims & Support Contacts
Cashless Helpdesk1800-425-9090 (toll free)
Reimbursement1800-425-9091
Emergency 24×71800-425-0000
TPA (Medi Assist)1800-425-9595
Claims Emailclaims@niassurance.com
Portalportal.mediassist.in
Regional & HR Contacts (TN)
Claims ManagerMr. Anand Krishnaswamy
Mobile+91 98401 55678
Emailanand.k@tcsghi.com
TCS HR Helpdeskhr.helpdesk@tcs.com
Grievance Officergrievance@niassurance.com
IRDAI Ombudsman (TN)+91 44-2434-4171
9
Tamil Nadu
● All Online
4
Karnataka
● All Online
3
Telangana
⚠ 1 Feed Down
2
Kerala
● Online
1
Andhra Pradesh
● Online
1
Puducherry
● Online
🏥 Hospital Network
TAMIL NADU
Trichy — Gandhi Nagar
12 cams · HQ
Trichy — Srirangam
8 cams
Chennai — Anna Nagar
16 cams
Chennai — Perambur
10 cams
Madurai — Main
9 cams
Coimbatore — RS Puram
11 cams
Salem — Main
7 cams
Vellore — Main
6 cams
Tirunelveli
6 cams
KARNATAKA
Bengaluru — Whitefield
14 cams
Bengaluru — Jayanagar
10 cams
Mysuru — Main
8 cams
Mangaluru
7 cams
TELANGANA
Hyderabad — Banjara Hills
12 cams
Hyderabad — Secunderabad
9 cams
Warangal
1 cam offline · 5 online
KERALA · ANDHRA · PUDUCHERRY
Kochi — Ernakulam
10 cams
Thiruvananthapuram
8 cams
Vijayawada
9 cams
Puducherry — Main
7 cams
Trichy — Gandhi Nagar (HQ)
12 cameras · Last sync: 18 May 2026 14:32 · NVR Online
⚠ 1 Alert Active
🚨
Motion Alert — Pharmacy Store Room (Cam 8) · 14:28 · Unauthorised access detected after business hours. Security notified. Review footage below.
142
Walk-ins Today
↑ 12% vs yesterday
38
Waiting Now
⚠ Avg wait: 47 min
4
Emergency Cases
2 critical · 2 stable
18
Consultations Done
14 pending today
₹2.8L
Revenue Today
Target: ₹3.5L
7
Pending Bills
⚠ 3 >2h old
🚶 Area Crowding — Real-time
Updated 14:32
Reception / Registration92%
⚠ Overcrowded — Open Counter 3
OP Waiting (Gnd. Floor)78%
Pharmacy Queue65%
Lab Sample Collection34%
Emergency Bay80%
⚠ 2 stretchers occupied
Radiology / X-Ray20%
Parking Lot68%
42 of 62 slots occupied
🚨 Immediate Actions Required
5
🔴 Billing Missing — 3 Patients
Sessions #2843, #2847, #2851 closed without invoice. ₹8,400 at risk. Finance team notified.
🟠 Protocol Deviation — OPD Room 4
Patient Murugan S (HTN) — Telmisartan not prescribed per hypertension protocol. Dr. Ramesh to review.
🟠 Reception Overcrowded
92% occupancy at reception. Counter 3 closed since 13:00. Open immediately to reduce wait time.
🟡 Staff Shortage — Nursing
2 nurses on leave today. Ward 2 running at 60% nursing capacity. Request on-call staff.
🟡 Telmisartan 40mg — Critical Stock
Only 8 tabs remaining. 6 prescriptions pending today. Indent raised to Anandha distributor.
🛏 Bed & Oxygen Status
14/22
General Beds Available
2/6
ICU Beds Available
4/4
OT Available
87%
O₂ Cylinder Stock
O₂ Pipeline Pressure62 psi ✓
👥 Staff Adequacy
| Role | Required | Present | Status |
|---|---|---|---|
| Doctors | 6 | 6 | ✓ |
| Nurses | 10 | 6 | ⚠ |
| Paramedics | 4 | 4 | ✓ |
| Reception | 3 | 1 | ⚠ Critical |
| Security | 2 | 2 | ✓ |
💊 Drug Adequacy
2 critical
| Drug | Stock | Daily Need | Days Left | Status |
|---|---|---|---|---|
| Telmisartan 40mg | 8 | 6 | 1.3 | ● Critical |
| NTG SL 0.5mg | 6 | 2 | 3 | ● Critical |
| Sitagliptin 100mg | 24 | 8 | 3 | ● Low |
| Metformin 500mg | 240 | 80 | 3.0 | ● OK |
| Adrenaline Inj. | 12 | 2 | 6 | ● OK |
| IV Normal Saline | 45 | 10 | 4.5 | ● OK |
🔬 Lab Test Availability
In-house · 14:32
CBC / Haematology● Available · TAT 2h
HbA1c● Available · TAT 4h
Lipid Profile● Available · TAT 6h
eGFR / KFT⚠ Reagent Low · 4 remaining
Troponin I (POCT)● Unavailable · Machine down
Urine R&M / ACR● Available · TAT 1h
X-Ray / ECG● Available · Immediate
CT Scan🔄 Maintenance till 16:00
🚑 Mass Casualty & Emergency Readiness
78%
Overall Emergency Readiness
✓Emergency Bay — Ready
✓Blood Bank — Stocked
✓OT 1 & 2 — Sterile
✓Crash Cart — Checked
✓Ambulance — On standby
✓O₂ Cylinders — 87%
⚠Troponin POCT — Down
⚠Nursing — 60% capacity
✗NTG SL — Critical (6 left)
🔄CT — Maintenance 16:00
📹
CCTV War Room
20 hospitals · 6 states
19
Online
1
Alert
247
Cameras
98%
Uptime
⚠️ Cam 8 motion alert — Chengalpattu Main Entrance. Requires review.
🏥
Ops Monitor
Walk-ins · Beds · Staff · Drugs
234
Walk-ins
78%
Bed Occ.
92%
O₂ Level
3
Protocols
⚠️ OT-2 billing incomplete · ICU protocol deviation · Parking 93% full
🔧
Inventory
Equipment · Maintenance · Civil
312
Items
4
Critical
7
Due 7d
18
In-house
🔴 Ventilator PM overdue · Lift annual cert due in 3 days · Gen oil change
👕
Laundry
Linen cycle · Wards · Quality
840
Collected
320
In Wash
510
Ready
95%
Quality
✅ All wards have clean linen. OT linen dispatched 07:30. Next pickup 14:00.
🍽️
Canteen
Meals · Stock · Hygiene · Waste
680
Meals Today
92
Score
18kg
Waste
₹2.4L
Monthly
🍱 Lunch service 12:00–14:00. Today special: Veg Biriyani + Curd. Staff meals: 340.
🅿️
Crowd & Parking
Occupancy · Queue · Zones
73%
Crowd
93%
Parking
28 min
Avg Wait
8
Free Slots
🔴 Parking Zone B near capacity · OPD queue exceeding SLA of 20 min
📊 Today at a Glance
234
OPD Walk-ins
120/156
Beds Occupied
7
Maintenance Due
840
Linen Pieces
680
Meals Served
8
Parking Slots Left
5
Active Alerts
📦 Total Assets
312
Across 8 categories
🔴 Critical Condition
4
Immediate action
⚠️ Due This Week
7
Maintenance overdue
✅ In-house Maintenance
18
Outsourced: 12 AMCs
📋 All Assets
🏥 Medical Equip.
🔬 Lab & Diagnostics
🌡️ Amenities & Electrical
🧱 Civil Works
📅 Maintenance Schedule
| # | Equipment / Asset | Category | Location / Dept | Last Checked | Next Due | Condition | Maintenance | Assigned To | Action |
|---|
🏥 Medical Equipment by Department
🔬 Lab & Diagnostic Equipment
🌡️ Common Amenities & Electrical Systems
🧱 Civil Works — Plumbing · Masonry · Carpentry
📅 Upcoming Maintenance Schedule
Next 30 days · Routine, Annual, AMC checks
🧺 Collected Today
840
pieces
🔄 In Wash / Dry
320
ETA: 2 hrs
✅ Clean & Ready
510
Distributed
📊 Quality Pass Rate
95%
10 rejected today
🔄 Today's Linen Cycle Status
840
1. Collected
→
320
2. In Wash
→
120
3. Drying
→
390
4. Folded
→
510
5. Distributed
→
10
6. Rejected
🏥 Ward-wise Linen Collection
General Ward180
ICU / NICU138
OT Suite120
Maternity100
Paediatric80
Consultation62
Emergency160
🧶 Linen Inventory by Type
| Type | Total | Available | In Use |
|---|---|---|---|
| Bedsheets | 420 | 180 | 240 |
| Pillow Covers | 380 | 160 | 220 |
| Patient Gowns | 290 | 120 | 170 |
| OT Drapes | 180 | 30 | 150 |
| Towels | 240 | 90 | 150 |
| Staff Uniforms | 210 | 85 | 125 |
🏭 Laundry Vendor Details
VendorCleanCare Laundry Services
ContractAnnual · Expires Mar 2027
Capacity1200 pieces/day
Pickup Schedule07:00 · 14:00 · 20:00
Turnaround6–8 hours standard
Monthly Cost₹1.85 Lakh
In-house Staff3 helpers · 1 supervisor
🔍 Quality Control Log
Stain removal pass rate96%
Microbial test (last month)Pass ✅
Damage / Tear rate1.2%
OT linen sterility checkPass ✅
Rejected items today10 pieces
Next inspection28 May 2026
🍽️ Meals Today
680
B:180 · L:320 · D:180
⭐ Hygiene Score
92/100
Grade A
🗑️ Food Waste
18 kg
Target: <15 kg
💰 Monthly Cost
₹2.4L
₹55 per meal avg
🍱 Today's Menu — 23 May 2026
🌅 BREAKFAST · 07:00–09:30
Idli (4) · Sambar · Coconut Chutney · Tomato Chutney
Patient diet: Soft idli · Low-sodium sambar
☀️ LUNCH · 12:00–14:00
Veg Biriyani · Raita · Papadam · Pickle · Curd Rice
Patient diet: Plain rice · Dal · Vegetable curry
🌙 DINNER · 19:00–21:00
Chapati (4) · Paneer Butter Masala · Rice · Dal Tadka
Patient diet: Soft chapati · Plain dal · Khichdi
☕ SNACKS · 10:30 & 16:30
Tea/Coffee · Biscuits · Fruit · Juices
📊 Meal Count Breakdown
🏥 Inpatients320 meals
👨⚕️ Staff / Doctors240 meals
👥 Visitors / Bystanders120 meals
📦 Stock Status
Rice (50kg bags)12 bags ✅
Vegetables (daily supply)Received ✅
Cooking Oil (15L cans)3 cans ⚠️
LPG Cylinders8 full ✅
Packaged Water (1L)18 bottles ⚠️ Low
🔬 Hygiene & FSSAI Compliance
FSSAI LicenseValid · Exp Jan 2027
Last Health Inspection12 May 2026 · Pass
Water Quality TestPass · Apr 2026
Food Waste this week92 kg (↑ 8%)
Staff Health Cert.All 12 staff valid
Pest Control18 May 2026 · Done
🏭 Vendor & Cost Analysis
CatererSri Sai Catering Services
Contract TypeMonthly · ₹2.4L/month
Veg SupplierDaily market delivery
Per-meal cost (staff)₹65/meal
Per-meal cost (patient)₹85/meal (diet)
Monthly savings vs market₹18K (RRE rate)
⚡ AI tip: Reduce cooking oil order by 20% based on weekly usage pattern. Potential saving ₹3,200/month.
👥 Overall Crowd
73%
High — Peak hour
🚗 Parking Used
93%
Only 8 slots free
⏱️ Avg OPD Wait
28 min
SLA: 20 min
🔔 Active Tokens
142
Across 8 depts
🏢 Floor-wise Crowd Level
G — OPD · Pharmacy · Reception92% 🔴
1F — Lab · Radiology · Cardiology78% ⚠️
2F — General Wards · Paediatric61% ✅
3F — Maternity · Gynaecology55% ✅
4F — ICU · NICU · HDU80% ⚠️
5F — OT Suite · Recovery48% ✅
⏱️ Department Queue Status
| Dept | Tokens | Wait | Status |
|---|---|---|---|
| General OPD | 38 | 42 min | Critical |
| Radiology | 22 | 28 min | High |
| Lab Samples | 18 | 22 min | High |
| Pharmacy | 24 | 18 min | Moderate |
| Cardiology | 14 | 15 min | Normal |
| Billing | 16 | 12 min | Normal |
| Emergency | 10 | — Priority | Priority |
🚗 Parking Zone Utilisation
🟦 Zone A — 2-Wheeler
85%
68/80 slots · 12 free
🟥 Zone B — 4-Wheeler
97%
58/60 slots · 2 free
🟩 Zone C — Staff
60%
30/50 slots · 20 free
🟨 Zone D — Ambulance / Emergency
4 bays
2 occupied · 2 free
🔔 Active Alerts & Recommended Actions
🚗
Zone B parking near capacity (97%)
Redirect 4-wheelers to nearby approved lot. Send WhatsApp alert to advance OPD appointments.
👥
OPD Ground Floor at 92% capacity
Deploy additional token counter. Redirect non-urgent cases to OPD-2. Activate overflow waiting area.
⏱️
General OPD wait time 42 min — SLA breach
Assign additional doctor. Activate 2 consultation rooms currently idle. Notify 15 waiting patients via app.
✅
Zone C staff parking has 20 free slots
Consider temporary opening Zone C for visitors until Zone B is managed.
🌐 RRE Network
🏥 Hospital Map
🗺️ My Route Plan
👨⚕️ Provider View
👥 Crowd View
RRE Facilities (26 total)
RRE Hospital — Chennai
RRE Hospital — Coimbatore
RRE Diagnostics — T.Nagar
RRE Pharmacy — Madurai
RRE Physio — Puducherry
+ 21 more facilities
RRE Hospital — Chennai (Anna Nagar)
Click a room to see details
Tap any highlighted area on the floor plan to see opening hours, queue status, and next steps.
Map Legend
OPD / Consultation
Emergency
Pharmacy
Lab
Radiology
Nursing / Triage
Admin / Wards
Demo Route Plan — Mrs. Priya Sharma
Today · Appointment #APT-2024-0923 · Dr. Rajesh Kumar (Cardiology)
🅿️
9:00 AM — Parking Zone B
Pre-book slot #B-24 via RRE app. 4-wheeler entrance via South Gate.
Est. 5 min · Ground Level
🚪
9:05 AM — Registration Desk
Meet: Ms. Meena (Care Facilitator) · Token #G-047. Show Aadhaar + appointment SMS.
Est. 10 min · Ground Floor, Main Lobby
🩺
9:15 AM — Nursing Bay (Vitals)
BP, weight, SpO₂, temperature check. Nurse will update your health record. Ground Floor Left Wing.
Est. 10 min · Room G-08
🧪
9:25 AM — Lab Sample Collection
Fasting blood draw: CBC, Lipid, HbA1c. Ground Floor Right. Report in 90 min via app.
Est. 15 min · Counter L-03
☢️
9:40 AM — Radiology (ECG)
12-Lead ECG. Floor 1, Radiology Wing. Token will be called via display board.
Est. 20 min · Room R-02
👨⚕️
10:30 AM — Dr. Rajesh Kumar (Cardiology)
Consultation Room C-5, Floor 1. Bring all reports. Approx. 20-min consultation.
Est. 20 min · Room C-05
💊
11:00 AM — Pharmacy
Collect prescribed medicines. Ground Floor, Pharmacy Counter. RRE discount applied.
Est. 10 min · Counter P-01
✅
~11:15 AM — Visit Complete
Total visit: ~2h 15m. Next appointment auto-scheduled. Reports shared to app & caregiver.
📊 Visit Summary
Total stops7
Estimated time2 hrs 15 min
Floors coveredG, 1
FacilitatorMs. Meena
DoctorDr. Rajesh Kumar
💡 Preparation Tips
⏰ Arrive 15 min before your slot
🚗 Pre-book parking via RRE app to save time
🍽️ Fasting required 8 hrs before blood test
📄 Carry previous reports & prescription
💳 Keep Aadhaar + insurance card ready
📱 Keep RRE app open for token alerts
Today's Patients on Map — Dr. Rajesh Kumar
TODAY'S PATIENTS (5)
P1 — Priya SharmaIn Nursing Bay
Vitals check · Due consult 10:30 AM
P2 — Mohan RajECG in progress
Radiology · Slot 10:00 AM
P3 — Anita VarmaIn Consult Room 5
Consultation ongoing · 10:15 AM
P4 — Suresh KumarLab Sample
Blood draw done · Waiting reports
P5 — Lakshmi N.Pharmacy
Collecting medicines · Visit wrapping up
Real-time Crowd Heat Map — Ground Floor
89%
Lobby
92%
Radiology
42%
Pharmacy
🧑🤝🧑 Active Caregivers
1
Rajani (daughter)
✅ Tasks Today
3/4
1 pending: evening meds
⭐ Care Rating
4.8
Rated by Dr. Rajesh
🏆 Points Earned
1,240
This month
🧑🤝🧑 My Caregivers
🔒 Data Sharing
📋 Tasks & Monitoring
🏆 Incentives
👩
Rajani Sharma
Daughter · Primary Caregiver · Since Jan 2024
📱 +91 98765 43210 · 🏠 Same household
3/4
Tasks Today
28
Days Active
4.8⭐
Rating
1,240
Points
Caregiver Capabilities
💊 Medication reminders — drug schedule & confirmation
📊 Vital monitoring — enter BP, glucose, SpO₂ readings
🏥 Hospital visits — schedule & accompany appointments
🆘 Emergency — contact care advocate, coordinate ambulance
🚗 Transport — book Uber/cab for hospital trips
📚 Disease education — learn about condition (not case notes)
Sharing permissions for Rajani Sharma
HEALTH INFORMATION
Long-term Illness Summary
Current Illness & Diagnosis
Allergies & Contraindications
Red Flags & Warning Signs
Provider Network & Contacts
Detailed Case Sheet / Notes
Lab Reports (detailed)
SERVICES & ACTIONS
Drug Reminders (give & confirm)
Vital Entry (BP, glucose, SpO₂)
Schedule Hospital Visits
Contact Care Advocate
Book Uber / Transport
Order Medicines (Pharmacy)
Disease Education Content
Today's Caregiver Tasks — 23 May 2026
✅
Morning Medications — Metformin 500mg, Amlodipine 5mg
Done 08:05 AM · Confirmed by Rajani
✅
BP Check (Morning) — Target: <130/80
Recorded 08:20 AM · 126/78 mmHg ✅ Normal
✅
Hospital Transport — Book Uber to RRE Hospital
Booked 08:45 AM · OLA Cab #KA-05-AB-1234
⏳
Evening Medications — Atorvastatin 20mg (with food)
Due 08:00 PM · Reminder set
📊 Vitals Entered by Caregiver (Last 7 days)
| Date | BP | Glucose | SpO₂ | Status |
|---|---|---|---|---|
| 23 May | 126/78 | 108 | 99% | Normal |
| 22 May | 134/84 | 112 | 98% | Watch BP |
| 21 May | 122/76 | 148 | 98% | High Glucose |
Caregiver Incentive Programme — Rajani Sharma
🏆
1,240 Points This Month
Quality score: 4.8★ · Rated by Dr. Rajesh Kumar
1,240 / 2,000 points to Silver tier
Current Tier
🥉 Bronze
📋 Points Breakdown
Medications on time (28 days)+560 pts
Daily vitals logged+280 pts
Hospital visit accompanied+200 pts
Provider rating: 4.8★+200 pts
Emergency coordination+0 (none this month)
🎁 Rewards Available
🛒 ₹500 voucher — Apollo Pharmacy (500 pts)
🏥 Free health check-up at RRE network (800 pts)
🎖️ Caregiver Certificate of Excellence (1000 pts)
💰 Cash reward ₹1,000 (2000 pts, Silver tier)
📬 Inbox 9
📋 Tasks 6
✅ Approvals 5
☑️ Done
🆘
Emergency Alert — Bed 4, ICU (Vitals critical)
Dr. Priya Nair → All ICU Staff · Immediate response required
2 min ago
Unread📝
Prescription approval request — Mr. Suresh K. (Warfarin 5mg)
Pharmacist → Dr. Rajesh Kumar · Awaiting sign-off
18 min ago
Unread🧪
Lab report ready — Mrs. Priya Sharma (CBC, HbA1c)
Lab → Patient + Dr. Rajesh · Attached to record
45 min ago
Unread💰
Insurance pre-auth approved — Room Upgrade request
Star Health → Billing Team · Auth #INS-2026-8823
1 hr ago
Unread📅
Appointment reminder — Dr. Rajesh Kumar, 10:30 AM tomorrow
System → Mrs. Priya Sharma · Confirm attendance
2 hrs ago
🔴 High — Ventilator PM overdue (ICU-3)
Assigned to: Technician Ravi · Due: Today
⚠️ Medium — OT-2 billing incomplete (Patient #OT-209)
Assigned to: Billing Team · Due: EOD
⚠️ Medium — Lift annual certificate renewal due in 3 days
Assigned to: Admin · Vendor: OTIS AMC
Evening medication reminder — Rajani (Caregiver)
Atorvastatin 20mg at 08:00 PM · Auto-reminder set
Next appointment confirmation — Mrs. Priya Sharma
Dr. Rajesh Kumar, 24 May · Patient to confirm
💊 Prescription — Warfarin 5mg (Mr. Suresh K.)
Awaiting DoctorRequested by Pharmacist Sundaram · Potential drug interaction with Aspirin noted
🏥 Discharge Summary — Mrs. Anita V. (Ward B-12)
Overdue 2 hrsPatient ready for discharge · Summary pending doctor sign-off
🛠️ Purchase Requisition — Autoclave Bags (₹12,400)
Awaiting ManagerRaised by: Store Incharge · Budget head: Consumables
📋 Leave Request — Dr. Meena (2 days, 26–27 May)
Awaiting HODReason: Personal · Substitute arranged: Dr. Kavitha
☑️
Morning BP check logged — 126/78 mmHg
Done by Rajani 08:20 AM
☑️
Lab report reviewed — CBC normal, HbA1c 6.8%
Dr. Rajesh · 11:30 AM
☑️
Insurance pre-auth submitted for Room B-5
Billing Team · 09:15 AM
🌐 Website Content
⭐ Testimonials
📲 Social Media
📢 Campaigns
📝 Daily Health Message
Today's message — 23 May 2026
"Stay hydrated this summer — drink at least 2.5 litres of water daily. Dehydration is one of the top reasons for emergency visits in May–June. 💧"
📄 Website Pages
Home Page
●Live
Doctors & Specialists
●Live
Services & Packages
●Live
Contact & Appointments
●Live
Blog / Health Tips
●Draft
📊 Website Analytics (Last 30 days)
12,480
Page Views
4,320
Unique Visitors
286
Online Bookings
68%
Mobile Traffic
📍 Patient Geographic Areas
Anna Nagar28% · 1,210 patients
Kilpauk18% · 777 patients
Aminjikarai14% · 604 patients
Arumbakkam11% · 475 patients
Other Chennai29% · 1,254 patients
👩
Mrs. Priya Sharma · Patient
⭐⭐⭐⭐⭐ · 18 May 2026
"The RRE care team guided me step by step. The map navigation feature is incredibly helpful — I knew exactly where to go and who to meet. Highly recommended!"
👨⚕️
Dr. Subramaniam, Cardiologist · Expert
⭐⭐⭐⭐⭐ · 12 May 2026
"The integrated care approach at RRE reduces fragmentation. Data availability at point of care has improved patient outcomes significantly in my practice."
👨
Mr. Ramesh Iyer · Patient Family
⭐⭐⭐⭐ · 8 May 2026
"My father was admitted for 5 days. The nursing staff and the Care Advocate kept us updated at every step. The caregiver app was a lifesaver for our family."
📲 Connected Handles
🐦Connected
Twitter/X
@RREHospital · 4.2K followers
📸Connected
Instagram
@rrenetwork · 8.6K followers
📘Connected
Facebook
RRE Hospital Network · 12.1K likes
💬Connected
WhatsApp Business
+91 98400 00000 · 2.4K subscribers
📊 Social Performance (Last 30 days)
48
Posts Published
3.2K
Engagements
+420
New Followers
24
Appt. from Social
🫁 World No Tobacco Day — 31 May 2026
WHO Health Day · Anna Nagar, Kilpauk, Aminjikarai
Free lung function test (Spirometry) + Counselling for smoking cessation. Target: 200 participants. Coordinating with corporation health officers.
🩺 END TB Campaign — June 2026
National TB Elimination · All service areas
Community screening camps at 3 locations in collaboration with RNTCP. Free sputum test and chest X-ray. Target 500 community members.
🩸 World Diabetes Day — 14 Nov 2026
IDF Health Day · Geographic focus: Arumbakkam
Free HbA1c + FBS test camp. Diabetes education session. Link to RRE Diabetes Care Package. AI-generated patient list from geographic area.
🏢 Administrative
🩺 Clinical
📋 Programmes & Schemes
PATIENT MANAGEMENT
📋 Patient Registration & Onboarding
v3.2 · Updated Apr 2026
📋 Discharge & Summary Process
v2.1 · Updated Mar 2026
📋 Billing & Insurance Claims
v4.0 · Updated May 2026
📋 Medical Records Maintenance
v1.8 · RRE Review Pending
HR & STAFF
📋 Staff Onboarding & Credentials
v2.3 · Updated Jan 2026
📋 Leave & Shift Scheduling
v2.0 · Updated Feb 2026
🤖 RRE AI updates SOPs quarterly based on RRE network behaviour data and published evidence. Last AI update: April 2026.
EMERGENCY PROTOCOLS
🚨 Cardiac Arrest (CPR Code Blue)
Critical · v5.1
🚨 Mass Casualty Incident (MCI)
Critical · v3.0
CLINICAL PROCEDURES
🩺 Patient Triage & Assessment (OPD)
v4.2 · Updated May 2026
💊 Medication Administration & Reconciliation
v3.5 · Updated Apr 2026
🧪 Sample Collection & Lab Protocol
v2.8 · Updated Mar 2026
🏥 Infection Control & Hand Hygiene
v3.1 · RRE Review Pending
🔪 Pre-op & Post-op Patient Checklist
v4.0 · Updated Jan 2026
GOVERNMENT SCHEMES
🏛️ Ayushman Bharat (PM-JAY) Claims
v3.2 · NHA Updated
🏛️ TN CMCHIS (Kalaignar Scheme) Process
v2.1 · Updated Feb 2026
🏛️ ESI Tie-up Patient Management
v1.4 · Updated Mar 2026
RRE PROMOTIONAL PACKAGES
🎁 Annual Wellness Package — Enrolment & Renewal
v2.0 · Updated May 2026
🏕️ Camp & Community Screening SOP
v1.6 · Updated Apr 2026
🏫 School Health Programme Protocol
v1.2 · Updated Jan 2026
🏭 Occupational Health Programme SOP
v1.0 · New May 2026
🏫 Schools Enrolled
8
6,240 students
✅ Screenings Done
4,820
77% coverage
💉 Vaccinations
3,210
This academic year
🏥 Referrals Pending
142
Needs follow-up
🏫 Schools
🔬 Screening
💉 Vaccination
🏥 Referrals
| School | Students | Screened | Vaccinated | Last Visit | Next Visit | Action |
|---|---|---|---|---|---|---|
| 📚 DAV Public School, Anna Nagar | 980 | 820 (84%) | 760 | 15 Apr 2026 | 12 Jun 2026 | |
| 📚 Kendriya Vidyalaya, Kilpauk | 840 | 710 (85%) | 650 | 22 Apr 2026 | 22 Jun 2026 | |
| 📚 Govt. Boys Hr. Sec. School, Arumbakkam | 620 | 390 (63%) | 280 | 10 Feb 2026 | Overdue | |
| 📚 PSBB School, Nungambakkam | 1,240 | 1,100 (89%) | 1,020 | 05 May 2026 | 05 Jul 2026 | |
| 📚 + 4 more schools | 2,560 | 1,800 | 1,500 | Various | ||
🔬 Screening Categories
👁️ Vision Screening4,120/6,240
👂 Hearing Test3,980/6,240
🦷 Dental Check2,640/6,240
📏 Height / Weight / BMI5,100/6,240
🩸 Haemoglobin (Anaemia)2,200/6,240
🧠 Mental Health Screening980/6,240
📊 Key Health Indicators
Underweight (<5th percentile)12.4% · 774 students
Overweight/Obese8.2% · 512 students
Anaemia (Hb <11g/dL)18.6% · 409 screened
Refractive error (vision)14.2% · 585 students
Dental caries22.8% · 602 screened
Mental health concern9.1% · 89 screened
| Vaccine | Age Group | Target | Done | Coverage | Status |
|---|---|---|---|---|---|
| HPV (Gardasil) | Girls 9–14 yrs | 620 | 540 | 87% | On Track |
| Td Booster | 10 & 16 yrs | 980 | 820 | 84% | On Track |
| MMR Catch-up | 5–10 yrs | 1,240 | 890 | 72% | Needs Push |
| Typhoid | All students | 6,240 | 960 | 15% | Behind |
👁️ 72 students — Vision referral (spectacles needed)
DAV + PSBB · Letter sent to parents
🩸 38 students — Severe anaemia (Hb <8g/dL)
Govt. school, Arumbakkam · Paeds consult needed
🧠 18 students — Mental health concern (counselling)
Multiple schools · RRE Counselling Centre referral
🦷 14 students — Dental extraction required
Referred to RRE dental partner
🏭 Employers Enrolled
12
8,400 employees
✅ Annual Check-ups
6,820
81% done this year
🤕 Work Injuries (Active)
28
WC compensation active
📋 Pre-employment Done
340
Last 3 months
🏭 Employers
📋 Pre-employment
🩺 Periodic Check-ups
🤕 Work Injuries
| Employer | Industry | Employees | Check-up % | Active WC | Contract | Action |
|---|---|---|---|---|---|---|
| 🏭 Apollo Tyres Ltd. | Manufacturing | 2,400 | 88% | 8 | Annual · ₹18L | |
| 🏢 Cognizant Technology | IT Services | 1,800 | 92% | 2 | Annual · ₹14L | |
| 🏗️ L&T Construction | Construction | 1,200 | 64% | 12 | Annual · ₹9.6L | |
| + 9 more employers | 3,000 employees · Various industries | |||||
📋 Standard Pre-employment Panel
Physical Fitness Exam✅ Standard
CBC + Blood Sugar + Lipids✅ Standard
Chest X-ray (TB screening)✅ Standard
Vision + Colour blindness✅ Standard
Hearing Audiometry⚠️ Selected
Drug Screen (6-panel)⚠️ Selected
Hepatitis B antigen✅ Standard
📊 Last 90 Days Summary
340
Examined
318
Fit for Work
14
Conditionally Fit
8
Unfit
📅 Scheduled Check-up Camps (Next 60 days)
Apollo Tyres — Batch 3 (800 employees)02 Jun 2026
Cognizant — Annual Health Day (600 employees)10 Jun 2026
L&T Construction — Overdue batch (400 employees)15 Jun 2026 (delayed)
📊 Common Findings (Last Annual Round)
Hypertension18.4% · 1,548 employees
Pre-diabetes / T2DM14.2% · 1,193 employees
Dyslipidaemia22.6% · 1,898 employees
Obesity (BMI >30)11.8% · 991 employees
Musculoskeletal issues16.2% (Construction: 34%)
🤕 L&T — Scaffolding fall injury (Right arm fracture)Active WC
Employee: Raju M. · Admitted Ward B-4 · Surgery done · WC case #WC-2026-012 · Employer notified
🤕 Apollo Tyres — Chemical burn (hands)Rehab
Employee: Muthu K. · Discharged · OPD dressing weekly · WC #WC-2026-008
📋 WC Summary — 12 monthsStats
68
Total Cases
40
Resolved
28
Active
₹8.4L
WC Billed
248
Total Empanelled
214
Cashless Active
18
Under Review
9
Suspended
7
Audit Due
🏥 Provider List
🗺️ Geography Map
⭐ Quality Scores
🔍 Audit Priority
| Provider | City | Speciality | Tier | Cashless | Pkg Util% | Quality | Leakage | Suspend Risk | Action |
|---|
Provider Distribution — India
62
Chennai
58
Mumbai
48
Bangalore
41
Hyderabad
39
Delhi
Quality Score Distribution
Excellent (90+)
87
Good (75–89)
124
Average (60–74)
24
Poor (<60)
13
Claim Leakage Buckets
Low (<2%)↓ 142 providers
Medium (2–5%)↔ 71 providers
High (5–10%)↑ 27 providers
Critical (>10%)🚨 8 providers
Avg Network Leakage3.8%
Suspension Risk Radar
🔴 High Risk9 providers
🟡 Medium Risk24 providers
🟢 Low Risk215 providers
Top 5 — Claim Leakage Alert
| Provider | City | Leakage% | Trend | Action |
|---|---|---|---|---|
| City Ortho Centre | Chennai | 14.2% | ↑↑ | |
| Metro Hospital | Mumbai | 11.8% | ↑ | |
| Sunrise Cardio | Bangalore | 8.4% | → | |
| Apollo Annex | Hyderabad | 7.1% | ↓ | |
| NovaCare Delhi | Delhi | 6.9% | → |
Audit Priority Queue
City Ortho Centre, Chennai
Leakage 14.2% · 3 fraud flags · Score 41/100
🔴 Immediate
Metro Hospital, Mumbai
Upcoding detected · Leakage 11.8% · Score 48/100
🔴 Immediate
Sunrise Cardio, Bangalore
Repeat admissions · Leakage 8.4% · Score 62/100
🟡 30 days
Apollo Annex, Hyderabad
Package deviation · Score 67/100
🟡 45 days
Audit Scoring Criteria
Claim Leakage Rate30 pts
Fraud Alert Flags25 pts
Repeat Admissions20 pts
Package Upcoding15 pts
Discharge Docs Incomplete10 pts
Score ≥ 70 → Immediate audit · 50–69 → 30-day scheduled · <50 → Routine annual
1,28,450
Total Members
892
Employer Groups
38,210
Active Policies
4,218
Chronic-Risk Members
1,140
Renewal Risk (90d)
🏢 Employer Groups
👤 Member Roster
📊 Policy Utilisation
⚠️ Risk Segmentation
| Group Name | City | Members | Policy# | Sum Insured | Util% | Renewal Date | Status | Action |
|---|---|---|---|---|---|---|---|---|
| TechCorp India Ltd | Chennai | 4,820 | GRP-2024-001 | ₹5L/member | 72% | 31 Mar 2027 | Active | |
| Bharat Steel Works | Mumbai | 11,240 | GRP-2024-018 | ₹3L/member | 91% | 30 Jun 2026 | Renewal Due | |
| Medi-Serve Hospitals | Bangalore | 2,180 | GRP-2025-007 | ₹7.5L/member | 48% | 31 Dec 2026 | Active | |
| Sun Pharma Group | Hyderabad | 6,540 | GRP-2024-033 | ₹5L/member | 63% | 30 Sep 2026 | Review | |
| National Railway Staff | Delhi | 28,400 | GRP-2023-004 | ₹2L/member | 55% | 31 Mar 2027 | Active |
| Emp ID | Member Name | ABHA | Relation | Age | Policy# | Sum Insured | Claim Used | Risk | Action |
|---|---|---|---|---|---|---|---|---|---|
| TC-10024 | Ramesh Kumar | 14-2345-6789-0001 | Primary | 42 | GRP-2024-001 | ₹5,00,000 | ₹2,40,000 | Medium | |
| TC-10024 | Sunitha Kumar | 14-2345-6789-0002 | Spouse | 39 | GRP-2024-001 | ₹5,00,000 | ₹18,000 | Low | |
| BS-4401 | Venkatesh Rao | 27-8821-0034-5501 | Primary | 58 | GRP-2024-018 | ₹3,00,000 | ₹2,90,000 | High | |
| BS-4401 | Lakshmi Rao | 27-8821-0034-5502 | Spouse | 54 | GRP-2024-018 | ₹3,00,000 | ₹1,85,000 | Medium | |
| SP-2210 | Priya Mehta | 11-4421-9988-0021 | Primary | 34 | GRP-2024-033 | ₹5,00,000 | ₹0 | Low |
Claim Utilisation by Group
Bharat Steel91%
TechCorp India72%
Sun Pharma63%
Natl Railway55%
Medi-Serve48%
Top Claim Categories
Cardiac & Vascular₹4.2 Cr
Orthopaedics₹3.8 Cr
Maternity₹2.1 Cr
Oncology₹1.9 Cr
Diabetes Complications₹1.2 Cr
Total Paid: ₹13.2 Cr YTD
Renewal Risk Radar
Bharat Steel (30 Jun)🔴 High — util 91%
Sun Pharma (30 Sep)🟡 Review
TechCorp (31 Mar)🟢 Healthy
Chronic-Risk Segmentation
Critical — 842 members
Multiple co-morbidities · High claim history · ICU admissions >2
High — 3,376 members
Diabetes + Hypertension · 1 chronic condition managed
Moderate — 12,400 members
Lifestyle risk factors · Preventive care recommended
Low — 1,11,832 members
Healthy · No major claims in past 24 months
Intervention Actions
🚨
Critical Members
Assign care manager · Enrol in disease management programme · Monthly follow-up
⚠️
High-Risk Members
Wellness coaching · HRA screening · Preventive benefits
📊
Export Cohort Report
Full risk breakdown with ABHA IDs for employer analytics
12
Pending Auth
5
SLA Breach Risk
8
Under AI Review
24
Approved Today
3
Rejected / Queried
⏳ Pending (12)
🤖 AI Review
📎 Document Check
✅ Decision Log
PA-2026-8841 · Venkatesh Rao
Cardiac Bypass Surgery · Metro Hospital, Mumbai · GRP-2024-018
Estimated: ₹4,20,000 · Package: Cardiac-CABGPkg ₹3,85,000 · Deviation +9.1%
🔴 URGENT
⏱ 1h 22m remaining
🚨 Fraud Flag: Repeat procedure within 90d
⚠️ Cost deviation >5%
✅ Documents: 4/5 complete
PA-2026-8839 · Meera Pillai
Knee Arthroplasty (Right) · Sunrise Cardio, Bangalore · GRP-2025-007
Estimated: ₹2,80,000 · Package: OrthoKneePkg ₹2,65,000 · Deviation +5.7%
🟡 STANDARD
⏱ 9h 40m remaining
✅ No fraud flags
✅ Documents: 5/5 complete
PA-2026-8834 · Ritu Sharma
Normal Delivery (Maternity) · Apollo Annex, Hyderabad · GRP-2024-033
Estimated: ₹62,000 · Package: MatNormalPkg ₹65,000 · Within package
🟢 ELECTIVE
⏱ 58h remaining
✅ Clean record
⚠️ Documents: 3/5 — Missing discharge plan
🤖
AI Medical Necessity Review
Case: PA-2026-8841 · Cardiac Bypass — Venkatesh Rao
Clinical Justification Summary
Patient (58M) presents with Triple Vessel Disease (TVD) confirmed by coronary angiography (20 May 2026). SYNTAX Score 32 — consistent with CABG recommendation per ACC/AHA guidelines. EF 38% — reduced function supports surgical over PCI approach. History: 2 prior stenting procedures (2019, 2022) with re-stenosis.
HIGH
Medical Necessity
REVIEW
Cost Deviation
FLAG
Fraud Indicator
AI Recommendation
Approve with condition: Verify prior-procedure gap (>90 days from last stent). Request surgical team second opinion on re-stenosis rationale. Approve at package rate ₹3,85,000; defer ₹35,000 deviation pending invoice verification.
Package Benchmark
Network Avg (CABG)₹3,72,000
This hospital (CABG)₹3,85,000
Claimed amount₹4,20,000
Overage+₹35,000 (9.1%)
Fraud Indicators
🚨Procedure within 90d of last claim
🚨Provider leakage score 14.2%
✅Member identity verified (ABHA)
✅Hospital empanelled & active
Document Completeness — PA-2026-8841
✅ Admission Request FormReceived
✅ Treating Physician CertificateReceived
✅ Coronary Angiography Report (20 May 2026)Received
✅ Echocardiography ReportReceived
❌ Surgical Team Second OpinionMissing — Required
4/5 documents received. Authorisation can proceed conditionally pending item #5 within 4 hours.
| PA ID | Member | Procedure | Amount | Decision | By | Time |
|---|---|---|---|---|---|---|
| PA-2026-8830 | Arvind Nair | Appendectomy | ₹95,000 | ✅ Approved | AI + Dr. Meena | 22 May 11:20 |
| PA-2026-8828 | Fatima Ansari | Cataract (Both) | ₹48,000 | ❓ Queried | Analyst Raj | 22 May 09:45 |
| PA-2026-8821 | Deepak Singh | Hip Replacement | ₹3,20,000 | ❌ Rejected | Dr. Meena | 21 May 16:30 |
| PA-2026-8818 | Sunita Reddy | Laparoscopy | ₹1,10,000 | ✅ Approved | AI Auto-approved | 21 May 14:10 |
7
Active Investigations
23
Suspicious Claims
₹38.4L
Estimated Leakage
₹12.1L
Recovered YTD
4
Provider Anomalies
🚨 Alerts (23)
🔗 Claim Clusters
🏥 Provider Anomaly
📁 Case Management
🔴 Duplicate Billing — Claim CLM-8821 & CLM-8804
Patient: Deepak Singh · Provider: City Ortho Centre, Chennai · Same procedure billed twice (Hip Replacement, 18 May)
Duplicate amount: ₹3,20,000 · Both claims under same policy GRP-2024-001
🔴 Package Upcoding — Claim CLM-8835
Patient: Ramesh Kumar · Provider: Metro Hospital, Mumbai · Billed Cardiac-CABG; clinical notes support only Angioplasty
Upcoding gap: ₹1,80,000 (Angioplasty ₹2,40,000 vs CABG ₹4,20,000)
🟡 Repeat Admission — Venkatesh Rao
3 cardiac admissions within 180 days · Provider: Metro Hospital, Mumbai
Total billed: ₹8,40,000 · Benchmark for profile: ₹4,50,000
🟡 Phantom Billing — Claim CLM-8802
Patient: Suresh Iyer · Provider: NovaCare Delhi · ICU charges billed; no ICU admission records found
Disputed amount: ₹42,000
Cluster A — City Ortho, Chennai
7 claims for identical procedure (Hip Replacement) in 45 days · 6 of 7 patients from same employer group
Claims in cluster7
Total billed₹22,40,000
Expected for cohort₹9,80,000
Excess₹12,60,000
Cluster B — Metro Hospital, Mumbai
4 cardiac procedures billed in same week · All by same surgeon · Clinical docs inconsistent
Claims in cluster4
Total billed₹14,80,000
Expected for cohort₹8,20,000
Excess₹6,60,000
AI Pattern Analysis
RRE fraud detection engine analysed 2,840 claims (YTD). Identified 2 high-confidence clusters using graph-based anomaly detection. Common signals: same referring physician across unrelated employers, procedure codes not matching admission diagnosis, ICU duration outliers (p>95th percentile). Model accuracy: 91.2% (validated against 180-day claims outcome).
| Provider | Anomaly Score | Key Signals | Claims YTD | Excess Paid | Status | Action |
|---|---|---|---|---|---|---|
| City Ortho Centre | 94/100 | Duplicate billing, cluster fraud, upcoding | 248 | ₹18.2L | Under Investigation | |
| Metro Hospital | 81/100 | Upcoding, repeat admission pattern | 412 | ₹12.4L | Monitoring | |
| NovaCare Delhi | 67/100 | Phantom billing (ICU charges) | 184 | ₹4.8L | Review | |
| Apollo Annex | 28/100 | Minor package deviation — improving | 319 | ₹2.0L | Routine |
| Case ID | Type | Provider | Amount at Risk | Investigator | Opened | Status | Action |
|---|---|---|---|---|---|---|---|
| FRD-2026-014 | Duplicate Billing | City Ortho | ₹18.2L | Suresh Pillai | 20 May | In Progress | |
| FRD-2026-013 | Upcoding | Metro Hospital | ₹12.4L | Anita Rao | 18 May | In Progress | |
| FRD-2026-009 | Phantom Billing | NovaCare Delhi | ₹4.8L | Vikram Joshi | 12 May | Review Stage | |
| FRD-2026-005 | Repeat Admission | Metro Hospital | ₹3.9L | Suresh Pillai | 03 May | Closed — Recovered |
7
Audits Due This Month
3
Overdue
12
Scheduled (90d)
18
Completed YTD
24
Corrective Actions Open
📅 Schedule
🗓️ Calendar
✅ Checklist
📊 Findings Trend
🔴 OVERDUE
City Ortho Centre
Chennai · Fraud risk 94/100
Due: 15 May 2026 (8 days overdue)
Readiness: 32%
Metro Hospital
Mumbai · Fraud risk 81/100
Due: 18 May 2026 (5 days overdue)
Readiness: 58%
NovaCare Delhi
Delhi · Fraud risk 67/100
Due: 22 May 2026 (1 day overdue)
Readiness: 71%
🟡 UPCOMING — June 2026
| Hospital | City | Audit Date | Investigator | Readiness | Action |
|---|---|---|---|---|---|
| Sunrise Cardio | Bangalore | 10 Jun 2026 | Meera V. | 84% | |
| Apollo Annex | Hyderabad | 20 Jun 2026 | Ravi K. | 91% | |
| Rainbow Children's | Chennai | 28 Jun 2026 | Unassigned | — |
June 2026
Mon
Tue
Wed
Thu
Fri
Sat
Sun
1
2
3
4
5
6
7
8
9
10
Sunrise
11
12
13
14
15
16
17
18
19
20
Apollo
21
22
23
24
25
26
27
28
Rainbow
29
30
Hospital Readiness Checklist — Sunrise Cardio
✅ Empanelment documents currentDone
✅ Tariff schedule acknowledgedDone
✅ NABH/JCI certificate validDone
✅ Billing staff trained (FY26)Done
⚠️ ICD-10 coding audit log uploadedPending
❌ Last 90-day claims reconciliationMissing
Overall Readiness67%
Field Investigator Assignment
Suresh Pillai
Chennai region · 4 active cases
Anita Rao
Mumbai region · 2 active cases
Vikram Joshi
Delhi region · 1 active case
Meera Venkat
Bangalore region · 3 active cases
Audit Findings — Category Breakdown (YTD)
Billing Discrepancy38 findings
Document Incomplete27 findings
Package Deviation19 findings
ICD-10 Coding Error14 findings
Staff Non-compliance8 findings
Corrective Actions Tracker
City Ortho — Duplicate billing controls
Due: 05 Jun 2026 · Owner: Hospital Admin
Status: Overdue
Metro Hospital — ICD-10 coding retraining
Due: 15 Jun 2026 · Owner: Billing Head
Status: In Progress
Apollo Annex — Document checklist SOP
Due: 30 May 2026 · Owner: Quality Head
Status: Completed ✅
248
Active Contracts
14
Expiring in 90 Days
9
Under Negotiation
37
Deviation Alerts
₹4.2Cr
Tariff Savings YTD
💊 Package Rates
📋 Contracts
⚙️ Exception Rules
📊 Performance
| Package Code | Procedure | Speciality | Tier 1 Rate | Tier 2 Rate | Tier 3 Rate | Network Avg | Cashless | Action |
|---|---|---|---|---|---|---|---|---|
| CARD-CABG-001 | Coronary Artery Bypass Graft | Cardiology | ₹4,20,000 | ₹3,85,000 | ₹3,20,000 | ₹3,72,000 | ✅ Yes | |
| ORTH-KNEE-001 | Total Knee Arthroplasty | Orthopaedics | ₹2,80,000 | ₹2,65,000 | ₹2,10,000 | ₹2,52,000 | ✅ Yes | |
| MAT-NRM-001 | Normal Delivery (Maternity) | Obstetrics | ₹75,000 | ₹65,000 | ₹48,000 | ₹62,000 | ✅ Yes | |
| MAT-CSEC-001 | Caesarean Section | Obstetrics | ₹1,10,000 | ₹95,000 | ₹72,000 | ₹92,000 | ✅ Yes | |
| ONCO-CHEMO-001 | Chemotherapy (per cycle) | Oncology | ₹65,000 | ₹58,000 | ₹44,000 | ₹55,000 | ✅ Yes | |
| GEN-APPY-001 | Appendectomy (Laparoscopic) | General Surgery | ₹1,05,000 | ₹95,000 | ₹70,000 | ₹90,000 | ✅ Yes | |
| DIAL-HD-001 | Haemodialysis (per session) | Nephrology | ₹3,200 | ₹2,800 | ₹2,200 | ₹2,700 | ⚠️ Conditional |
| Provider | Contract # | Tier | Start | Expiry | Version | Status | Deviations | Action |
|---|---|---|---|---|---|---|---|---|
| Metro Hospital | CNT-2024-018 | Tier 2 | 01 Apr 2024 | 30 Jun 2026 | v3.1 | Expiring 38d | 14 alerts | |
| Sunrise Cardio | CNT-2025-007 | Tier 2 | 01 Jan 2025 | 30 Sep 2026 | v2.0 | Expiring 130d | 6 alerts | |
| Apollo Annex | CNT-2024-033 | Tier 1 | 01 Apr 2024 | 31 Mar 2027 | v4.2 | Active | 2 alerts | |
| City Ortho Centre | CNT-2024-001 | Tier 2 | 01 Apr 2024 | 31 Mar 2026 | v2.1 | ⚠️ Suspended | 31 alerts | |
| NovaCare Delhi | CNT-2023-004 | Tier 3 | 01 Apr 2023 | 31 Dec 2026 | v1.8 | Active | 9 alerts |
Cashless Eligibility Rules
Sum insured ≥ ₹2,00,000✅ Required
Policy active > 30 days✅ Required
Pre-existing condition waiting: 24 months✅ Required
Maternity waiting: 9 months✅ Required
No fraud flag on member or provider🚨 Mandatory
Active Exception Approvals
Metro Hospital — CABG cost override (+9%)
Approved by: CMO · Valid: until 30 Jun 2026
Apollo Annex — ICU day rate +15%
Approved by: Network Head · Valid: 31 Mar 2027
Provider-wise Commercial Performance
| Provider | Contracted Rate | Avg Billed | Deviation | Claims Vol | Total Paid | Adj. Ratio | Trend |
|---|---|---|---|---|---|---|---|
| Apollo Annex | ₹2,52,000 | ₹2,58,000 | +2.4% | 319 | ₹8.2 Cr | 97.6% | ↑ Improving |
| Sunrise Cardio | ₹3,72,000 | ₹3,98,000 | +7.0% | 184 | ₹7.3 Cr | 93.4% | → Stable |
| Metro Hospital | ₹3,85,000 | ₹4,30,000 | +11.7% | 412 | ₹17.7 Cr | 89.4% | ↑↑ Worsening |
| NovaCare Delhi | ₹2,80,000 | ₹2,94,000 | +5.0% | 184 | ₹5.4 Cr | 95.2% | → Stable |
Tariff Savings Summary
Negotiated discounts₹2.8 Cr
Fraud recoveries₹1.2 Cr
Package compliance savings₹0.2 Cr
Total YTD Savings₹4.2 Cr
Deviation Alerts
Metro Hospital · 14 deviations · >10%
Sunrise Cardio · 8 deviations · 5–10%
NovaCare Delhi · 9 deviations · 5–10%
Apollo Annex · 6 deviations · <5%
Renewal Actions
Metro Hospital (38d)
Sunrise Cardio (130d)
NovaCare Delhi (222d)
284
Total Staff
261
Present Today
23
On Leave
8
Vacancies
6
Credentials Expiring
1:4
Nurse:Patient Ratio
🏢 Dept Strength
📅 Attendance
🔄 Shift Roster
🏖️ Leave Approvals
📜 Credentials
| Department | Doctors | Nurses | Technicians | Admin | Total | Present | Nurse:Patient | Vacancy |
|---|---|---|---|---|---|---|---|---|
| ICU | 6 | 18 | 4 | 2 | 30 | 28 | 1:2 ✅ | 0 |
| Emergency | 8 | 12 | 3 | 2 | 25 | 24 | 1:3 ✅ | 0 |
| OPD | 14 | 8 | 2 | 4 | 28 | 25 | 1:5 ✅ | 2 |
| IPD / General Ward | 10 | 22 | 3 | 3 | 38 | 36 | 1:6 ⚠️ | 2 |
| OT | 4 | 8 | 6 | 1 | 19 | 19 | 1:2 ✅ | 0 |
| Lab | 2 | 0 | 12 | 2 | 16 | 15 | — | 2 |
| Radiology | 3 | 0 | 8 | 1 | 12 | 11 | — | 2 |
| Housekeeping / Security | 0 | 0 | 0 | 30 | 30 | 28 | — | 0 |
🔴 Vacancy Alerts
Lab Technician × 2 — Lab dept
Radiographer × 2 — Radiology
Staff Nurse × 2 — OPD, IPD
Admin Executive × 2 — OPD
⚠️ Ratio Alerts
IPD Ward — Nurse:Patient 1:6 (SLA: 1:4)
Action: Call 2 nurses from float pool
📊 Today at a Glance
Present: 261 / 284 (91.9%)
Morning shift: 142 · Evening: 89 · Night: 30
On leave: 23 · Unplanned absent: 5
| Staff ID | Name | Role | Dept | Shift | In-Time | Status | MTD Days | Action |
|---|---|---|---|---|---|---|---|---|
| DR-0041 | Dr. Priya Nair | Doctor | OPD | Morning | 08:52 | ✅ Present | 21/23 | |
| NR-0112 | Sumi Thomas | Nurse | ICU | Night | 20:03 | ✅ Present | 22/23 | |
| TC-0078 | Raju Verma | Technician | Lab | Morning | — | 🔴 Absent (unplanned) | 17/23 | |
| HK-0031 | Kamala Devi | Housekeeping | IPD | Morning | 09:14 | ⏰ Late (SLA 9:00) | 20/23 | |
| AD-0019 | Vikram Anand | Admin Staff | OPD | Morning | 08:58 | ✅ Present | 23/23 |
Week of 19–25 May 2026
| Staff | Role | Mon 19 | Tue 20 | Wed 21 | Thu 22 | Fri 23 | Sat 24 | Sun 25 | Hrs |
|---|---|---|---|---|---|---|---|---|---|
| Dr. Priya Nair | Doctor/OPD | M | M | E | M | M | OFF | OFF | 40 |
| Sumi Thomas | Nurse/ICU | N | N | OFF | N | N | N | OFF | 48 |
| Vikram Anand | Admin/OPD | M | M | M | M | M | OFF | OFF | 40 |
M = Morning 8am–4pm · E = Evening 2pm–10pm · N = Night 8pm–8am
Dr. Anand Sharma — Casual Leave × 2 days
OPD · 26–27 May 2026 · Applied: 23 May 09:30
Coverage requested: Dr. Priya Nair available
Kamala Devi — Sick Leave × 1 day
Housekeeping · 24 May 2026 · Applied: 23 May 07:15
⚠️ 3rd sick leave this month
Raju Verma — Annual Leave × 7 days
Lab Technician · 01–07 Jun 2026 · Applied: 22 May
🔴 Dept already short-staffed (2 vacancies)
| Staff | Role | Credential | Issued By | Valid Until | Status | Action |
|---|---|---|---|---|---|---|
| Dr. Meena Iyer | Doctor | MCI Registration | NMC | 30 Jun 2026 | Expiring 38d | |
| Sumi Thomas | Nurse | INC Registration | INC | 15 Aug 2026 | Expiring 84d | |
| Raju Verma | Lab Tech | DMLT Certificate | NABL | 10 Jun 2026 | Expiring 18d | |
| Vikram Anand | Admin | Medical Records Cert. | MCI | 31 Dec 2027 | Valid | — |
₹4.82L
Collections Today
₹18.4L
Insurer Receivables
₹6.2L
Vendor Dues
₹1.1L
Bad Debt (MTD)
₹38.2K
GST Payable (MTD)
💳 Collections
🛡️ Insurer / TPA
🏭 Vendor Dues
📦 Package P&L
🧾 GST & Daily Close
Today's Collection by Mode
💵 Cash₹82,400
17%
📱 UPI / Card₹1,64,800
34%
🛡️ Insurance / TPA₹2,17,600
45%
🏛️ Govt / Ayushman₹16,400
4%
Total Collected₹4,81,200
Outstanding / Pending Collections
IPD discharges — payment pending₹84,000 (3 bills)
Pre-auth claim — TPA pending₹2,40,000 (1 claim)
OPD follow-up payment₹12,400 (8 patients)
Bad Debt — MTD₹1,10,000 (write-off pending)
| TPA / Insurer | Claims Submitted | Approved | Pending | Rejected | Receivable | Avg Settlement (days) | Action |
|---|---|---|---|---|---|---|---|
| Star Health | 142 | 118 | 14 | 10 | ₹6.8L | 22 | |
| Medi-Assist TPA | 88 | 72 | 10 | 6 | ₹4.2L | 28 | |
| HDFC Ergo | 64 | 58 | 4 | 2 | ₹2.1L | 18 | |
| Ayushman Bharat | 38 | 32 | 6 | 0 | ₹5.3L | 48 |
⚠️ Total Insurer Receivables: ₹18.4L · 3 claims >45 days pending — escalation recommended · 18 queries awaiting hospital response
| Vendor | Category | Invoice# | Amount | Due Date | Overdue | Action |
|---|---|---|---|---|---|---|
| MedTech Supplies | Consumables | INV-4421 | ₹1,84,000 | 10 May 2026 | 13 days | |
| CleanCo Services | Housekeeping | INV-0882 | ₹48,000 | 25 May 2026 | — | |
| Pharma Distributors | Medicines | INV-7712 | ₹3,20,000 | 05 May 2026 | 18 days | |
| Biorad Labs | Lab Reagents | INV-3311 | ₹68,000 | 30 May 2026 | — |
🔴 Total Overdue Vendor Dues: ₹5,04,000 · Pay immediately to avoid supply disruption
| Package | Cases (MTD) | Avg Revenue | Avg Cost | Margin | Margin% | Trend |
|---|---|---|---|---|---|---|
| Cardiac CABG | 4 | ₹4,20,000 | ₹3,10,000 | ₹1,10,000 | 26.2% | ↑ |
| Knee Arthroplasty | 7 | ₹2,80,000 | ₹2,20,000 | ₹60,000 | 21.4% | → |
| Normal Delivery | 12 | ₹65,000 | ₹58,000 | ₹7,000 | 10.8% | → |
| Appendectomy (Lap) | 9 | ₹95,000 | ₹72,000 | ₹23,000 | 24.2% | ↑ |
| Chemotherapy (per cycle) | 18 | ₹58,000 | ₹62,000 | -₹4,000 | -6.9% | ↓ Loss |
⚠️ Chemotherapy package is loss-making at current tariff. Recommend tariff renegotiation with insurers or cost review with oncology team.
GST Summary — May 2026
Pharmacy (12% GST)₹18,200
Diagnostics / Lab (Exempt)₹0
Implants / Devices (12% GST)₹14,400
Canteen / Cafeteria (5% GST)₹5,600
Total GST Payable₹38,200
Daily Close Checklist — 23 May 2026
✅ OPD billing reconciledDone
✅ IPD discharge billing clearedDone
✅ Cash deposited — ₹82,400Done
⚠️ 3 IPD bills pending patient confirmationPending
❌ Pharmacy stock reconciliationNot Done
❌ Day-end P&L summary sign-offNot Done
Daily close incomplete — 2 items pending. Complete before 11 PM.
240
Total Beds
196
Occupied
44
Available
18
Discharge-Ready
4
Blocked Beds
12
Admission Queue
🗺️ Occupancy Map
🛏️ Bed List
📋 Admission Queue
🚪 Discharge Tracker
Ward Occupancy Heatmap
🏥 ICU93%
28/30 · 2 discharge-ready
🚨 Emergency89%
16/18 · 4 blocked beds
🏠 General Ward78%
62/80 · 8 discharge-ready
🔑 Private Ward70%
42/60 · 5 discharge-ready
🤱 Maternity67%
16/24 · 3 discharge-ready
🦠 Isolation100%
6/6 — FULL · Overflow protocol active
🔴 Escalation Alerts
ICU 93% — 2 discharge-ready patients pending clearance
Isolation 100% — Next infected patient must transfer
4 emergency beds blocked >6 hours
📅 Predicted Discharges
Today (23 May): 8 patients
Tomorrow (24 May): 12 patients
25 May: 7 patients
26 May: 4 patients
📊 Overall: 82% Occupied
196 occupied / 240 total
| Bed ID | Ward | Patient | Admitted | LOS (days) | Expected DC | Status | Action |
|---|---|---|---|---|---|---|---|
| ICU-01 | ICU | Venkatesh Rao | 20 May | 3 | 25 May | 🛏 Occupied | |
| ICU-03 | ICU | Ritu Sharma | 19 May | 4 | 23 May | 🔔 DC Ready | |
| GW-14 | General Ward | Arvind Nair | 21 May | 2 | 24 May | 🛏 Occupied | |
| EM-06 | Emergency | — | — | — | — | 🚫 Blocked (cleaning) | |
| ISO-01–06 | Isolation | 6 patients | Various | 2–8 | FULL | 🚨 FULL — Overflow |
Suresh Pillai — Chest Pain · Emergency
Waiting since 10:42 AM · Referred from ER triage · Cardiology consult pending
Fatima Ansari — Elective Surgery (Hysterectomy)
Scheduled admission · 24 May 2026 · Pre-op done · OT booked 9 AM
Mohan Verma — Transfer from District Hospital
Neurology case · ETA 2:30 PM · Ambulance en-route · Pre-auth approved ₹2.4L
| Patient | Bed | Ward | DC Ready Since | Delay Reason | Bill Status | Action |
|---|---|---|---|---|---|---|
| Ritu Sharma | ICU-03 | ICU | 09:30 AM (4h ago) | Final bill pending | ⏳ Pending | |
| Deepak Singh | GW-22 | General Ward | 11:00 AM (2h ago) | Insurance confirmation pending | ⏳ TPA Hold | |
| Meena Krishnan | MAT-04 | Maternity | 12:30 PM (30 min) | Awaiting transport | ✅ Cleared | |
| Arun Kumar | PVT-08 | Private | 01:00 PM (Now) | — | ✅ Cleared |
⚠️ 2 patients discharge-ready but blocked >2 hours — ICU capacity critical. Expedite billing for Ritu Sharma and TPA escalation for Deepak Singh.
148
Registered Today
34
In Queue (OPD)
12
Walk-ins Converted
6
Avg Queue Wait (min)
18
Insurance Pre-checks
₹1.24L
Collections (OPD)
📋 OPD Queue
✍️ Registration
🛡️ Insurance Pre-check
📅 Appointments
Live OPD Queue — 23 May 2026
| Token | Patient | Doctor | Type | Wait | Status | Action |
|---|---|---|---|---|---|---|
| OPD-041 | Ramesh Kumar | Dr. Priya Nair | Consultation | Now | ▶ In Progress | |
| OPD-042 | Sunita Reddy | Dr. Anand Sharma | Follow-up | ~8 min | ⏳ Waiting | |
| OPD-043 | Priya Mehta | Dr. Priya Nair | Walk-in | ~18 min | ⏳ Waiting | |
| OPD-044 | Arvind Nair | Dr. Meena Iyer | Specialist | ~30 min | ⏳ Waiting | |
| OPD-045 | Meena Pillai | Dr. Priya Nair | Consultation | ~42 min | ⏳ Waiting |
Queue Delay Alerts
Dr. Priya Nair — wait >30 min ⚠️
Radiology queue — 12 pending
Dr. Anand Sharma — on schedule ✅
Payment Status
Paid online98 patients
Paid at counter38 patients
Payment pending12 patients
⚡ Fast OPD Registration
Document Verification Checklist
Government ID (Aadhaar / Passport)✅ Verified
ABHA Card (if available)✅ Linked
Insurance Card / Policy Copy⚠️ Pending
Referral Letter (if specialist)— N/A
Previous Prescription / Reports✅ Uploaded
Walk-in Conversion Tracker
Walk-ins today21
Converted to OPD12 (57%)
Referred out5
Left without consultation4
Insurance Eligibility Pre-check
Enter policy number to verify eligibility.
Today's Pre-check Results
| Patient | TPA | Sum Insured | Result |
|---|---|---|---|
| Ramesh Kumar | Star Health | ₹5L | ✅ Eligible |
| Priya Mehta | HDFC Ergo | ₹3L | ✅ Eligible |
| Suresh Iyer | Medi-Assist | ₹2L | ❌ Policy Lapsed |
| Fatima Ansari | Star Health | ₹7.5L | ⚠️ Waiting Period |
| Time | Patient | Doctor | Type | Channel | Insurance | Status | Action |
|---|---|---|---|---|---|---|---|
| 09:00 | Ramesh Kumar | Dr. Priya Nair | Consultation | App | Star Health ✅ | ✅ Done | |
| 10:30 | Sunita Reddy | Dr. Anand Sharma | Follow-up | Phone | Self-pay | ✅ Done | |
| 01:30 | Arvind Nair | Dr. Meena Iyer | Cardiology | RRE App | HDFC Ergo ⚠️ | ⏳ Waiting | |
| 03:00 | Meena Pillai | Dr. Priya Nair | Consultation | Walk-in | Self-pay | ⏳ Scheduled | |
| 04:30 | Deepak Singh | Dr. Anand Sharma | Post-op | App | Star Health ✅ | ⏳ Scheduled |
₹18,400
Total Due
₹2,40,000
Insurance Covered
₹18,400
Out-of-Pocket
₹4,200
Refund Pending
🧾 Invoices
💡 Cost Estimate
🔄 Refunds & Disputes
📂 Receipt History
| Bill # | Date | Description | Amount | Insurance | You Pay | Status | Action |
|---|---|---|---|---|---|---|---|
| BL-9821 | 20 May | Cardiology OPD + ECG | ₹3,200 | ₹0 | ₹3,200 | Unpaid | |
| BL-9810 | 15 May | Lab Panel (CBC, HbA1c, Lipid) | ₹4,800 | ₹3,600 | ₹1,200 | Partially Paid | |
| BL-9788 | 02 May | Echocardiography | ₹5,000 | ₹5,000 | ₹0 | Submitted to Insurer | |
| BL-9720 | 18 Apr | IPD — Cardiac Monitoring × 3 days | ₹24,000 | ₹24,000 | ₹0 | Settled | |
| BL-9700 | 10 Apr | Medicines (Pharmacy) | ₹1,840 | ₹0 | ₹0 | Settled |
⚠️ Non-payable / Exclusions
Dietary supplements and toiletries charged during IPD stay (₹840) are non-payable under your Star Health policy. These have been excluded from the insurance claim and charged to your account directly.
💡 Procedure Cost Estimator
💳 Pay-Now Options
📱 UPI (Google Pay / PhonePe)Instant
💳 Debit / Credit CardInstant
👜 Paytm / Amazon PayInstant
🔗 Pay-by-Link (SMS/WhatsApp)Share link
📆 EMI / Installment Plan0% available
Refund — BL-9720 · IPD Stay
Dietary charges ₹840 + deposit excess ₹3,360. Submitted 20 May.
Finance review · ETA 3–5 days
Request Discount / Concession
Receipt — BL-9720 · IPD April 2026
18 Apr 2026 · ₹24,000 · Settled via Insurance
Receipt — BL-9700 · Pharmacy April 2026
10 Apr 2026 · ₹1,840 · Paid via UPI
Receipt — BL-9620 · OPD March 2026
12 Mar 2026 · ₹800 · Paid via Card
2
Upcoming Visits
3
Follow-ups Due
~18 min
Est. Wait (Today)
1
Intake Pending
📋 Upcoming
🔍 Book / Reschedule
📝 Intake Form
🔔 Follow-up Nudges
Dr. Meena Iyer — Cardiology Review
📍 Apollo Annex, Chennai · Room C-04 · OPD
📅 24 May 2026, 10:30 AM
Token: OPD-089
⏱ ~18 min wait
📝 Intake form incomplete
In-Person
Star Health covered
Dr. Rajan (Ophthalmology) — Annual Eye Check
📍 Telehealth · Virtual Visit
📅 28 May 2026, 3:00 PM
🔍 Find a Slot
Available Slots — 24 May
09:30
10:00
10:30
11:00 ✗
11:30
02:00
02:30
03:00
03:30 ✗
📝 Pre-Visit Intake — Dr. Meena Iyer (24 May)
✅ ID Verified
❌ Intake pending
✅ Insurance checked
✅ Consent signed
🔴 HbA1c Test — Overdue 6 weeks
Your last HbA1c was 8.2% on 10 Mar 2026. Quarterly monitoring required for diabetes management.
🟡 Cardiology Review — Due in 2 weeks
Dr. Meena Iyer recommended a 3-month follow-up (due 07 Jun). Your upcoming appointment on 24 May fulfils this.
✅ Already booked for 24 May
🟢 Annual Eye Check — Due next month
Diabetic retinopathy screening recommended annually. Your next check is due by 30 Jun 2026.
✅ Teleconsult booked 28 May
48
Total Documents
12
Lab Reports
8
Prescriptions
6
Scans / Imaging
2
Expiry Alerts
🧪20 May 2026
HbA1c + Lipid Panel
Dr. Priya Nair · Apollo Lab
Lab ReportDiabetes
💊15 May 2026
Prescription — Cardiology
Dr. Meena Iyer · Apollo Annex
PrescriptionCardiac
📷02 May 2026
Echocardiography Report
Dr. Meena Iyer · Apollo Annex
ScanCardiac
🏥21 Apr 2026
Discharge Summary — IPD
Apollo Annex · Cardiac Monitoring
Discharge
🛡️Expires 30 Jun 2026
Insurance Policy Card
Star Health · GRP-2024-001
⚠️ Expiring 38d
+
Upload Document
📅 Upload History
20 May 2026 — HbA1c report auto-synced from Apollo Lab via ABDM
15 May 2026 — Prescription uploaded via RRE app scan
02 May 2026 — Echo report shared by Dr. Meena Iyer
1
Upcoming Today
28 May
Next Visit
6
Past Teleconsults
✅
Device Ready
📋 Upcoming
🔧 Device Check
📝 Pre-Consult
📄 Post-Call Summary
Dr. Rajan — Ophthalmology Teleconsult
📅 28 May 2026 · 3:00 PM IST · ~20 min
Consultation fee: ₹500 (prepaid)
✅ Intake submitted
✅ Payment cleared
✅ Device tested
Teleconsult
Starts in 5 days
🔧 Device Readiness Check
📷 Camera✅ Working
🎙️ Microphone✅ Working
🔊 Speaker✅ Working
📶 Internet Speed24 Mbps ✅
🖥️ BrowserChrome 124 ✅
💡 Tips for a Good Consult
• Find a quiet, well-lit space before joining
• Have your medicines and reports ready
• Test your camera and mic 5 min before
• Use headphones for better audio
• Write down questions you want to ask
• Keep your Aadhaar / policy card accessible
📝 Pre-Consult Symptom Summary
📎 Click to upload or drag file here
📄 Visit Summary — Dr. Meena Iyer · 15 May 2026
Diagnosis: Stable CAD, LV function preserved (EF 52%)
Advice: Continue current medications. Salt restriction. Walking 30 min daily.
Follow-up: 3 months (next cardiology visit due 15 Aug 2026)
📄 Visit Summary — Dr. Priya Nair · 02 Apr 2026
General review. BP 128/82. HbA1c 7.8% — improving. Metformin dose adjusted upward.
Ramesh Kumar · 42M · ABHA: 14-2345-6789-0001
🩸 Allergy: Penicillin
⚠️ Risk: Cardiac, Diabetic
💊 Active Rx: 4 drugs
📋 Care Plan: Active
HbA1c: 8.2% (20 May)
BP: 128/82 (20 May)
🤖 AI Evidence Cards
🎯 Care Gaps
⚠️ Interaction Checker
🔗 Suggested Referrals
Statin Intensification Recommended
HIGH
Confidence 94%
LDL 140 mg/dL is above the ≤70 mg/dL target for established CAD (ACC/AHA 2019 guideline). Current Atorvastatin 40mg provides ~35% LDL reduction. Intensification to 80mg or addition of Ezetimibe recommended.
Guideline: ACC/AHA 2019 Cholesterol · PMID 30586774
HbA1c Target Not Met — Add GLP-1 Agonist
MEDIUM
Confidence 88%
HbA1c 8.2% with established CAD. ADA 2024 recommends GLP-1 RA (e.g. Semaglutide) for CV risk reduction independent of glycaemic control. Dual benefit: glucose + cardioprotection.
Guideline: ADA Standards of Care 2024 · Section 10
BP Target Approaching — Continue Current Rx
LOW
Confidence 91%
BP 128/82. Target for CAD+DM is <130/80. Patient is at borderline — Metoprolol 25mg appears to be working. No dose change required at this visit.
🔴 Critical Gap
Diabetic Foot Exam — Overdue 8 months
Annual monofilament test required. Last: not documented.
🔴 Critical Gap
Retinal Screening — Overdue 14 months
Annual dilated fundus exam for diabetic retinopathy. Teleconsult booked 28 May — fulfils this gap.
🟡 Moderate Gap
Urine Microalbumin — Not tested in 6 months
Recommended every 6 months for early nephropathy detection in T2DM.
🟢 Preventive
Influenza Vaccine — Due annually
CAD + DM patients benefit from annual flu vaccination. Last: Oct 2025.
Current Medications — Interaction Analysis
Atorvastatin 40mg→Metoprolol 25mg✅ No interaction
Atorvastatin 40mg→Metformin 1g✅ No interaction
If Semaglutide added:→Metformin 1g⚠️ GI side effects — monitor
Avoid:→NSAIDs (Diclofenac, Ibuprofen)🚨 Renal risk + CV risk in CAD+DM
No critical interactions detected in current regimen. Add proposed GLP-1 with routine GI monitoring.
👁️ Ophthalmology — Diabetic Retinopathy Screening
Reason: Annual screening gap 14 months · Already booked: Dr. Rajan, 28 May
🦶 Podiatry — Diabetic Foot Assessment
Reason: Annual monofilament test overdue · Podiatry clinic at Apollo Annex
🧪 Bundle Lab Recommendation
Urine Microalbumin + Serum Creatinine + eGFR · Nephropathy monitoring
🎙️ Dictation
✍️ E-Sign & Certificates
🔬 Imaging Review
📤 Sign & Push
Voice-to-Text Transcript Editor
millimetres of mercury → mmHg
beats per minute regular → bpm regular
Suggestions
Medical Term
"milligrams per decilitre" → "mg/dL"
Coding Tip
Document CAD severity for ICD-10 I25.10 coding accuracy
Missing Element
Patient consent for statin change not documented
E-Prescription Signature
Rx — Ramesh Kumar · 24 May 2026
1. Tab Atorvastatin 80mg — 1-0-0 × 90 days
2. Tab Metformin 1g — 1-0-1 × 90 days
3. Tab Metoprolol 25mg — 1-0-0 × 90 days
4. Cap Semaglutide 0.25mg — Weekly × 4 weeks, then 0.5mg
✍️ Click to sign digitally
Medical Certificate Generator
DICOM Viewer — Echocardiography · 02 May 2026
PARA
APICAL
SUBCOST
DOPPLER
Radiology Summary: Normal cardiac dimensions. EF 52% (preserved). Grade I diastolic dysfunction. No wall motion abnormalities. No pericardial effusion.
📤 Sign & Push Actions
💊 E-Prescription → Pharmacy
🧪 Lab Orders → Apollo Lab
📂 Visit Summary → Patient Vault
🛡️ Documents → Insurer Packet
🏥 Directory
📝 Referral Note
📊 Tracking
✅ Transition Checklist
| Provider / Specialist | Speciality | Location | Cashless | Wait (days) | Quality | Action |
|---|---|---|---|---|---|---|
| Dr. Aruna Pillai | Podiatry | Apollo Annex, Chennai | ✅ Yes | 3 | ★★★★★ 94 | |
| Dr. Nirmala Rao | Nephrology | Sunrise Cardio, Bangalore | ✅ Yes | 7 | ★★★★☆ 88 | |
| Dr. Rajan | Ophthalmology | Apollo Annex (Telehealth) | ✅ Yes | 5 | ★★★★★ 96 | ✅ Booked |
| Dr. Suresh Menon | Endocrinology | Metro Hospital, Mumbai | ⚠️ Partial | 14 | ★★★★☆ 82 | |
| RRE Diagnostic Hub | Diagnostics | Chennai (3 locations) | ✅ Yes | 1 | ★★★★★ 98 |
📝 Referral Note Builder — Dr. Aruna Pillai (Podiatry)
Dear Dr. Pillai,
I am referring Mr. Ramesh Kumar (42M, ABHA: 14-2345-6789-0001) for annual diabetic foot examination including monofilament sensory testing and vascular assessment. He has established Type 2 Diabetes Mellitus (HbA1c 8.2%) and Coronary Artery Disease. Foot exam has been overdue for 8 months.
Please advise on diabetic footwear recommendation and any early neuropathy findings.
Yours sincerely,
Dr. Meena Iyer, MD · Apollo Annex · 24 May 2026
| Patient | Referred To | Speciality | Referred On | Appointment | Status | Acknowledgement |
|---|---|---|---|---|---|---|
| Ramesh Kumar | Dr. Rajan | Ophthalmology | 20 May | 28 May — booked | ✅ Confirmed | Received |
| Sunita Reddy | Dr. Nirmala Rao | Nephrology | 15 May | Pending scheduling | ⏳ Awaiting | Pending |
| Arvind Nair | Apollo Lab | Diagnostics | 10 May | 12 May — completed | ✅ Done | Report received |
Care-Transition Readiness Checklist
✅ Referral note generated and signedDone
✅ Patient informed of referral and reasonDone
✅ Relevant investigations sharedDone
⚠️ Appointment booked with specialistPending
❌ Insurance cashless authorisation checkedNot done
✅ Follow-up reminder set in RRE care planDone
142
Active Vendors
₹18.4L
Open POs
7
Contracts Expiring ≤30d
12
Stockout Risk Items
🏭 Vendor Master
📋 RFQ / Quotations
📦 Purchase Orders
✅ Invoice–GRN Match
⚠️ Alerts & Approvals
| Vendor | Category | Rating | Lead Time | Contract Valid | YTD Spend | Status | Action |
|---|---|---|---|---|---|---|---|
| MedLine Pharma | Medical | ⭐ 4.7 | 3 days | 31 Dec 2026 | ₹4.2L | Active | |
| LabTech Reagents | Lab | ⭐ 4.4 | 5 days | 18 Jun 2026 | ₹2.8L | Expiring | |
| CleanServ Solutions | Maintenance | ⭐ 3.9 | 1 day | 30 Sep 2026 | ₹1.1L | Active | |
| HospitalityPlus | Amenities | ⭐ 4.1 | 2 days | 15 Jul 2026 | ₹0.8L | Review | |
| BioScan Imaging | Outsourced | ⭐ 4.8 | Same day | 28 Feb 2027 | ₹5.6L | Active |
Open RFQs
Surgical Gloves — 10,000 units
RFQ #442 · Deadline: 28 May · 4 quotes received
ECG Machine — 2 units
RFQ #441 · Deadline: 02 Jun · 2 quotes received
HbA1c Reagent Kit — 500 packs
RFQ #440 · Deadline: 30 May · 6 quotes received
Quotation Comparison — RFQ #442
| Vendor | Unit Price | Delivery | Score |
|---|---|---|---|
| MedLine Pharma ★ | ₹2.40 | 3d | 92 |
| GloveMed | ₹2.20 | 7d | 78 |
| SafeTouch | ₹2.60 | 2d | 85 |
| GenericSupply | ₹1.90 | 10d | 61 |
| PO # | Vendor | Item | Value | Order Date | Expected | Status | Action |
|---|---|---|---|---|---|---|---|
| PO-2241 | MedLine Pharma | Surgical Gloves 10K | ₹24,000 | 22 May | 25 May | In Transit | |
| PO-2240 | LabTech Reagents | HbA1c Kit ×200 | ₹86,000 | 20 May | 26 May | Delivered | |
| PO-2238 | CleanServ | Housekeeping – May | ₹42,000 | 01 May | 31 May | Pending Approval | |
| PO-2237 | BioScan Imaging | MRI Service – Apr | ₹1,80,000 | 02 Apr | 30 Apr | Closed |
PO-2240 · LabTech HbA1c Kit ×200
Invoice #LT-8821 · ₹86,000 · GRN Matched ✓
PO-2235 · MedLine — IV Cannula ×2000
Invoice ₹18,400 vs GRN ₹16,200 — Mismatch ₹2,200
PO-2238 · CleanServ — May Service
GRN pending — service completion certificate awaited
⚠️ Stockout Risk — Oxygen Concentrators
Current stock: 2 units. Average daily usage: 1.4 units. Days cover: 1.4 days. Reorder point was 5 units.
🔔 Contract Expiry — LabTech Reagents (25 days)
Contract #C-1182 expires 18 Jun 2026. Renewal requires HOD sign-off and Finance approval. Start renewal process now to avoid supply gap.
🔐 Pending Approvals
PO-2238 · CleanServ ₹42,000
PO-2242 · HospitalityPlus ₹12,000
8,420
Active Patients
1,840
Lapsed (>90d)
₹12,400
Avg Lifetime Value
68%
Branch Retention Rate
📢 Campaigns
🎯 Segments
📊 Funnel Analytics
👨⚕️ Doctor Effectiveness
Lapsed Patient Re-activation — Summer 2026
WhatsApp + SMS · Segment: No visit in 90+ days · 1,840 recipients
Sent 1,840
Delivered 1,712
Clicked 428
Booked 184
Visited 142
Billed ₹3.4L
Diabetes Annual Check-Up Nudge
Call + WhatsApp · Chronic: Diabetes T2 · 620 recipients
Monsoon Vaccination Drive — Child (0–5 yrs)
SMS · Segment: Paediatric patients due for vaccine · 380 recipients
Campaign Composer
Audience Segment Builder
Saved Segments
Lapsed >90d1,840 pts
Diabetic, no HbA1c in 6m620 pts
Paed vaccine due380 pts
Birthday this month214 pts
High-value, inactive 60d88 pts
Conversion Funnel — Lapsed Re-activation
Sent
Delivered
Clicked
Booked
Visited
Billed
₹12,400
Patient Lifetime Value
68%
Branch Retention
₹2,394
Revenue / Campaign
| Doctor | Speciality | Campaigns | Patients Reached | Bookings | Conversion | Revenue |
|---|---|---|---|---|---|---|
| Dr. Ramesh Kumar | Cardiology | 4 | 840 | 112 | 13.3% | ₹1.4L |
| Dr. Priya Sundarajan | Nephrology | 3 | 420 | 68 | 16.2% | ₹0.9L |
| Dr. Anand Venkatesh | Ophthalmology | 2 | 280 | 24 | 8.6% | ₹0.3L |
| Dr. Meera Nair | Paediatrics | 5 | 380 | 92 | 24.2% | ₹0.6L |
4
Active Branches
₹4.2Cr
Monthly Collections
2
Risk Branches
91%
Avg Claims Recovery
Apollo Annex — Chennai
Top Performer94%
Occupancy
₹1.8Cr
Collections
96%
Claims Recovery
Sunrise Cardio — Bangalore
Stable81%
Occupancy
₹1.1Cr
Collections
91%
Claims Recovery
Metro Hospital — Mumbai
At Risk62%
Occupancy
₹0.8Cr
Collections
78%
Claims Recovery
KMC Hospital — Hyderabad
Watch74%
Occupancy
₹0.5Cr
Collections
86%
Claims Recovery
Cross-Branch Staffing Stress
Chennai94%
Bangalore78%
Mumbai61%
Hyderabad82%
Enterprise Alerts
CRITICAL Mumbai collections down 18% MoM
WARN Chennai ICU at 97% — escalate
WARN Hyderabad claims aging >45d
INFO Bangalore NABH audit scheduled
18
Active Roles
284
Users Assigned
3
Pending Access Requests
12
Audit Events Today
📋 Role Matrix
👤 User Assignment
📂 Audit Trail
🔔 Access Requests
| Module / Action | Super Admin | Finance | Doctor | Nurse | Front Desk | Read-Only |
|---|---|---|---|---|---|---|
| Patient Records | ||||||
| View Records | ✅ | ✅ | ✅ | ✅ | ✅ | ✅ |
| Edit Records | ✅ | ⬜ | ✅ | ✅ | ⬜ | ⬜ |
| Delete Records | ✅ | ⬜ | ⬜ | ⬜ | ⬜ | ⬜ |
| Finance & Billing | ||||||
| View Financials | ✅ | ✅ | ⬜ | ⬜ | ✅ | ⬜ |
| Approve Refunds | ✅ | ✅ | ⬜ | ⬜ | ⬜ | ⬜ |
| Export Financial Data | ✅ | ✅ | ⬜ | ⬜ | ⬜ | ⬜ |
| System & RBAC | ||||||
| Manage Roles | ✅ | ⬜ | ⬜ | ⬜ | ⬜ | ⬜ |
| Emergency Override | ✅ | ⬜ | ⚡ Med | ⬜ | ⬜ | ⬜ |
Scope Controls
User–Role Assignment
Ravi Kumar (Admin)
Dr. Priya (Doctor)
Meena S (Billing)
Requires Checker approval before taking effect
Pending Checker Approvals
Sanjay V → Finance role added
Requested by Ravi Kumar · 22 May 9:12 AM
Lakshmi R → Export rights added
Requested by Admin · 21 May 4:42 PM
23 May · 11:42 AM[DELETE]Ravi Kumar deleted patient record #P-8821
23 May · 10:18 AM[ROLE CHANGE]Sanjay V role changed to Finance (pending checker)
23 May · 09:05 AM[LOGIN]Dr. Priya Sundarajan logged in from 182.x.x.x
22 May · 06:21 PM[EXPORT]Meena S exported billing data for April 2026
22 May · 03:10 PM[OVERRIDE]Dr. Ramesh used emergency override for ICU access
Preethi K — Request: Lab Export Rights
Justification: Need to share lab TAT data with auditors quarterly.
Arjun R — Request: Finance Module View
Justification: Department head needs visibility into cost reports.
24
Refund Requests
18
Discount Requests
6
Write-off Pending
₹4.8L
Total Exception Value
🔄 Refund Queue
🏷️ Discount Requests
📝 Write-offs
⚠️ Escalation Matrix
| Ref # | Patient | Reason | Amount | Requested | SLA | Approver | Action |
|---|---|---|---|---|---|---|---|
| RF-0441 | Arjun Mehta | Duplicate charge | ₹3,200 | 20 May | ⏰ 1d left | Finance | |
| RF-0440 | Sunita Rao | Insurance settled extra | ₹8,400 | 19 May | ⏰ 3d left | Finance + Admin | |
| RF-0438 | Kavitha Nair | Deposit refund | ₹5,000 | 17 May | ✅ 5d left | Finance | |
| RF-0435 | Mohan Das | Billing error | ₹18,000 | 14 May | 🚨 Overdue | Finance + MD |
DC-0221 · Priya S — Financial Hardship
Bill BL-9821 ₹3,200 · Requested 15% discount (₹480)
DC-0220 · Rajan K — Senior Citizen + HH
Bill BL-9810 ₹1,200 · 20% requested · Physician note attached
WO-0041 · BL-8900 · ₹14,000 · Deceased Patient
Family unable to pay. Death certificate attached. Requires Finance + MD approval chain.
WO-0040 · BL-8720 · ₹6,200 · BPL Card Holder
BPL ration card attached. Social worker note included. Standard approval threshold: ≤₹10,000.
Approval Threshold & Escalation Matrix
| Amount Range | Approver L1 | Approver L2 | SLA |
|---|---|---|---|
| ≤ ₹5,000 | Finance Officer | — | 48 hrs |
| ₹5,001 – ₹20,000 | Finance Officer | Admin Head | 5 days |
| ₹20,001 – ₹1,00,000 | Finance Head | MD / CEO | 7 days |
| > ₹1,00,000 | Finance Head + MD | Board Approval | 14 days |
₹2.4L
GST Payable (May)
₹18.2L
Insurer Receivables
₹4.6L
Patient Receivables
7
Recon Exceptions
🧾 GST & Tax
📅 Receivable Aging
🔄 Reconciliation
📝 Adjustment Ledger
✅ Settlement Match
GST Summary — May 2026
| Taxable Revenue | ₹24.0L |
| GST Collected (18%) | ₹4.32L |
| Input Tax Credit | −₹1.92L |
| Net GST Payable | ₹2.40L |
Tax Group Breakdown
OPD Consultations (Exempt)₹0
Pharmacy (12% GST)₹1.4L
Diagnostics (18% GST)₹2.2L
Room Rent (Exempt)₹0
Miscellaneous (18%)₹0.72L
Insurer Receivable Aging
| Insurer | 0–30d | 31–60d | >60d |
|---|---|---|---|
| Star Health | ₹4.2L | ₹1.8L | ₹0.6L |
| HDFC Ergo | ₹3.1L | ₹2.4L | ₹1.2L |
| New India | ₹1.8L | ₹0.8L | ₹2.3L |
| Total | ₹9.1L | ₹5.0L | ₹4.1L |
Patient Receivable Aging
| Bucket | Count | Amount | Action |
|---|---|---|---|
| 0–30 days | 42 | ₹1.8L | |
| 31–60 days | 18 | ₹1.4L | |
| >60 days | 8 | ₹1.4L |
❌ Mismatch — Star Health Settlement #SH-2841
Hospital raised: ₹2,40,000 · TPA settled: ₹2,18,000 · Difference: ₹22,000
⚠️ Payment Flag — HDFC Ergo Claim #HE-4421
Payment received from wrong bank account. Manual rerouting required before closing.
✅ Matched — New India Settlement #NIA-1190 · ₹1,80,000
All 12 claims matched. Receipt acknowledged. Ledger updated.
| Date | Type | Reference | Amount | Reason | Approved By |
|---|---|---|---|---|---|
| 22 May | Write-off | BL-8900 | −₹14,000 | Deceased patient | MD |
| 21 May | Discount | BL-9821 | −₹480 | Financial hardship | Finance Officer |
| 20 May | Refund | BL-9720 | +₹4,200 | Deposit excess | Finance Officer |
| 18 May | Reversal | BL-9788 | −₹2,200 | GRN mismatch credit | Admin Head |
Settlement Matching — May 2026
| Settlement ID | Insurer | Claims | Expected | Received | Status |
|---|---|---|---|---|---|
| SH-2841 | Star Health | 24 | ₹2,40,000 | ₹2,18,000 | Dispute |
| NIA-1190 | New India | 12 | ₹1,80,000 | ₹1,80,000 | Matched |
| HE-4421 | HDFC Ergo | 18 | ₹1,44,000 | ₹1,44,000 | Flag |
142
Open Denials
38
Appeals In Progress
64%
Overturn Rate
₹42L
Value at Risk
📋 Denial Queue
⚖️ Appeal Tracker
🔍 Evidence Review
📊 Root Cause
| Claim # | Hospital | Reason Code | Amount | Denial Date | Priority | Action |
|---|---|---|---|---|---|---|
| CL-88421 | Apollo Annex | D12 – Missing Discharge Summary | ₹2,40,000 | 20 May | High | |
| CL-88318 | Metro Hospital | D08 – Coding Mismatch (ICD) | ₹84,000 | 18 May | Medium | |
| CL-88204 | Sunrise Cardio | D21 – Pre-auth Not Obtained | ₹1,20,000 | 15 May | High | |
| CL-88100 | Apollo Annex | D05 – Policy Exclusion | ₹18,000 | 10 May | Low |
🚨 Escalated Denial Bucket — 6 Claims
6 denials have exceeded appeal deadline and require urgent review. Combined value: ₹8.4L. Assign reviewers immediately.
Appeal — CL-88421 · Apollo Annex
₹2,40,000 · Missing Discharge Summary
📅 Appeal filed: 21 May·⏰ Deadline: 04 Jun·Day 2 of 14
Hospital Response Composer
Appeal — CL-88204 · Sunrise Cardio (Pre-auth)
₹1,20,000 · Medical necessity evidence submitted
🔍 Anomaly / TPA Grounds
Discharge summary not uploaded within 72h of discharge (policy clause 4.3)
ICD-10 code I25.1 used — requires additional catheterisation report
Pre-auth reference number missing from final claim submission
🏥 Hospital Proof / Counter-evidence
Discharge summary uploaded on Day 3 due to ICU delay — supporting nursing notes attached
Catheterisation report (dated 15 May) attached — confirms I25.1 coding accuracy
Pre-auth PA-88421 was verbally approved — call recording log submitted
Final Disposition
Top Denial Reasons
Missing Documents42%
Coding Error28%
Pre-auth Missing18%
Policy Exclusion12%
By Provider / Speciality
| Hospital | Denials | Value | Overturn% |
|---|---|---|---|
| Apollo Annex | 68 | ₹22L | 71% |
| Metro Hospital | 42 | ₹12L | 48% |
| Sunrise Cardio | 32 | ₹8L | 62% |
84
Active Rules
3
Conflicts Detected
6
Pending Activation
v4.2
Current Version
📋 Rule Cards
🧪 Sandbox Tester
⚠️ Conflicts
✅ Approval Queue
R-041 — Cataract Sub-limit
ActiveSub-limit ₹40,000 per eye per policy year. Applies to all Comprehensive plans. Exclusions: complications above SI.
R-038 — 20% Co-pay >60 yrs
Active20% co-pay for all OPD claims when insured age > 60. IPD exempt if pre-auth obtained.
R-055 — Pre-auth Threshold ₹25K
PendingPre-auth required for any planned procedure > ₹25,000. Emergency bypass allowed with 24h retrospective auth.
R-060 — Cosmetic Exclusion
ConflictExcludes all cosmetic procedures. Conflicts with R-058 (reconstructive surgery after accident).
🧪 Sample Claim Input
📊 Rule Result Output
Run the engine to see rule-by-rule output here
❌ Conflict: R-060 vs R-058
R-060 excludes all cosmetic procedures. R-058 approves reconstructive surgery post-accident. Overlap for post-burn facial reconstruction claims.
⚠️ Potential Conflict: R-041 & R-044
Both sub-limits may apply simultaneously for diabetic cataract surgery. Stacking could under-pay the claim.
R-055 — Pre-auth Threshold ₹25K
Submitted by Underwriting team · 22 May
R-061 — OPD document checklist v2
Submitted by Ops team · 20 May
248
Claims in Batch
₹1.84Cr
Settlement Value
12
Exception Rows
Maker Review
Current Stage
📤 Upload & Validate
📋 Settlement Preview
❌ Exceptions
✅ Execute & Remittance
📂
Drop batch settlement file here
Supports .xlsx, .csv, .txt — max 50MB
Last Upload — SH-MAY2026.xlsx
248
Total Rows
236
Valid
12
Exceptions
₹1.84Cr
Total Settlement
236
Claims Approved
12
Held Back
₹14.2L
Value Held
| Claim # | Hospital | Patient | Procedure | Approved Amt | Status |
|---|---|---|---|---|---|
| CL-88500 | Apollo Annex | Rajan K | CABG | ₹2,40,000 | Approved |
| CL-88498 | Sunrise | Meena S | Knee Replacement | ₹1,80,000 | Approved |
| CL-88421 | Apollo Annex | Arjun M | Cataract | Held | Exception |
| CL-88412 | Metro | Deepa R | Appendectomy | ₹42,000 | Approved |
CL-88421 — Missing Discharge Summary
Apollo Annex · ₹2,40,000 · Document upload failed validation
CL-88388 — Amount Mismatch (₹18,000 vs ₹22,000)
Metro Hospital · Batch amount doesn't match submitted claim value
Maker–Checker Approval
Maker Review (Finance Officer)✅ Done
Checker Approval (Finance Head)⏳ Pending
Remittance Generation
Generate hospital-wise remittance advice PDF/NEFT advice after execution.
384
In Pipeline
42
SLA Breaching
68
Awaiting Provider
4h 12m
Avg TAT Today
🔄 Live Pipeline
👥 Queue Load
📋 Claim Timeline
📊 TAT Analytics
Submitted
124
Awaiting triage
Medical Review
86
Under clinical review
Provider Query
68
Waiting on hospital
Commercial Review
64
Finance verification
Ready to Settle
42
Awaiting disbursement
SLA Countdown — Breaching Claims
| Claim # | Stage | Hospital | Delay Reason | SLA Status | Action |
|---|---|---|---|---|---|
| CL-88204 | Provider Query | Sunrise | Hospital non-responsive | 🚨 Overdue 2d | |
| CL-88318 | Medical Review | Metro | Reviewer backlog | ⚠️ 4h left | |
| CL-88100 | Commercial Review | Apollo | Finance query pending | ⚠️ 6h left |
Medical Review Team Load
Dr. Sonia88% (22)
Dr. Rao64% (16)
Dr. Anitha48% (12)
Commercial Review Team
Lakshmi V72% (18)
Rajan S56% (14)
Preethi K52% (13)
Event Timeline — CL-88421
20 May 09:12 — Claim Submitted
Apollo Annex · Dr. Ramesh · CL-88421 received via portal
20 May 11:44 — Triage Complete
Assigned to Medical Review — Dr. Sonia
20 May 14:30 — Provider Query Raised
Discharge summary requested from Apollo Annex
23 May 09:00 — SLA Breach Warning
Hospital response overdue by 2 days — escalated
TAT by Stage (Avg Hours)
Triage1.8h
Medical Review4.8h
Provider Query7.8h
Commercial3.0h
End-to-End17.4h
This Week vs Last Week
Avg TAT17.4h vs 21.2h
Claims Settled284 vs 248
SLA Breaches42 vs 38
Provider Query TAT7.8h vs 6.2h ↑
4
Dependents
3
Active Caregivers
2
Pending Consents
1
Emergency Override Active
👥 Dependents
🔐 Caregiver Permissions
⏳ Consent History
🚨 Emergency Access
| Name | Relation | Age | ABHA ID | Access Level | Status | Action |
|---|---|---|---|---|---|---|
| Priya Anand | Spouse | 52 | 14-2841-7791-8820 | Full Access | Active | |
| Kavitha Anand | Mother | 68 | 14-1122-8841-9900 | View + Book | Active | |
| Arun Anand | Son | 14 | Pending ABHA | 🔒 Minor — Guardian Only | Active | |
| Meera Anand | Daughter | 8 | Not enrolled | 🔒 Minor — Restricted | Enrol Pending |
ℹ️ ABHA Linking: All ABHA-linked members share ABDM-consented records per PHR app settings. Minors under 15 require guardian authorisation for all health data access.
| Caregiver | View Records | Book Appt | Pay Bills | Download Docs | Emergency | Valid Till | Action |
|---|---|---|---|---|---|---|---|
| Rajan Anand (Brother) | ✅ | ✅ | ✅ | ✅ | ✅ | 31 Dec 2026 | |
| Nurse Lakshmi (Apollo) | ✅ | ⬜ | ⬜ | ✅ | ⚡ Med | 30 Jun 2026 | |
| Dr. Priya Sundarajan | ✅ | ⬜ | ⬜ | ✅ | ✅ | Active · Care team |
23 May 2026[CONSENT]ABHA consent renewed for Apollo Annex — ABDM PHR app authorisedActive
20 May 2026[SHARE]Discharge summary shared with Dr. Priya Sundarajan · KMC Hospital · via ABDMGranted
14 May 2026[OVERRIDE]Emergency access activated by Rajan Anand · ICU admission · Duration: 48h · Audit reference: EMG-0441Logged
10 May 2026[RENEW]Caregiver access renewed for Rajan Anand — extended till 31 Dec 2026Renewed
02 May 2026[REVOKE]Document sharing revoked from former employer health desk — expired policyRevoked
🚨 Current Emergency Override — ACTIVE
Activated by: Rajan Anand (Brother)
Reference: EMG-0441
Reason: ICU admission — CABG procedure
Access scope: All medical records + discharge decisions
Activated: 14 May 2026 · 11:42 AM
Auto-expires: 28 May 2026 (extended by patient consent)
Emergency Override Log
| Date | By | Duration | Status |
|---|---|---|---|
| 14 May 26 | Rajan Anand | 48h→extended | Active |
| 18 Apr 25 | Priya Anand | 72h | Expired |
| 02 Jan 25 | Rajan Anand | 24h | Revoked early |
CABG Recovery
Active Episode
8/12
Milestones Done
2
Overdue Steps
28 May
Next Follow-up
📍 Journey Map
📋 Prep & Instructions
🧑🤝🧑 Caregiver Tasks
🚨 Red Flags & Next Step
🏠 Pre-Hospital Phase — Self-Care & Home Remedies
Symptom Onset — Mild Sore Throat
Day 1 (Self-care) · Warm saline gargling 3×/day · Rest · Ginger-tulsi tea
🌿 Home remedy · No medication
Day 1
Siddha Home Remedy + Spiritual Practice
Day 2 · Thippili Rasayanam, Karpooravalli juice · Pranayama 20 min · Prayer
🌿 Siddha + 🕉️ Spiritual
Day 2
Pharmacy OTC — Partial Relief
Day 3 · Paracetamol 500mg (pharmacist suggestion) · Lozenges · Still symptomatic
💊 OTC Allopathy · No prescription
Day 3
↓ Symptoms persisted — decided to seek formal care
Registration & Pre-consultation
Apollo Annex · 01 May 2026 · Completed
OPD Registration · ABHA linked · Insurance pre-verification done
01 May
Diagnostics — Cardiac Workup
03–05 May 2026 · Completed
ECG, Echo, Cath Lab, Trop-I, CBC, RFT · Results reviewed by Dr. Ramesh
03 May
Pre-auth Approved — Star Health #PA-88421
07 May 2026 · ₹2,40,000 sanctioned · Approved
07 May
Procedure — CABG (Coronary Artery Bypass)
09 May 2026 · OT-1 · Dr. Ramesh Kumar · Successful
09 May
ICU Stay (3 days) → General Ward (4 days)
09–16 May 2026 · Discharged 16 May
09–16 May
Claim Submission
⏳ In Progress · Submitted 17 May · Star Health review pending · 3 docs awaited
17 May
Insurance Settlement
📅 Upcoming · Expected by 15 Jun 2026
Est. 15 Jun
Follow-up OPD — Cardiology ⚠️ Overdue
Due 21 May — Missed · Rebook now
21 May
Cardiac Rehabilitation (6-week programme)
📅 Starts post follow-up · Apollo Rehab Centre
Jun 2026
Post-CABG Recovery Checklist
Diet & Activity Restrictions
🚫 No heavy lifting or strenuous activity for 6 weeks
🚫 Avoid driving for 4 weeks post-op
⚠️ Salt intake <2g/day · No fried food
⚠️ Walking: 10 min/day Week 1 → increase gradually
✅ Stairs allowed after Day 10 (slowly)
Pick up medications — Metoprolol + Aspirin refill
Assigned: Rajan Anand · Due: 26 May
Pending
Accompany follow-up OPD — Apollo Annex Cardiology
Assigned: Priya Anand (Spouse) · Due: 28 May · ⚠️ Not booked yet
Overdue
Monitor BP — twice daily and log readings
Assigned: Priya Anand · Due: Daily · Today: Morning ✅ Evening ⏳
In Progress
Upload wound photo to patient vault
Assigned: Nurse Lakshmi · Due: 24 May · Weekly documentation
Scheduled
🚨 Report a Red Flag Symptom
⚠️ Chest pain or chest tightness
⚠️ Fever above 101°F / 38.3°C
⚠️ Wound redness, discharge or swelling
⚠️ Breathlessness at rest
⚠️ Swollen ankles or sudden weight gain
⚠️ Dizziness or fainting
🔮 Expected Next Steps
Immediate: Book overdue follow-up
Dr. Ramesh Kumar · Apollo Annex Cardiology · Book within 3 days
Next: Claim settlement (Est. 15 Jun)
Star Health · 3 documents pending upload · ₹2,40,000 expected
Then: Cardiac Rehab (6-week programme)
Apollo Rehab · Starts after follow-up clearance
3
Open Tickets
2
SLA Breaching
3.2d
Avg Resolution
4.2★
Satisfaction Score
📋 My Tickets
💬 Conversation
⭐ Resolved & Feedback
➕ New Request
| Ticket # | Type | Status | SLA | Dept | Action |
|---|---|---|---|---|---|
| SR-0441 | Billing Clarification | In Progress | ⏰ 1d left | Finance | |
| SR-0438 | Refund Delay | Escalated | 🚨 Overdue 2d | Finance + Admin | |
| SR-0430 | Records Request | Resolved | ✅ Done | Medical Records |
SR-0441 — Billing Clarification
Bill #: BL-9821
Dept: Finance
Created: 20 May 2026
Assigned: Meena S
In Progress — response expected by 24 May
You · 20 May 10:12
The ECG charge of ₹350 appears twice on my bill BL-9821. Can you please clarify?Meena S · Finance · 20 May 14:30
Thank you for reaching out. We are reviewing your bill. The duplicate charge appears to be a system error. We will issue a reversal within 48 hours.You · 22 May 09:00
It is now Day 3 and the reversal has not been processed. Please escalate.System: SLA breach — escalated to Finance Manager · 23 May 08:00
SR-0430 — Medical Records Request
Resolved 20 May · 2 days · Medical Records Dept
Rate your experience:
⭐⭐⭐⭐⭐
You rated 5/5 — "Fast and professional response"
SR-0422 — Appointment Reschedule Issue
Resolved 15 May · 1 day · Appointments Dept
⭐⭐⭐⭐☆"Good, but wait time was long"
New Service Request
87%
7-Day Adherence
3
Doses Missed This Week
2
Refills Due
27 May
Next Home-Care Visit
💊 Allopathy Meds
🌿 Integrative Care
📈 Adherence Trend
🏥 Home Care Tasks
📞 Provider Escalation
Aspirin 75mg
Morning · After breakfast · Lifelong
Last taken: Today 08:12 · Refill in 2 days
Atorvastatin 40mg
Night · After dinner
Last taken: Yesterday 21:40 · Refill in 5 days
Metoprolol 25mg
Morning + Evening · With meals
⚠️ Missed 2 evening doses this week
Clopidogrel 75mg
Morning · Do not skip — critical post-CABG
🔴 3 missed doses · Critical — alert sent to Dr. Ramesh
🌿 Siddha Remedies — Active
Thippili Rasayanam
5g twice daily · After meals · For throat & respiratory
Adherence: 88% · Prescribed by: Siddha Vaidyar Dr. Murugan
Karpooravalli Juice
30ml morning · Omavalli / Karpooravalli leaf extract
Adherence: 72% · Home-prepared · Log daily
Sirunangai Chooranam
3g with honey · At bedtime · Anti-inflammatory
Adherence: 95% · From Siddha pharmacy
Steam Inhalation (Eucalyptus)
Twice daily · 10 min each · For nasal congestion
Adherence: 80% · Self-administered
🕉️ Spiritual & Mind-Body Practices
Pranayama — Anulom Vilom
20 min · Morning · Breath regulation + respiratory support
Guided by: Yoga Therapist / Self
✅ Today done
Temple Prayer / Meditation
30 min evening · Murugan temple or home shrine
Personal spiritual practice · Stress reduction
⏳ Pending today
Vibhuti / Theertham
Sacred ash on forehead · Morning ritual · Faith-based healing
✅ Done
Healing Prayer Circle
Weekly Sunday · Community prayer for healing · Positive affirmations
Next: Sunday 26 May
⚕️ Multi-Stream Care Coordination Note
Allopathy (Dr. Ramesh Kumar) is aware of concurrent Siddha treatment. No drug-herb interactions identified. Siddha practitioner Dr. Murugan coordinates with allopathy on dosing schedules. Spiritual practices are patient-directed and complement clinical care.
Weekly Adherence — Past 4 Weeks
Week 1
Week 2
Week 3
Week 4
⚠️ Adherence trending down. Clopidogrel and Metoprolol are the main contributors. Caregiver Rajan has been notified. Alert to Dr. Ramesh will trigger if adherence drops below 80% for 3 consecutive days.
BP Reading — Morning
Done at 07:30 · 138/86 mmHg · Nurse Lakshmi logged
BP Reading — Evening
Due by 7:00 PM · Log reading for Dr. Ramesh
Pending
Wound Dressing Change
Done at 10:00 · Site: Sternal wound · Clean, no discharge
Physio Exercises — 10 min walk
Due by 6:00 PM · Week 2 protocol
Pending
Diet Log — Breakfast
Low-salt oats, banana, curd · DASH compliant ✅
Escalation Rules
Adherence <80% for 3 days → Alert to Dr. Ramesh Kumar
Clopidogrel missed 2+ days → Alert to cardiologist immediately
BP >160/100 → Notify Rajan Anand (caregiver)
2+ home tasks missed → Reminder to caregiver via WhatsApp
Last Alert: Clopidogrel missed alert sent to Dr. Ramesh · 22 May 2:15 PM
Outcome Trend — BP (Last 7 readings)
17 May152/94
18 May148/92
19 May144/90
21 May142/88
22 May138/86
📈 BP improving — on track with medication when adherent
3
Active Conferences
8
Pending Decisions
12
Actions Closed
5
Specialists Engaged
🔴 Active Cases
📅 Schedule
✅ Decisions & Actions
📂 History
Rajesh Kumar — CABG Post-Op Complication
MRN: 10042 · ICU Bed 4 · Day 3 post-surgery
🔴 CRITICAL
Dr. Venkat (Cardio)
Dr. Priya (Pulmo)
Dr. Sharma (Nephro)
Next conf: Today 3pm
Open Decision Points:
⚠ Adjust anticoagulation protocol — awaiting Nephro input
⚠ Ventilator weaning timeline — Pulmo to confirm
✓ Family consent for dialysis — obtained
Meena Subramaniam — Complex Diabetes + CKD
MRN: 10078 · Ward B · Day 5
🟡 HIGH
Dr. Anand (Endo)
Dr. Sharma (Nephro)
Next conf: Tomorrow 10am
| Patient | Topic | Date/Time | Specialists | Mode | Action |
|---|---|---|---|---|---|
| Rajesh Kumar | Post-CABG Complication Review | Today, 3:00pm | Cardio, Pulmo, Nephro | Video | |
| Meena Subramaniam | Discharge Planning | Tomorrow, 10:00am | Endo, Nephro | Video | |
| Karthik Arumugam | Oncology MDT | 25 May, 2:00pm | Onco, Surg, Radio | In-person |
Rajesh Kumar — Anticoagulation Protocol
Pending
Owner: Dr. Sharma (Nephro) · Due: Today 5pm
Adjust Heparin dose to 15 IU/kg/hr based on creatinine 3.2 mg/dL. Reassess in 6h.
Rajesh Kumar — Ventilator Weaning
Resolved
Owner: Dr. Priya (Pulmo) · Resolved: 22 May 4pm
Begin spontaneous breathing trials from Day 4 onwards if SpO₂ ≥ 95% on FiO₂ 40%.
| Patient | Conference | Date | Attendees | Decisions | Action |
|---|---|---|---|---|---|
| Rajesh Kumar | ICU Round #1 | 20 May | 4 specialists | 3 decisions | |
| Lakshmi Devi | Discharge MDT | 18 May | 3 specialists | 5 decisions | |
| Arjun Pillai | Oncology MDT | 15 May | 5 specialists | 7 decisions |
4
OT Cleared Today
2
Pending Clearance
1
Blocked (Risk)
6
Scheduled Surgeries
📋 Pre-Op Checklist
🗓️ OT Schedule
⚠️ Risk Flags
🔧 Equipment & Blood
Rajesh Kumar — CABG (Elective)
MRN: 10042 · OT 2 · 24 May 8:00am · Surgeon: Dr. Venkat
✅ Pre-op labs complete
✅ Anaesthesia assessment done
✅ Consent signed (patient + kin)
✅ NPO status confirmed (8h)
⏳ Blood cross-match pending
⏳ Implant (heart-lung bypass) on order
❌ Pre-auth approval (₹3.2L)
Priya Ramachandran — Appendicectomy (Emergency)
MRN: 10091 · OT 1 · Today 6:00pm · Surgeon: Dr. Balaji
✅ Emergency labs done
✅ Anaesthesia ready
✅ Emergency consent signed
✅ OT sterilised
| OT | Patient | Procedure | Start | Duration | Surgeon | Status |
|---|---|---|---|---|---|---|
| OT 1 | Priya R. | Appendicectomy | 6:00pm | 1.5h | Dr. Balaji | Cleared |
| OT 2 | Rajesh K. | CABG | 8:00am (24 May) | 5h | Dr. Venkat | Pending |
| OT 3 | Meena S. | AV Fistula | 11:00am (25 May) | 2h | Dr. Rajan | Scheduled |
| OT 1 | Karthik A. | Colectomy | 9:00am (26 May) | 4h | Dr. Balaji | Planned |
🔴 Rajesh Kumar — Anaesthetic Risk: HIGH
ASA Class III · EF 35% · Creatinine 3.2 mg/dL · Age 67
⚠ Cardiac risk: EuroSCORE II = 8.4% (elevated)
⚠ Renal risk: Pre-operative AKI risk HIGH — may need intra-op dialysis support
⚠ Ventilation risk: COPD Gold II — difficult extubation expected
🩸 Blood Bank Requirements
| Patient | Type | Units Needed | Cross-match | Status |
|---|---|---|---|---|
| Rajesh Kumar | O+ve | 4 units PRBC | ⏳ Pending | |
| Priya Ramachandran | B+ve | 2 units PRBC | ✅ Done | Ready |
🔧 Equipment Checklist
| Item | Patient | Status | Action |
|---|---|---|---|
| Heart-Lung Bypass Machine | Rajesh Kumar | On Order | |
| Laparoscopic Tower | Priya Ramachandran | Ready | — |
| Sterile Drapes Set | Meena Subramaniam | Ready | — |
7
Awaiting Coding
94%
Coding Accuracy
2
Query Raised
₹8.4L
Revenue Captured
⏳ Pending
❓ Coder Queries
✅ Completed
💡 Capture Opportunities
Rajesh Kumar — CABG + Post-op complications
MRN: 10042 · Discharge: 22 May · Coder: Meenakshi
Suggested ICD-10 Codes:
I25.10 — Atherosclerotic HD✅ Confirmed
N17.9 — Acute Kidney Injury⏳ Review
J96.00 — Respiratory Failure❓ Query
CPT Procedures:
33533 — CABG, arterial✅
33508 — Endoscopic vein harvest⏳
Query #CQ-2024-045 — Rajesh Kumar
Coder: Meenakshi · Raised: 22 May 9am · To: Dr. Venkat
Query: Patient notes mention "acute respiratory distress" on Day 2. Please confirm if this meets J96.00 criteria for respiratory failure, as it would significantly impact DRG weight and reimbursement. Documentation needed: SpO₂ readings, FiO₂ requirements, duration.
Status: Awaiting physician response · Revenue impact: +₹45,000 if confirmed
| Patient | Discharge | Primary Dx | Codes | DRG | Revenue | Accuracy |
|---|---|---|---|---|---|---|
| Lakshmi Devi | 18 May | Hip Fracture | 8 ICD + 3 CPT | DRG 536 | ₹1.8L | 98% |
| Arjun Pillai | 15 May | Colorectal CA | 12 ICD + 5 CPT | DRG 172 | ₹3.2L | 96% |
| Sunita Krishnan | 12 May | Pneumonia | 5 ICD + 2 CPT | DRG 194 | ₹65K | 88% |
💡 CC/MCC Uplift Opportunity — 3 patients
AI has identified documentation that may support upgrading to Complication/Comorbidity codes, increasing DRG weight.
| Patient | Missing Code | Revenue Uplift | Action |
|---|---|---|---|
| Rajesh Kumar | E11.65 — T2DM with hyperglycaemia | +₹32,000 | |
| Meena S. | N18.4 — CKD Stage 4 | +₹18,000 |
47
Active Templates
3.2 min
Avg Time Saved
89%
Adoption Rate
12
Used Today
📚 Library
🕐 Recently Used
🔧 Builder
⚡ Smart Macros
| Template Name | Category | Last Updated | Usage/Month | Actions |
|---|---|---|---|---|
| CABG Post-Op Note | Progress Note | 15 May | 24 | |
| Discharge Summary — Cardiac | Discharge | 10 May | 38 | |
| ICU Daily Assessment | Progress Note | 18 May | 65 | |
| Nephrology Consult Request | Referral | 5 May | 12 | |
| Surgical Consent — General | Consent | 1 May | 20 |
ICU Daily Assessment
Used for Rajesh Kumar · Today 9am
Nephrology Consult Request
Used for Meena Subramaniam · Yesterday 3pm
Discharge Summary — Cardiac
Used for Lakshmi Devi · 20 May 11am
Template Properties
Dynamic Variables:
{{patient_name}}
{{mrn}}
{{diagnosis}}
{{medications}}
{{discharge_date}}
Template Body
⚡ Smart Phrases
Type shortcode in notes to expand instantly
| Shortcode | Expands To | Action |
|---|---|---|
.cabgpost | Standard CABG post-op assessment paragraph | |
.ckdplan | CKD management and follow-up plan | |
.dsnormal | Normal exam findings — full SOAP format | |
.rxdisc | Standard discharge medication reconciliation block |
2
Active Incidents
8
Open Investigations
34
Closed This Month
92%
On-Time Closure
🔴 Active
🔍 Investigations
📋 RCA / CAPA
📤 Reporting
INC-2024-089 — Near Miss: Medication Error (ICU)
Raised: 23 May 6:45am · Location: ICU Bed 4 · Reporter: Nurse Kavitha
Heparin 50,000 IU ordered, 5,000 IU intended. Caught by second-check pharmacist before administration.
CRITICAL
Active
INC-2024-090 — Patient Fall (Ward B)
Raised: 23 May 10am · Location: Ward B Bathroom · Reporter: Ward Sister Geetha
65-year-old patient fell while ambulating to bathroom post-surgery. Minor bruising, no fracture. Neurologicals intact.
| ID | Type | Date | Severity | Investigator | Due | Status |
|---|---|---|---|---|---|---|
| INC-2024-085 | Surgical Complication | 19 May | Moderate | Dr. Quality Head | 26 May | In Progress |
| INC-2024-082 | HCAI — MRSA | 15 May | High | Infection Control | 22 May | Overdue |
| INC-2024-078 | Billing Error | 10 May | Low | Finance Audit | 24 May | Complete |
RCA — INC-2024-082 (MRSA HAI)
5-Why Analysis:
Why 1: Patient developed MRSA on Day 7 → Hand hygiene compliance dropped to 78% during shift change
Why 2: Hand hygiene compliance dropped → Soap dispensers empty in Ward B for 4h
Why 3: Dispensers empty → Housekeeping restocking frequency reduced (budget cut)
Root Cause: Housekeeping SLA not updated when ward capacity increased by 20%
CAPA Actions:
✅ Immediate: Restock all dispensers — Completed 16 May
⏳ Short-term: Revise housekeeping SLA — Due 30 May
📌 Long-term: IoT dispenser monitoring — Q3 2024
Regulatory Reporting Obligations
| Incident | Authority | Deadline | Status | Action |
|---|---|---|---|---|
| INC-2024-089 (Med Error) | NABH / NMC | 25 May (48h) | Draft | |
| INC-2024-082 (MRSA) | ICMR / State Health | 22 May | Overdue |
87%
NABH Compliance
14
Open NCRs
23 days
Next Audit
4.2/5
Patient Satisfaction
🏅 NABH Compliance
⚠️ NCRs
📊 Quality KPIs
😊 Patient Satisfaction
94%
Access, Assessment & Care (AAC)
91%
Care of Patients (COP)
78%
Medication Management (MOM)
96%
Infection Control (ICE)
82%
Continuous Quality Impr. (CQI)
89%
Human Resources (HRM)
| NCR ID | Chapter | Observation | Severity | Due Date | Action |
|---|---|---|---|---|---|
| NCR-045 | MOM | Verbal order documentation incomplete in 30% of ICU charts | Major | 28 May | |
| NCR-046 | COP | Fall risk assessment not done for 3 ward patients | Minor | 25 May | |
| NCR-047 | ICE | Sterilisation log for OT 3 missing for 2 days | Minor | 24 May |
Hospital-Acquired Infection Rate0.8%
Target: <1.5% ✅
Surgical Site Infection Rate0.4%
Target: <1% ✅
Unplanned Readmission (30d)5.2%
Target: <4% ⚠
Medication Error Rate0.8/1000
Target: <0.5/1000 ⚠
Patient Fall Rate0.6/1000
Target: <1/1000 ✅
Average LOS (Cardiac)7.2 days
Target: <8 days ✅
4.2/5
Overall Score
4.5/5
Doctor Care
3.8/5
Nursing Care
3.1/5
Food & Facilities
Recent Patient Feedback
MRN 10042 · Rajesh Kumar · Ward B · 22 May
"Doctors explained everything very clearly. Nurses response time could be better during nights." ★★★★☆
MRN 10078 · Meena S. · Ward A · 20 May
"Discharge process was smooth. Food was terrible — please improve." ★★★☆☆
₹24.6L
Total Margin (May)
28.4%
Avg Margin %
6
Loss-Making Packages
₹3.2L
Revenue Leak (Est.)
📦 Package Analysis
🏥 By Department
🔴 Loss-Making
📈 Trend
| Package | Volume | Pkg Rate | Actual Cost | Margin | Margin % | Action |
|---|---|---|---|---|---|---|
| CABG (CTVS) | 8 | ₹2,80,000 | ₹1,85,000 | ₹95,000 | 33.9% | |
| Hip Replacement | 5 | ₹1,50,000 | ₹1,20,000 | ₹30,000 | 20.0% | |
| Normal Delivery | 22 | ₹18,000 | ₹21,500 | -₹3,500 | -19.4% | |
| Appendicectomy | 12 | ₹45,000 | ₹32,000 | ₹13,000 | 28.9% | |
| ICU Per Diem (>5d) | 15 | ₹12,000 | ₹14,800 | -₹2,800 | -23.3% |
Cardiothoracic Surgery₹8.4L
Margin: 34.2%
Orthopaedics₹5.1L
Margin: 22.1%
Obstetrics-₹1.2L
Margin: -8.4%
General Surgery₹4.8L
Margin: 29.5%
AYUSH / Siddha₹2.4L
Margin: 38.1% · Growing
Dental₹1.8L
Margin: 42.0% · High margin
Physiotherapy₹1.2L
Margin: 35.5%
🔴 Loss-Making Packages — Action Required
| Package | Dept | Loss/Case | Volume | Total Loss | Recommendation |
|---|---|---|---|---|---|
| Normal Delivery | OBG | ₹3,500 | 22 | ₹77,000 | Revise to ₹24,000 |
| ICU Per Diem (>5d) | ICU | ₹2,800 | 15 | ₹42,000 | Add LOS-based escalation |
| Dialysis (CAPD) | Nephro | ₹1,200 | 8 | ₹9,600 | Renegotiate consumable cost |
Monthly Margin Trend (Jan–May 2024)
Jan
Feb
Mar
Apr
May
Jan: ₹18.4LFeb: ₹20.1LMar: ₹19.2LApr: ₹22.8LMay: ₹24.6L ↑
1,284
Total Services
38
Pending Approval
156
Packages Defined
12
Rate Revisions (30d)
🏷️ Services
📦 Packages
🔢 ICD/CPT Mapping
💰 Rate Management
| Service Code | Service Name | Department | MRP | Corp Rate | Status | Actions |
|---|---|---|---|---|---|---|
| ECHO-001 | 2D Echocardiography | Cardiology | ₹3,500 | ₹2,800 | Active | |
| SURG-CABG | CABG (Arterial Graft) | CTVS | ₹2,80,000 | ₹2,40,000 | Active | |
| LAB-CBC | Complete Blood Count | Laboratory | ₹350 | ₹280 | Active | |
| RAD-CT-ABD | CT Abdomen with Contrast | Radiology | ₹8,500 | ₹7,000 | Pending |
| Package | Inclusions | MRP | Payer Rates | Last Revised | Actions |
|---|---|---|---|---|---|
| PKG-CABG-01 | Surgery + 7d ICU + Meds | ₹2,80,000 | 1 Apr | ||
| PKG-HIP-01 | Surgery + Implant + 5d | ₹1,50,000 | 15 Mar |
| ICD-10 | Description | Default CPT | DRG | Avg LOS | Action |
|---|---|---|---|---|---|
| I25.10 | Atherosclerotic HD, unspecified | 33533 | DRG 231 | 7.2d | |
| N17.9 | Acute Kidney Injury, unspecified | 90935 | DRG 682 | 4.8d | |
| E11.65 | T2DM with hyperglycaemia | 99213 | DRG 638 | 3.5d |
Pending Rate Revisions
| Service | Current Rate | Proposed Rate | Reason | Requested By | Action |
|---|---|---|---|---|---|
| CT Abdomen | ₹8,000 | ₹8,500 | Consumable cost +8% | Radiology HOD | |
| Normal Delivery | ₹18,000 | ₹24,000 | Loss-making correction | CFO |
342
Total Staff
18
On Leave Today
94.2%
Attendance Rate
12.4%
Turnover (Annualised)
📋 Today's Roster
✅ Attendance
🎓 Training & Compliance
📉 Attrition
| Dept | Shift | Required | Present | On Leave | Gap | Action |
|---|---|---|---|---|---|---|
| ICU | Day (7a–3p) | 8 | 7 | 1 | -1 | |
| ICU | Night (11p–7a) | 6 | 6 | 0 | OK | — |
| OT | Day (7a–3p) | 12 | 10 | 2 | -2 | |
| Ward A | Day (7a–3p) | 15 | 15 | 0 | OK | — |
| Ward B | Evening (3p–11p) | 12 | 11 | 1 | -1 | |
| AYUSH / Siddha | Day (9a–5p) | 4 | 4 | 0 | OK | — |
| Dental OPD | Day (9a–6p) | 6 | 5 | 1 | -1 | |
| Physiotherapy | Day (8a–5p) | 5 | 5 | 0 | OK | — |
Attendance by Department
Nursing
93%
Doctors
97%
Paramedics
88%
Admin/Billing
79%
Leave Requests
| Name | Type | Dates | Status |
|---|---|---|---|
| Nurse Deepa | Sick | 23–24 May | Approved |
| Dr. Anand | Casual | 25 May | Pending |
| Tech. Ravi | Annual | 28 May–2 Jun | Pending |
| Training | Mandatory | Due | Completion % | Non-Compliant | Action |
|---|---|---|---|---|---|
| BLS Recertification | Yes | 30 Jun | 88% | 18 staff | |
| Hand Hygiene | Yes | 31 May | 62% | 58 staff | |
| Fire Safety Drill | Yes | 15 Jun | 75% | 32 staff | |
| NABH Patient Rights | Yes | 30 May | 71% | 41 staff |
Attrition by Role
Staff Nurses18.2%
Junior Doctors14.5%
Technicians11.8%
Admin Staff8.2%
Senior Doctors3.1%
Exit Reasons (Last 20)
Better Salary Elsewhere8 (40%)
Career Growth5 (25%)
Work-Life Balance4 (20%)
Personal Reasons3 (15%)
48
Active Vendors
6
SLA Breaches (30d)
3
Renewals Due
₹4.8L
Penalty Credits Earned
📋 Vendor List
⚠️ SLA Breaches
📊 Scorecard
🔄 Renewals
| Vendor | Category | Contract Value | SLA Score | Expiry | Status | Actions |
|---|---|---|---|---|---|---|
| Trivitron Healthcare | Medical Equipment | ₹42L/yr | 92% | 31 Dec | Active | |
| Medline Supplies | Consumables | ₹18L/yr | 74% | 30 Jun | Under Watch | |
| Catering (SpicePath) | Dietary | ₹8L/yr | 58% | 31 May | Breach | |
| CleanCare Housekeeping | Facility Management | ₹22L/yr | 88% | 31 Mar 25 | Active |
SpicePath Catering — 5 Breaches This Month
Category: Dietary Services · Contract: ₹8L/yr · SLA Score: 58%
🔴 18 May: Lunch delayed by 45 min (SLA: within 30 min) — Penalty: ₹5,000
🔴 19 May: Special diet (diabetic) served wrong menu — Penalty: ₹10,000
🔴 20 May: Kitchen hygiene audit failed — Penalty: ₹15,000
| Vendor | Delivery | Quality | Response Time | Compliance | Overall |
|---|---|---|---|---|---|
| Trivitron Healthcare | ⭐⭐⭐⭐⭐ 95% | ⭐⭐⭐⭐☆ 88% | ⭐⭐⭐⭐⭐ 96% | ✅ 100% | 92% |
| Medline Supplies | ⭐⭐⭐☆☆ 72% | ⭐⭐⭐⭐☆ 80% | ⭐⭐⭐☆☆ 68% | ⚠️ 78% | 74% |
| SpicePath Catering | ⭐⭐☆☆☆ 55% | ⭐⭐☆☆☆ 50% | ⭐⭐☆☆☆ 60% | ❌ 65% | 58% |
SpicePath Catering — Expiry: 31 May 2024
8 days remaining · SLA Score: 58% (POOR)
⚠️ Recommendation: Do NOT renew without penalty recovery and SLA renegotiation. Consider RFP for alternative caterer.
Medline Supplies — Expiry: 30 Jun 2024
37 days remaining · SLA Score: 74% (MODERATE)
124
Network Hospitals
8
High-Risk Providers
₹18.4L
Suspected Overbilling
3.2
Avg Clinical Efficiency Score
🏥 Provider Profiles
⚠️ Outliers
📊 Benchmarks
🚨 Fraud Signals
| Hospital | City | Network Tier | Claims (30d) | Approval Rate | Avg Claim | Risk Score | Action |
|---|---|---|---|---|---|---|---|
| Apollo Chennai | Chennai | Tier 1 | 342 | 94% | ₹82,000 | LOW | |
| Sunrise Hospital | Coimbatore | Tier 2 | 78 | 81% | ₹1,24,000 | MEDIUM | |
| City Care Clinic | Madurai | Tier 3 | 34 | 62% | ₹2,18,000 | HIGH | |
| MIOT International | Chennai | Tier 1 | 215 | 96% | ₹68,000 | LOW |
City Care Clinic — Multiple Outlier Signals
Madurai · Tier 3 · Enrolled: Jan 2023
🔴 CABG claim rate 3.8x peer average (6.2 per 100 admits vs 1.6 avg)
🔴 Average claim amount 2.4x higher than comparable Tier 3 hospitals
🟡 48% of claims submitted within 24h of admission (unusual speed)
🟡 Zero structured readmissions vs industry avg 8%
| Procedure | Network Avg Cost | Apollo | Sunrise | City Care | MIOT |
|---|---|---|---|---|---|
| CABG | ₹2,30,000 | ₹2,18,000 | ₹2,45,000 | ₹3,82,000 ⚠ | ₹2,10,000 |
| Appendicectomy | ₹38,000 | ₹34,000 | ₹36,000 | ₹52,000 | ₹32,000 |
| Normal Delivery | ₹22,000 | ₹24,000 | ₹20,000 | ₹38,000 | ₹21,000 |
🚨 AI Fraud Detection Signals
| Provider | Signal | Risk Level | Amount at Risk | Action |
|---|---|---|---|---|
| City Care Clinic | Procedure upcoding pattern | High | ₹12.4L | |
| Sunrise Hospital | Phantom billing — 4 claims no records | Medium | ₹3.8L | |
| Care Plus Clinic | Duplicate claim — same patient, different dates | Medium | ₹85,000 |
156
Open Cases
4.2h
Avg First Response
88%
CSAT Score
12
Escalated Today
📋 Queue
🔍 Case Detail
⚖️ Grievances
💬 FAQ & Scripts
| Case ID | Member | Type | Priority | Age | Assigned To | Status | Action |
|---|---|---|---|---|---|---|---|
| CS-8821 | Rajesh Kumar | Claim Status Query | High | 2h | Agent Priya | In Progress | |
| CS-8820 | Meena Subramaniam | Pre-Auth Query | Medium | 4h | Agent Suresh | Waiting | |
| CS-8818 | Karthik Arumugam | Denial Dispute | High | 6h | Agent Deepa | Escalated | |
| CS-8815 | Sunita Krishnan | Policy Coverage Query | Low | 8h | Unassigned | New |
CS-8821 — Rajesh Kumar
Policy: STAR-HSP-9912 · Claim: CLM-2024-0582 · Value: ₹2,18,000
Issue: Member called to check status of claim filed on 20 May for CABG surgery. Claim in "processing" state for 6 days.
Policy Status: Active · Premium paid up to Aug 2024
Claim Status: Under Medical Review — Day 6 of 7-day SLA
Quick Actions
Case Timeline
Today 10:22am — Case Opened
Member called helpline. Transferred to Agent Priya.
Today 10:35am — Claim Located
CLM-2024-0582 in medical review. Escalation triggered.
Pending — Response to Member
| Grievance ID | Member | Type | Filed Date | IRDA Deadline | Status | Action |
|---|---|---|---|---|---|---|
| GRV-2024-112 | Karthik Arumugam | Unjust Denial — ICU | 18 May | 1 Jun (15 days) | Under Review | |
| GRV-2024-108 | Priya Ramachandran | Delayed Claim Payment | 12 May | 26 May (15 days) | Overdue | |
| GRV-2024-105 | Sunita Krishnan | Policy Terms Dispute | 8 May | 22 May | Resolved |
Common Queries & Scripts
284
Active Rules
12
Rules in Staging
5
Simulations Run (30d)
₹8.4L
Projected Savings (New Rules)
🔧 Scenario Builder
📊 Results
📂 History
🚀 Staging → Live
Rule Configuration
Rule Name
Trigger Condition
New Condition Added
IF diagnosis_code IN [I21.*, I22.*, I50.*]
AND age > 65
AND prior_ICU_within_90d = TRUE
THEN require_cardiologist_attestation = TRUE
AND age > 65
AND prior_ICU_within_90d = TRUE
THEN require_cardiologist_attestation = TRUE
Action on Match
Simulation Scope
Data Set
Compare Against
2,847
Claims Tested
+18.4%
Referral Rate Change
₹8.4L
Projected Savings
+0.3 days
Avg Processing Time
Key Impact Analysis
ICU admissions >65yr with prior ICU: Would require cardiologist attestation+184 cases
Of those: Predicted inappropriate admissions caught38 cases (20.6%)
Projected denial of inappropriate claims₹8.4L saved
Risk: Delayed approvals for legitimate cases+0.3d processing
| Simulation | Run By | Date | Claims Tested | Net Impact | Decision |
|---|---|---|---|---|---|
| Cardiac Pre-Auth Tighten | Med Director | 15 May | 11,284 | +₹18.4L savings | Deployed |
| Pharmacy Generic Mandate | Underwriting | 8 May | 4,382 | +₹4.2L savings | Staging |
| LOS Cap — Maternity | Actuarial | 1 May | 892 | -₹2.1L (member complaints risk) | Rejected |
Pharmacy Generic Mandate Rule — Ready for Deployment
In staging since 8 May · Tested: 4,382 claims · Projected: +₹4.2L/yr savings
✅ UAT completed — 0 false positives
✅ Legal review cleared
✅ Actuarial sign-off received
⏳ MD approval pending
₹42.8L
Identified Overpayments
₹28.4L
Recovered (YTD)
₹14.4L
Outstanding
66.4%
Recovery Rate
🔴 Active Notices
⚖️ Disputes
✅ Recovered
🤖 AI Detection
| Notice ID | Provider | Claim(s) | Overpayment | Reason | Due Date | Status | Action |
|---|---|---|---|---|---|---|---|
| CB-2024-088 | City Care Clinic | 8 claims | ₹4,82,000 | Upcoded procedures | 15 Jun | Acknowledged | |
| CB-2024-085 | Sunrise Hospital | 3 claims | ₹1,24,000 | Phantom billing | 10 Jun | Disputed | |
| CB-2024-082 | Care Plus Clinic | 2 claims | ₹85,000 | Duplicate submission | 5 Jun | Payment Plan |
CB-2024-085 — Sunrise Hospital Dispute
Amount Disputed: ₹1,24,000 · Filed: 12 May · Response Due: 26 May
Hospital's Position: "The claims are legitimate. Three patients (MRN 10142, 10148, 10156) were admitted and treated. Discharge summaries enclosed. The 'phantom billing' allegation is incorrect — records exist but were not uploaded due to a system error."
Our Position: ABHA ID cross-check shows patient MRN 10142 was simultaneously admitted at Apollo Chennai on same dates. Impossible to be treated at both facilities.
| Notice ID | Provider | Amount | Recovery Method | Date | Outcome |
|---|---|---|---|---|---|
| CB-2024-078 | MedPlus Clinic | ₹2,40,000 | Future claim deduction | 15 May | Full Recovery |
| CB-2024-071 | Green Cross Hospital | ₹85,000 | Bank transfer | 8 May | Full Recovery |
| CB-2024-065 | Ramesh Clinic | ₹1,12,000 | 6-instalment plan | Apr–Sep 24 | In Progress (3/6) |
🤖 AI-Detected Overpayment Opportunities
ML model analysed 6 months of claims data. Confidence threshold: 80%+
| Provider | Pattern | Claims | Est. Overpayment | Confidence | Action |
|---|---|---|---|---|---|
| City Care Clinic | Systematic CPT upcoding (99213→99215) | 42 claims | ₹3,78,000 | 94% | |
| MedPlus Network | Unbundling: separate labs billed in bundled pkg | 18 claims | ₹92,000 | 82% | |
| Sunrise Hospital | ICU billing post-discharge (1–2 days extra) | 8 claims | ₹1,44,000 | 78% |
Day 7
Total Illness Duration
3
Care Streams Used
Improving
Current Status
1
Clinic Visit
📍 Full Timeline
🌿 Home Remedies Log
⚕️ Care Streams
✏️ Log New Event
🏠 Home Phase (Day 1–3)
→
🏥 Clinic Phase (Day 4+)
1
Day 1 — Symptom Onset
Mild sore throat noticed after morning tea. Slight hoarseness. No fever.
🏠 Self-care
🌊 Warm water + salt gargling (3×)
🍵 Ginger-tulsi tea
😴 Early rest
Outcome: Partial relief by evening
19 May
2
Day 2 — Siddha + Spiritual Care
Throat worsened slightly. Family elder suggested Siddha remedies. Morning temple visit.
🌿 Thippili Rasayanam 5g
🌿 Karpooravalli juice
🕉️ Temple prayer — Murugan temple
🧘 Pranayama 20 min
🌊 Gargling continued
Outcome: No worsening · Mild improvement in mood
20 May
3
Day 3 — Pharmacy (OTC)
Symptoms persisted. Visited local pharmacy. Low-grade fever 99°F noted.
💊 Paracetamol 500mg (pharmacist)
💊 Strepsils lozenges
🌿 Gargling + steam continued
Outcome: Fever reduced · Sore throat no better · Decided to see doctor
21 May
🏥 Formal Care Begins — Clinic Visit
4
Day 4 — Apollo Clinic OPD
Walk-in consultation with Dr. Priya (ENT). Throat exam — Grade II tonsillitis. Throat swab ordered. ABHA ID linked.
💊 Amoxicillin 500mg × 5 days
💊 Ibuprofen 400mg SOS
🔬 Throat swab (culture pending)
🌿 Siddha: continue Karpooravalli (no interaction)
Registration: RRE episode opened · Billing: ₹450 OPD
22 May
6
Day 6 — Follow-up (Telehealth)
Virtual follow-up with Dr. Priya. Throat improving. Culture — Group A Strep. Continue antibiotics. Siddha remedies compatible.
📹 Telehealth consult
📋 Culture result reviewed
✅ Improving
24 May
Day 8 — Expected: Course Complete
Antibiotics finish 26 May · Recovery expected full · Close episode
26 May
🌊 Home Remedy Log — Sore Throat Episode
| Remedy | Stream | Frequency | Days Used | Self-Rated Effect | Notes |
|---|---|---|---|---|---|
| Warm saline gargling | Home | 3× daily | 1–4 | ⭐⭐⭐⭐ Good | Immediate soothing |
| Ginger-tulsi tea | Home | 2× daily | 1–3 | ⭐⭐⭐ Moderate | Warmth, mild relief |
| Thippili Rasayanam | Siddha | Twice daily | 2–5 | ⭐⭐⭐⭐ Good | Grandma's advice |
| Karpooravalli juice | Siddha | Morning | 2–5 | ⭐⭐⭐ Moderate | Strong taste |
| Pranayama | Spiritual | 20 min AM | 2–6 | ⭐⭐⭐⭐ Calming | Helped breathing |
| Temple prayer | Spiritual | Once | 2 | ⭐⭐⭐⭐⭐ Peace | Mental comfort |
| Paracetamol 500mg | OTC Allopathy | SOS (2 doses) | 3 | ⭐⭐⭐ Partial | Fever only |
💡 Doctor's Note (Dr. Priya): Home remedies were appropriate. Warm saline gargling is evidence-based for sore throat. Siddha remedies have no interaction with prescribed antibiotics. Continue gargling and pranayama through recovery.
🏠 Home / Traditional Care
Days 1–3 · Self-initiated
✅ Warm saline gargling
✅ Ginger-tulsi tea
✅ Rest and hydration
✅ Steam inhalation
Cost: ₹0 · No prescription needed
🌿 Siddha Medicine
Days 2–6 · Advised by family elder
✅ Thippili Rasayanam
✅ Karpooravalli juice
✅ Sirunangai Chooranam
Cost: ₹120 · Siddha pharmacy · AYUSH registered
🕉️ Spiritual Healing
Days 2–6 · Personal practice
✅ Temple prayer (Murugan)
✅ Pranayama
✅ Vibhuti application
✅ Positive affirmations
Faith-based · Psychosomatic benefit · Community support
💊 OTC Allopathy
Day 3 · Pharmacy recommendation
✅ Paracetamol 500mg
✅ Strepsils lozenges
Cost: ₹85 · No prescription · Pharmacist-guided
🏥 Allopathy (Prescribed) — Apollo Clinic
Day 4+ · Dr. Priya (ENT) · Formal episode
✅ Amoxicillin 500mg × 5 days
✅ Ibuprofen 400mg (SOS)
✅ Throat culture (Group A Strep confirmed)
✅ ABHA linked · RRE episode opened
Cost: ₹450 OPD + ₹280 meds · Claim: Not applicable (OPD cash)
Log a New Illness Event
Symptom / Event
Care Stream
What Did You Do?
Self-Rated Effect
💡 Why Log Your Illness Journey?
✓Doctors get a complete picture of what you tried before visiting — no need to remember everything
✓Siddha / Ayurvedic remedies you took are shared with prescribing doctors to avoid interactions
✓Identifies which home remedies work for you — personalised guidance next time
✓Insurance companies may need to see full illness narrative for IPD claims
✓Builds your permanent ABHA health record across all care streams
3
Active Care Streams
0
Drug-Herb Interactions
2
Co-Treating Practitioners
85%
Patient Adherence (All)
🗺️ Care Map
⚠️ Interaction Check
🏥 Specialty Type
🤝 Practitioner Collaboration
💊 Allopathy — Primary Stream
Active
Dr. Venkat Kumar, Cardiologist · Apollo Hospital Chennai
Aspirin 75mg daily
Atorvastatin 40mg
Metoprolol 25mg BD
Clopidogrel 75mg
🌿 Siddha Medicine — Complementary
Active
Dr. Murugesan, BSMS · Chennai Siddha Clinic · AYUSH Registered
Thippili Rasayanam
Karpooravalli Juice
Sirunangai Chooranam
✅ No interaction with cardiac medications — reviewed
🕉️ Spiritual Healing — Complementary
Active
Patient-directed · Faith-based · Murugan temple + home practice
Daily prayer / meditation
Pranayama 20 min AM
Weekly healing prayer circle
📌 Note: Documented as psycho-social support. Reduces stress, improves medication adherence per evidence.
💪 Physiotherapy — Rehabilitation
Starting Soon
Apollo Rehab · 6-week cardiac rehab programme · Post-CABG
✅ Interaction Screening — All Clear
AI-assisted drug-herb-supplement interaction check. Last run: Today 9am.
| Allopathy Drug | Siddha/AYUSH Remedy | Interaction Risk | Note |
|---|---|---|---|
| Aspirin 75mg | Thippili Rasayanam | None ✅ | Safe to co-administer |
| Aspirin 75mg | Karpooravalli Juice | None ✅ | Anti-inflammatory synergy possible |
| Clopidogrel 75mg | Thippili Rasayanam | Low ⚠ | Monitor platelet function if dose increases |
| Atorvastatin 40mg | Sirunangai Chooranam | None ✅ | No CYP450 interaction |
| Metoprolol 25mg | Karpooravalli Juice | None ✅ | Safe |
⚠️ Low risk flag: Clopidogrel + Thippili — if Thippili dose escalates above 10g/day, monitor platelet aggregation. Current dose 5g/day is safe.
🔍 Manual Interaction Query
RRE supports all healthcare specialties — select your specialty context:
🏥
Allopathy Hospital
Multi-specialty · IPD/OPD · Surgery
Currently Active
🌿
AYUSH Centre
Ayurveda · Yoga · Unani · Siddha · Homeopathy
Click to switch
🏺
Siddha Clinic
Traditional Tamil medicine · Varmam · Herbal
Click to switch
🦷
Dental Clinic
General dentistry · Orthodontics · Oral surgery
Click to switch
💪
Physiotherapy
Rehab · Sports injury · Neuro physio
Click to switch
🕉️
Spiritual Healing
Faith-based · Meditation · Mind-body wellness
Click to switch
🎗️
Cancer Care (Oncology)
Allopathy + Siddha + Spiritual — multi-stream
Multi-stream recommended
🌸
Homeopathy
Constitutional · Acute · Chronic disease
Click to switch
🧘
Naturopathy & Yoga
Diet · Lifestyle · Yoga therapy
Click to switch
Co-Treating Practitioners — Shared Care
| Practitioner | Specialty | Role | Last Communication | Action |
|---|---|---|---|---|
| Dr. Venkat Kumar | Cardiologist (Allopathy) | Primary | Today 9am | |
| Dr. Murugesan | Siddha (BSMS) | Complementary | Yesterday | |
| Physio. Anitha | Cardiac Rehab (BPT) | Rehab | Not started |
📋 Shared Care Notes
Dr. Venkat → Dr. Murugesan (Today 9:15am)
"Patient on Clopidogrel 75mg. Please keep Thippili below 5g/day. No Ashwagandha or high-dose Ginger — antiplatelet interaction risk at high doses. All current Siddha regimen cleared."
Dr. Murugesan → Dr. Venkat (Yesterday 4pm)
"Patient adherence to Siddha remedies 88%. Thippili dose is 5g BD — within safe range. Spiritual practices (pranayama) are reducing his stress markers. Please see BP trend — I believe relaxation therapy is helping."
🎗️ Example: Cancer Multi-Stream Care (Oncology)
RRE supports concurrent multi-stream care for cancer patients across all healing modalities:
💊 Allopathy
Chemotherapy · Radiation · Surgery · Targeted therapy🌿 Siddha / Ayurveda
Rasayana therapy · Kizhi · Anti-tumour herbs · Immunity support🕉️ Spiritual
Faith healing · Meditation · Community prayer · Acceptance therapyRRE tracks all streams, checks interactions, and coordinates the full care team — enabling truly holistic cancer care.
Pre-Accreditation
Current NABH Level
87%
Overall Compliance
14
Open NCRs
23 days
Next Desk Assessment
Full Accred.
Next Level Target
🚀 Accreditation Journey — Apollo Hospital Chennai
✓
Pre-Accreditation
Entry Level
Entry Level
Achieved: Mar 2023
▶
Full NABH
Accreditation
Accreditation
▲ Current Target — 87%
3
Re-Accreditation
(4-yr renewal)
(4-yr renewal)
Est. 2028
🏆
NABH Excellence
Award
Award
Aspirational
💎
NABH Diamond
Category
Category
Long-term goal
📋 Chapter-wise Status
🏥 By Department
📂 Documentation
✅ Inspection Checklist
💡 Recommendations
🌐 Online Submission
AAC — Access, Assessment & Care
20 standards · 68 objectives
✅ 64 met⚠ 3 partial❌ 1 gap
Gap: Triage time documentation incomplete in Casualty
COP — Care of Patients
18 standards · 62 objectives
✅ 56 met⚠ 4 partial❌ 2 gaps
Gaps: Fall risk re-assessment, Pain scoring frequency
MOM — Management of Medication
11 standards · 44 objectives
✅ 34 met⚠ 6 partial❌ 4 gaps
Major gaps: Verbal order documentation, double-check process ICU
PRE — Patient Rights & Education
9 standards · 32 objectives
✅ 28 met⚠ 3 partial❌ 1 gap
Partial: Informed consent language availability in Tamil
HIC — Hospital Infection Control
10 standards · 38 objectives
✅ 36 met⚠ 2 partial❌ 0 gaps
✅ Strong compliance — sterilisation log minor gap remains
CQI — Continuous Quality Improvement
10 standards · 36 objectives
✅ 29 met⚠ 5 partial❌ 2 gaps
Gaps: Sentinel event review process not formalised
ROM — Responsibilities of Management
8 standards · 28 objectives
✅ 25 met⚠ 2 partial❌ 1 gap
Partial: Ethics committee meeting minutes not on record
FMS — Facility Management & Safety
11 standards · 42 objectives
✅ 37 met⚠ 3 partial❌ 2 gaps
Gaps: Biomedical waste area signage, fire drill frequency
HRM — Human Resource Management
9 standards · 34 objectives
✅ 30 met⚠ 3 partial❌ 1 gap
Partial: Training records incomplete for 38 staff
IMS — Information Management System
7 standards · 26 objectives
✅ 24 met⚠ 1 partial❌ 1 gap
Partial: Patient data confidentiality breach protocol not tested
Overall NABH Compliance Score
87.0%
Current: 87% · Need 90% for Full Accreditation
Gap: 3% — Achievable in 45 days
| Department | Primary Chapter | Score | Open NCRs | Critical Gap | Last Audit | Action |
|---|---|---|---|---|---|---|
| ICU | MOM, COP | 74% |
4 | Verbal order not co-signed within 24h | 18 May | |
| OT | COP, FMS | 92% |
1 | Sterilisation log Day 3 missing | 20 May | |
| Ward A/B | COP, PRE | 88% |
2 | Pain score not documented every 4h | 19 May | |
| Pharmacy | MOM | 81% |
3 | High-alert medication storage labelling | 17 May | |
| Laboratory | IMS, HIC | 95% |
0 | No critical gaps | 15 May | |
| Radiology | FMS, IMS | 90% |
1 | Radiation safety drill not conducted | 16 May | |
| CSSD | HIC, FMS | 97% |
0 | Excellent — model dept | 18 May | |
| Casualty / ED | AAC | 85% |
2 | Triage time not documented consistently | 20 May | |
| AYUSH/Siddha | COP, PRE | 78% |
3 | AYUSH-specific documentation protocols | 10 May | |
| Dental OPD | COP, HIC | 83% |
2 | Dental waste segregation log | 12 May |
| Document | Chapter | Type | Status | Valid Until | Uploaded By | Actions |
|---|---|---|---|---|---|---|
| Hospital Quality Policy | ROM | Policy | ✅ Available | Dec 2024 | Quality Head | |
| Medication Error Reporting SOP | MOM | SOP | ❌ Missing | — | — | |
| Verbal Order Documentation Protocol | MOM | Protocol | ⏳ Draft | — | Dr. Pharmacy Head | |
| Infection Control Manual | HIC | Manual | ✅ Available | Jun 2025 | IPCC Nurse | |
| Patient Rights Charter (Tamil) | PRE | Charter | ❌ Missing | — | — | |
| Biomedical Waste Management Plan | FMS | Plan | ✅ Available | Mar 2025 | Safety Officer | |
| Fire Safety Drill Records | FMS | Record | ⚠ Expired | Jan 2024 (expired) | Safety Officer | |
| Staff Training Records — HRM | HRM | Records | ⏳ Partial | Ongoing | HR Dept | |
| Sentinel Event Review Policy | CQI | Policy | ❌ Missing | — | — | |
| Ethics Committee Meeting Minutes | ROM | Minutes | ⏳ Partial | — | Medical Superintendent |
Documents: 68 available · 12 missing · 8 draft/partial · 3 expired
MOM — Management of Medication · Showing 8 of 44 critical objectives
MOM.1.a — Medication ordering policy documented and implemented
Assessor will check: Written policy exists, staff aware, random staff quiz on policy
Evidence: Medication policy uploaded · 15 May
MOM.2.b — Verbal / telephone orders co-signed within 24 hours
Assessor will check: 10 random charts, each verbal order must have counter-signature of ordering doctor within 24h
⚠ Gap: ICU chart audit — 6/10 verbal orders not co-signed · CAPA due 28 May
MOM.3.a — High-alert medications identified, labelled and stored separately
Assessor will check: Pharmacy and ward stores · Heparin, KCl, concentrated electrolytes must have RED labels
⚠ Gap: Ward B satellite pharmacy — 3 high-alert drugs not red-labelled
MOM.4.c — Independent double-check process for high-risk medications
Assessor will check: ICU heparin infusion, insulin drips — two-nurse sign-off on preparation
Partial: Process exists but checklist not documented in 40% of cases
MOM.5.a — Medication reconciliation done at admission and discharge
Assessor will check: Admission and discharge documents for reconciliation signature
Evidence: Reconciliation checklist available · Compliance 94%
💡 AI-Generated Improvement Roadmap
Fixing the 9 priority actions below will take score from 87% → 94% — crossing the Full Accreditation threshold
+7%
Projected gain
#1 — Fix Verbal Order Co-signing (MOM) +1.4% score
Est. effort: 2 days · Owner: CMO
ICU verbal orders are not being counter-signed within 24h. This is a Major NCR that will be raised at assessment.
Recommended actions:
1. Send mandatory memo to all ICU doctors — counter-sign verbal orders same shift if possible, within 24h max
2. Night supervisor to flag unsigned orders at 6am handover
3. Retrospectively sign all open orders — audit last 30 days
#2 — Label High-Alert Medications (MOM) +1.2% score
Est. effort: 4 hours · Owner: Chief Pharmacist
3 high-alert drugs in Ward B satellite pharmacy lack mandatory RED warning labels. Assessor WILL check this.
Print RED labels for: Heparin injection, Concentrated KCl, Concentrated NaCl. Attach label AND separate storage zone marker.
#3 — Formalise Sentinel Event Review Process (CQI) +0.9% score
Est. effort: 1 week · Owner: Quality Head
No written sentinel event review policy exists. NABH requires documented process with defined timelines and escalation.
Use the template below. Define: definition of sentinel event, 72h notification to CMO, 15-day RCA, disclosure to patient.
#4 — Create Patient Rights Charter in Tamil (PRE) +0.8% score
Est. effort: 2 days · Owner: Patient Relations
Informed consent and patient rights must be available in the regional language. 68% of patients at this hospital speak Tamil as primary language.
#5 — Complete 38 Staff Training Records (HRM) +0.7% score
Est. effort: 3 days · Owner: HR Manager
38 staff members have incomplete or missing training records. NABH will sample during assessment — missing records = NCR.
#6 — Conduct Fire Safety Drill (FMS) +0.6% score
Est. effort: Half day · Owner: Safety Officer
Fire drill record expired Jan 2024. NABH requires quarterly drills. Schedule before assessment date (15 Jun).
🏆 For NABH Excellence — Start Early Long-term
After Full Accreditation, start working toward NABH Excellence Award — requires sustained quality data for 2 cycles plus patient outcome measures.
📊 Build 24-month quality indicator dashboard
🧑⚕️ Establish formal patient safety culture survey
📋 Clinical outcome benchmarking vs NABH averages
🌐 Publish annual quality report on hospital website
📋 Application Status — Full NABH Accreditation
✓
Application
Submitted
Submitted
15 Mar 2024
✓
Fee Paid
₹2,50,000
⏳
Desk Assessment
15 Jun 2024
○
On-site Assessment
Aug 2024 (est.)
Next Action: Upload all compliance documents to NABH portal before desk assessment on 15 Jun 2024. Assessor: Dr. K. Krishnamurthy. Login: nabh.nhsrc.org/hospital/APCH-TN-042
📤 Share Documents with Assessor
Assessor Dr. K. Krishnamurthy (NABH) · Email: krishnamurthy.k@nhsrc.org · Assessment: 15 Jun 2024
🏆 Certification & Higher Levels
🥉
Pre-Accreditation
Entry Level
Entry Level
✅ Achieved — Mar 2023
Valid 2 years
🥇
Full NABH
Accreditation
Accreditation
⏳ In Progress — 87%
Assessment: 15 Jun 2024
Valid 4 years
🏆
NABH Excellence
Award
Award
After 2 accreditation cycles
Est. 2030
After Full Accreditation is granted, RRE will automatically generate your Re-Accreditation readiness checklist 12 months before expiry, and will guide you toward the NABH Excellence category through continuous quality monitoring.
📋 IHR Notifications
12
This quarter
🤧 Syndromic Alerts
38
Last 30 days
📍 Active Clusters
3
2 under monitoring
✅ Cases Followed Up
94%
Within 72 hrs
🌐 IHR Notifications
🤧 Syndromic Surveillance
📍 Cluster Map
🔁 Case Follow-Up
🌐
International Health Regulations (IHR) 2005
Mandatory notification of Public Health Events of International Concern (PHEIC) and listed diseases to the National IHR Focal Point (DGHS) and WHO within 24 hours of detection.
📋 Log New IHR Notification
Disease / Condition
Date of Detection
Notifying Authority
No. of Cases
Deaths
Clinical Summary & Exposure History
📑 Submitted Notifications — 2025–26
🤧
Syndromic Surveillance — IDSP S-Form
Report unusual clusters of fever, rash, neurological, gastrointestinal, or respiratory syndromes to the District Surveillance Unit (DSU) and Block Medical Officer (BMO) per IDSP guidelines.
🩺 Report Syndromic Event
Syndrome
Onset Date
Locality / Ward
No. of Cases (7 days)
Hospitalised
Notify To
Clinical Description
📊 Syndrome Trend — Last 30 Days
🌡️
Fever (undiff.)
42
↑ 18% vs prev month
🌡️🔴
Fever + Rash
8
↑ 3 new this week
🌡️🧠
Fever + Alt. Sensor.
4
2 in ICU
🤧
Cough & Cold (ILI)
61
Within seasonal norm
💧
Diarrhoea
29
↓ 12% vs prev month
🟡
Jaundice
14
↑ Cluster alert — Arumbakkam
❓
Unusual Syndrome
2
Under investigation
📤
Reports Sent (30d)
9
7 acknowledged
📑 Recent Syndromic Reports
| Date | Syndrome | Cases | Locality | Notified To | Status |
|---|---|---|---|---|---|
| 19 May 2025 | 🟡 Jaundice | 6 | Arumbakkam, Ward 121 | DSU · BMO | Under Probe |
| 14 May 2025 | 🌡️🔴 Fever + Rash | 4 | Villivakkam | BMO · DHO | Acknowledged |
| 08 May 2025 | ❓ Unusual Syndrome | 2 | Ambattur | DHO · IDSP DSO | Escalated |
📋 Cluster Summary
| Locality | Syndrome | Cases | First Seen | Alert Level | Action |
|---|---|---|---|---|---|
| Arumbakkam | 🟡 Jaundice | 6 | 14 May 2025 | 🟡 Moderate | |
| Villivakkam | 🌡️🔴 Fever + Rash | 4 | 10 May 2025 | 🟢 Contained | |
| Ambattur | ❓ Unusual Syndrome | 2 | 07 May 2025 | 🔴 Escalated | |
| Kolathur | 🤧 ILI (Cough & Cold) | 9 | 01 May 2025 | 🟢 Monitoring | |
| Medavakkam | 💧 Diarrhoea | 5 | 18 May 2025 | 🟡 Moderate |
160
Total Cases (30d)
138
Recovered / Closed
14
Active Follow-Up
5
Overdue (>72h)
3
Referred / Escalated
📋 Active & Recent Cases
| Patient | Age / Sex | Syndrome | Locality | Onset | Last Contact | Status | Action |
|---|---|---|---|---|---|---|---|
| Muthulakshmi K. | 52 / F | 🟡 Jaundice | Arumbakkam | 14 May | 5 days ago ⚠️ | Overdue | |
| Rajendran S. | 38 / M | ❓ Unusual Syndrome | Ambattur | 07 May | 8 days ago ⚠️ | Overdue | |
| Priya A. | 28 / F | 🌡️🔴 Fever + Rash | Villivakkam | 14 May | Yesterday | In Progress | |
| Karthik R. | 6 / M | 🌡️🧠 Fever + Alt. Sensor. | Ambattur | 17 May | Today | In Progress | |
| Saradha V. | 44 / F | 🟡 Jaundice | Arumbakkam | 16 May | Today | Recovered | |
| Balaji T. | 22 / M | 🤧 ILI (Cough & Cold) | Kolathur | 10 May | 3 days ago | Recovered | |
| Anand M. | 67 / M | 💧 Diarrhoea | Medavakkam | 18 May | Today | Referred |
💬
Log Follow-Up Note
Document clinical outcome, contact attempt, home visit finding, or referral detail for any case above.
📚 Courses Enrolled
34
Across 6 categories
✅ Completions (30d)
18
↑ 3 this week
📅 Upcoming Events
7
CME · Expo · Webinar
🌍 FMG Trainees
5
2 completing this month
📚 Courses
🏥 CME & Network Meetings
🤖 IoT / AI Events
🌍 FMG Internships
🩺
Clinical
10
👩⚕️
Nursing
8
🗂️
Admin & Billing
5
🏅
Quality & NABH
4
💻
Digital Health
5
🧭
Leadership
2
🩺
Advanced Cardiac Life Support (ACLS)
Clinical · AHA · 16 hrs · 3 enrolled
75% completeDue: 15 Jun 2025
In Progress
👩⚕️
Wound Care & Dressing Techniques
Nursing · NCI · 8 hrs · 6 enrolled
100% completeCompleted: 02 May 2025
Completed ✅
🗂️
Medical Billing & ICD-11 Coding
Admin & Billing · NHA · 12 hrs · 4 enrolled
40% completeDue: 30 Jun 2025
In Progress
🏅
NABH Internal Auditor Training
Quality · NABH / QCI · 20 hrs · 2 enrolled
20% completeDue: 10 Jun 2025 ⚠️
Overdue Risk
💻
FastEHR Clinic Workflow Mastery
Digital Health · RRE Academy · 6 hrs · 8 enrolled
90% completeDue: 25 May 2025
In Progress
🧭
Healthcare Leadership & Strategy
Leadership · IIM-A (Online) · 40 hrs · 1 enrolled
55% completeDue: 30 Aug 2025
In Progress
🩺
Diabetes Management — Clinical Updates
Clinical · RSSDI · 4 hrs · 5 enrolled
100% completeCompleted: 10 Apr 2025
Completed ✅
👩⚕️
ICU & Critical Care Nursing
Nursing · INC · 24 hrs · 4 enrolled
60% completeDue: 20 Jul 2025
In Progress
➕
Browse & Enrol
RRE Academy · NMC · INC · NHA
🏥
RRE Network CME & Collaborative Meetings
Continuing Medical Education events, peer-learning circles, grand rounds, and network partner meets hosted or facilitated by RRE across India.
📅 Upcoming Events
28
May
Cardio-Metabolic Grand Rounds — Chennai Chapter
CME · 3 Credit Hours (NMC) · Hybrid — ITC Grand Chola + Zoom
Speakers: Dr. K. Srinivasan (MIOT) · Dr. R. Agarwal (AIIMS Delhi)
Registered ✓
12 from this hospital
05
Jun
RRE Network Partner Quarterly Meet — Q1 FY26
Network Meeting · Revenue & Ops Review · Virtual (Zoom)
Agenda: Claims settlement · Protocol updates · ABDM integration roadmap
Pending RSVP
14
Jun
Diabetic Foot & Wound Care Workshop
CME + Hands-On · 6 Credit Hours (NMC) · Apollo Hospital, Chennai
Simulation lab · Wet workshop · Max 20 participants
4 seats left
22
Jun
Antimicrobial Stewardship — Peer Network Webinar
Network Webinar · 2 Credit Hours · Virtual (Google Meet)
Panel: Hospital Pharmacist · Infectious Disease Specialist · ICMR rep
Open
📑 Past Events — 2025
| Date | Event | Type | Credits | Attendees | Action |
|---|---|---|---|---|---|
| 10 May 2025 | Oncology Supportive Care — Grand Rounds | CME | 3 CME hrs | 8 | Certificate |
| 02 Apr 2025 | RRE Network Annual Summit 2025 | Network | — | 14 | Summary |
| 15 Mar 2025 | Palliative Care Peer Learning Circle | Workshop | 4 CME hrs | 5 | Certificate |
🤖
IoT · Wearables · AI in Healthcare — Events & Expos
Orientation sessions for clinical staff on connected health devices, and participation in national / international healthcare technology expos.
🎓 Orientation
02 Jun 2025 · On-site
Wearable Vitals Monitoring — Clinical Orientation
Hands-on session: ECG patches, SpO₂ rings, continuous glucose monitors (CGM), fall detectors. Intended for ward nurses, duty doctors, and ICU staff.
👥 Target: Nurses, Residents
🏛️ Expo
12–14 Jun 2025 · Bangalore
India Health Tech Expo 2025
250+ exhibitors across AI diagnostics, surgical robotics, wearables, remote patient monitoring, and healthtech SaaS. Networking dinners, startup pitches.
👥 2 nominations available
💻 Webinar
19 Jun 2025 · Virtual
AI-Assisted Radiology: From Pixels to Diagnosis
Live demonstration of AI tools for chest X-ray, CT brain interpretation, and auto-reporting. Q&A with radiologists using AI in routine practice.
👥 Radiologists, Clinicians
🔬 Demo Day
25 Jun 2025 · On-site
Smart Ward IoT Demo — RRE Partner Vendors
Live demo of automated nurse-call systems, smart bed sensors, RFID asset tracking, and real-time patient flow dashboards. Vendor Q&A included.
👥 Nursing & Admin heads
🎓 Orientation
30 Jun 2025 · Hybrid
CDSS & AI Decision Support — Clinician Orientation
Introduction to Clinical Decision Support System alerts, drug-interaction checks, early warning scores (NEWS2), and how AI flags critical lab values in FastEHR.
👥 All clinical staff
🏛️ Conference
10–11 Jul 2025 · Mumbai
MedTech & Wearables Summit India 2025
Panel sessions on remote patient monitoring policy, FDA/CDSCO regulatory updates for connected devices, investor-startup meetup. 1,200+ delegates.
👥 Hospital leadership
📑 Past Participation
| Date | Event | Type | Staff Attended | Feedback |
|---|---|---|---|---|
| 22 Mar 2025 | AI in Primary Care — Orientation | Orientation | 6 | ⭐⭐⭐⭐⭐ 4.8 / 5 |
| 15 Feb 2025 | HealthTech Expo Chennai 2025 | Expo | 3 | ⭐⭐⭐⭐ 4.2 / 5 |
🌍
Foreign Medical Graduate (FMG) Internships & Short-Term Training
Structured clinical observer / training attachments for internationally qualified medical graduates seeking Indian clinical exposure or NMC screening preparation. Durations: 4–24 weeks.
5
Active Trainees
12
Completed (All Time)
2
Completing This Month
87%
Avg. Score
7
Countries Represented
👨⚕️ Active Trainees
| Name | Country | Programme | Department | Duration | Progress | Score | Status |
|---|---|---|---|---|---|---|---|
| Dr. Amara N. Osei | 🇬🇭 Ghana | Clinical Observer (NMC Prep) | Internal Medicine | 12 weeks 15 Apr – 08 Jul 2025 |
Week 8 / 12 | 89% | In Progress |
| Dr. Fatima Al-Hassan | 🇳🇬 Nigeria | Short-Term Clinical Attachment | Paediatrics | 8 weeks 05 May – 30 Jun 2025 |
Week 5.5 / 8 | 92% | In Progress |
| Dr. Ivan Petrenko | 🇺🇦 Ukraine | Clinical Observer (NMC Prep) | General Surgery | 16 weeks 01 Apr – 22 Jul 2025 |
Week 8.5 / 16 | 78% | In Progress |
| Dr. Priya Kumari Shah | 🇳🇵 Nepal | Short-Term Clinical Attachment | Obstetrics & Gynae | 4 weeks 12 May – 09 Jun 2025 |
Week 3.5 / 4 | 95% | Completing Soon |
| Dr. Michael Owusu | 🇬🇭 Ghana | Clinical Observer (NMC Prep) | Emergency Medicine | 8 weeks 19 May – 14 Jul 2025 |
Week 0.5 / 8 | — | Just Started |
✅ Completed Trainees — Recent
| Name | Country | Department | Completed | Final Score | Grade | Certificate |
|---|---|---|---|---|---|---|
| Dr. Blessing Eze | 🇳🇬 Nigeria | Internal Medicine | 30 Apr 2025 | 94% | Distinction | 📄 Download |
| Dr. Anastasia Morozova | 🇷🇺 Russia | Paediatrics | 15 Apr 2025 | 88% | Merit | 📄 Download |
| Dr. Kaveh Ahmadi | 🇮🇷 Iran | Emergency Medicine | 31 Mar 2025 | 76% | Pass | 📄 Download |
📊 Assessment Framework
30%
Clinical Log
(Case write-ups)
(Case write-ups)
25%
Supervisor
Assessment
Assessment
25%
Written MCQ
Exit Test
Exit Test
20%
OSCE / Skills
Station
Station
Grades: Distinction ≥ 90% · Merit 75–89% · Pass 60–74% · Fail < 60%
Overall Risk Profile:
🟡 Moderate–High
Hereditary risk elevated · 3 actionable flags
Environmental exposure detected
🧬 Genealogy
🩺 Vulnerability Scores
🤖 AI Recommendations
📍 Risk Dashboard
🌳 Family Health Tree — Kavitha Rajan
🧬 Hereditary Risk Scores
Type 2 Diabetes
74%
2 first-degree relatives
Hypertension
68%
Paternal grandfather + Father
Breast Cancer
32%
Paternal grandmother
Ischaemic Heart Disease
45%
Maternal grandfather
➕ Add Family History
Relation
Condition
Age at Onset (if known)
🧬 Genetic Test Status
BRCA1 / BRCA2
Recommended
HbA1c Genotyping (TCF7L2)
Done ✓
Cardiovascular Gene Panel
Not Done
Pharmacogenomics (Drug response)
Not Done
🦠 Disease Vulnerability Scores
🫁 Tuberculosis (TB)
Score: 42 / 100 · Moderate
✅ No active TB contact⚠️ Crowded living area
✅ BCG vaccinated⚠️ Pre-diabetic (immune risk)
✅ No prior TB Hx✅ Non-smoker
🩸 Type 2 Diabetes
Score: 74 / 100 · High
🔴 HbA1c 6.1% (Pre-DM)🔴 Father + Grandfather: DM
⚠️ BMI 27.4 (overweight)⚠️ Sedentary lifestyle
✅ No smoking⚠️ High-carb diet pattern
⚠️ Finnish Diabetes Risk Score (FINDRISC): 16 — High risk of DM in 10 years
💊 Hypertension
Score: 58 / 100 · Moderate–High
🔴 BP: 128/84 mmHg (high-normal)🔴 Family history (paternal)
⚠️ High dietary sodium⚠️ Stress (self-reported)
✅ No alcohol✅ BP checked regularly
❤️ Cardiovascular Disease (Framingham)
Score: 12% · 10-yr risk
⚠️ LDL 138 mg/dL⚠️ Pre-DM status
✅ Non-smoker⚠️ Family IHD (maternal grandfather)
🏭 Occupational & Environmental Risks
🧑💼 Occupational Risk Assessment
Occupation: Garment factory worker · 9 hrs/day · 6 days/week
Musculoskeletal strainHigh · 78%
Repetitive strain injury (RSI)High · 72%
Occupational dust exposureModerate · 48%
Noise-induced hearing riskModerate · 41%
Heat stressModerate · 38%
Chemical / solvent exposureLow · 18%
🌫️ Environmental Risk Assessment
📍 Residence: Ambattur, Chennai · 1.2 km from Ambattur Industrial Estate · 2.8 km from active quarry zone
Silica dust (quarry proximity)High · 71% · Silicosis risk
Air quality (PM2.5 exposure)High · 68%
Industrial noise (night)Moderate · 52%
Water quality (groundwater)Moderate · 44%
Heat island effect (urban)Moderate · 39%
Vector-borne disease (dengue belt)Moderate · 46%
🚨 Silica dust alert: Prolonged residence near quarry sites increases silicosis and lung cancer risk. Annual chest X-ray and spirometry recommended.
🤖
AI Risk Reduction Recommendations — Kavitha Rajan
Personalised, evidence-based actions ranked by impact. Generated from your risk scores, lab values, lifestyle inputs, and environmental data.
Confidence
91%
🔴 Immediate Priority Actions
🏃♀️
Start structured physical activity — 150 min/week
Brisk walking 30 min × 5 days/week reduces DM progression risk by up to 58% (Finnish DPS trial). Given your FINDRISC score of 16, this is the single highest-impact intervention.
DM Risk ↓ 58%
HTN Risk ↓ 34%
CVD Risk ↓ 26%
🥗
Switch to low-GI, low-sodium diet pattern
Replace refined rice / white bread with millets and whole grains. Reduce pickles and papad (high sodium) to address both DM and HTN vulnerability. Target: Na intake < 2g/day.
HbA1c ↓ est. 0.4%
BP ↓ ~6 mmHg
🫁
Annual chest X-ray + spirometry (quarry proximity)
Residing 2.8 km from an active quarry zone classifies you as a silica exposure risk. Annual pulmonary function tests and chest imaging are recommended by ICMR guidelines for quarry-proximal residents.
Silicosis early detection
Lung cancer surveillance
🟡 Moderate Priority
💊 Annual lipid panel + liver function
LDL 138 mg/dL warrants monitoring. Framingham 10-yr CVD risk at 12% — borderline for statin discussion with your doctor.
CVD risk management
🧬 BRCA1/2 genetic testing
Paternal grandmother had breast cancer. BRCA screening is indicated. Early detection through testing enables preventive decisions.
Cancer risk reduction
🪑 Ergonomic posture correction at work
Occupational MSK risk 78%. Request ergonomic assessment at factory. Micro-breaks every 45 min, stretching exercises reduce cumulative strain injury.
Occupational health
💧 Boil or filter drinking water
Groundwater quality score 44% — industrial zone contamination risk. Use RO-filtered water for drinking. Annual water quality test recommended.
Environmental health
📅 AI-Suggested Preventive Screening Schedule
| Test / Screening | Frequency | Next Due | Rationale | Status |
|---|---|---|---|---|
| HbA1c | Every 3 months | Overdue · Aug 2025 | Pre-DM monitoring | |
| Lipid Panel | Annual | Jun 2025 | LDL borderline | |
| Chest X-ray + Spirometry | Annual | Nov 2025 | Quarry proximity | |
| Mammogram | Every 2 years (from 40) | 2027 | BRCA family Hx | Upcoming |
| ABPM (24h BP monitor) | Once (baseline) | Recommended now | High-normal BP + family HTN |
👤 Individual Risk — Kavitha Rajan, 44F
🩸 Diabetes74%
💊 Hypertension58%
❤️ Cardiovascular48%
🫁 Respiratory52%
🦀 Cancer (hereditary)38%
🧠 Mental health22%
3 conditions require immediate intervention
👨👩👧👦 Family Risk — Household of 4
Rajan (Husband, 48M)
Mod–High
HTN diagnosed · Overweight · Smoker (ex)
Kavitha (You, 44F)
High
Pre-DM · Occupational + Env. exposure
Arjun (Son, 19M)
Low–Mod
Hereditary DM risk · Currently healthy
Divya (Daughter, 16F)
Low
Screen for BRCA at 25 · Env. risk shared
⚠️ All 4 members share environmental risk from quarry proximity. Family-level pulmonary screening recommended.
📍 Location Risk — Ambattur, Chennai
🌫️ Air Quality (PM2.5)
Unhealthy
⛏️ Silica Dust (quarry)
High
💧 Groundwater quality
Moderate
🦟 Vector (dengue) risk
Moderate
🔊 Noise (night average)
Moderate
🌡️ Urban heat index
Moderate
Location risk score: 67 / 100 · Consider N95 masks outdoors · Advocate for quarry dust mitigation
🕸️ Combined Risk Radar — Individual + Family + Location
💸 Total Payable (May)
₹18.4L
Providers + Vendors + Loans
✅ Disbursed (May)
₹11.2L
61% of payables settled
⏳ Overdue
₹3.1L
8 entries past due date
📊 Net Income (May)
₹24.7L
↑ 9% vs Apr 2025
👨⚕️ Provider Settlements
📊 Balance Sheet
🧾 Dues & Payables
📤 Reports & Export
Visiting Doctors
₹4.8L
12 providers
Full-Time Doctors
₹3.2L
4 providers
Nurses & Paramedics
₹2.9L
18 providers
Lab Technicians
₹0.9L
6 providers
Allied Health
₹0.6L
4 providers
Administrative
₹1.1L
8 staff
| Provider | Type | Department | Consultations | Gross Amount | TDS (10%) | Net Payable | Status | Action | |
|---|---|---|---|---|---|---|---|---|---|
Dr. Ramesh Kumar ID: PRV-001 · MBBS, MD |
Visiting | General Medicine | 84 | ₹84,000 | ₹8,400 | ₹75,600 | Pending | ||
Dr. Priya Subramaniam ID: PRV-002 · MBBS, DGO |
Visiting | Obstetrics & Gynae | 62 | ₹93,000 | ₹9,300 | ₹83,700 | Approved | ||
Dr. Karthik Anand ID: PRV-003 · MBBS, MS (Ortho) |
Full-Time | Orthopaedics | 48 | ₹1,20,000 | ₹12,000 | ₹1,08,000 | Disbursed ✓ | ||
Sr. Nurse Meena Devi ID: PRV-021 · B.Sc Nursing |
Nurse | ICU / Ward | — | ₹32,000 | ₹3,200 | ₹28,800 | Overdue | ||
Dr. Arun Physio ID: PRV-041 · MPT |
Allied Health | Physiotherapy | 31 | ₹18,600 | ₹1,860 | ₹16,740 | Pending | ||
Mr. Selvam (Lab Tech) ID: PRV-055 · DMLT |
Lab Tech | Clinical Lab | — | ₹22,000 | ₹2,200 | ₹19,800 | Disbursed ✓ |
Gross Total: ₹13,55,600
TDS Total: ₹1,35,560
Net Payable: ₹12,20,040
📈 Income — FY 2025–26 (Apr–May)
📉 Expenses — FY 2025–26 (Apr–May)
Total Income
₹68,52,000
−
Total Expenses
₹38,68,000
=
Net Profit (PBDT)
₹29,84,000
Before depreciation & tax
Tax Estimate (30% slab)
₹8,95,200
Net Profit (PAT)
₹20,88,800
🏭 Vendor & Distributor Payables
| Vendor | Category | Invoice | Due Date | Status |
|---|---|---|---|---|
| Medplus Pharma Dist. | Pharma | ₹3,42,000 | 10 May 25 ⚠️ | Overdue |
| Siemens Healthineers | Devices | ₹1,80,000 | 25 May 25 | Due Soon |
| Tulip Diagnostics | Lab Reagents | ₹68,000 | 31 May 25 | Pending |
| CleanCare Housekeeping | Services | ₹42,000 | 01 Jun 25 | Pending |
| FastEHR SaaS | IT / Software | ₹28,000 | 05 May 25 ⚠️ | Overdue |
| Total Vendor Dues | ₹6,60,000 | |||
🏦 Loan EMIs & Financial Dues
SBI Term Loan — Equipment
Loan #SBI-TL-2022-0481 · 7% p.a.
Outstanding: ₹18.4L
EMI: ₹42,000/mo
Tenure left: 38 months
52% repaid
HDFC OD / Working Capital
Account #HDFC-OD-8842 · 9.5% p.a.
Limit: ₹25L
Used: ₹12.8L
Interest/mo: ₹10,133
Canara Bank — Building Renovation
Loan #CNR-2023-112 · 8.2% p.a.
Outstanding: ₹8.6L
EMI: ₹24,500/mo
Tenure left: 28 months
69% repaid
📋 Other Recurring Payables
| Category | May Due | Status |
|---|---|---|
| ⚡ EB / Electricity | ₹62,000 | Paid |
| 💧 Water / CMWSSB | ₹18,000 | Pending |
| 🌐 Internet / Broadband | ₹8,400 | Paid |
| 🏢 Rent (2nd floor) | ₹85,000 | Paid |
| 🚑 Ambulance AMC | ₹12,000 | Overdue |
| 🗑️ Bio-Medical Waste | ₹9,500 | Pending |
| 🛡️ Malpractice Insurance | ₹22,000 | Paid |
⚙️ Report Configuration
Report Type
Period Type
Month
Output Format
Include Sections
🕓 Recent Exports
| Generated On | Report Type | Period | Format | Generated By | Action |
|---|---|---|---|---|---|
| 20 May 2025 · 09:14 | Full Disbursement Report | Apr 2025 | Admin · Suresh K. | 📥 Download | |
| 15 May 2025 · 14:32 | Balance Sheet (ITR) | FY 2024–25 Full Year | XLSX | CA · Rajan Iyer | 📥 Download |
| 01 May 2025 · 11:05 | Provider Settlements | Mar 2025 | CSV | Admin · Lakshmi P. | 📥 Download |
| 10 Apr 2025 · 16:48 | TDS Summary | Q4 FY 2024–25 | CA · Rajan Iyer | 📥 Download |
🔄 Scheduled Auto-Reports
Monthly Disbursement
Active
Every 1st of month · PDF · To: CEO, CA, Finance Head
Next: 01 Jun 2025
Weekly Dues Reminder
Active
Every Monday · CSV · To: Accounts team
Next: 26 May 2025
➕
Add Schedule
👥 Total Enrolments
284
Across 6 arms
✅ Complete Records
196
69% data completeness
⏳ Pending Follow-Up
48
Due this month
❌ Lost to Follow-Up
12
Trace initiated
📋 Forms Pending
28
Data entry queue
🫧 K-Uroclase
👶 PREM
🤰 NPAC
🦠 EBS
🫶 KMC Study
📊 NCD Study
🫧
K-Uroclase Study — Urinary Bladder Haematuria & Lysis Interventions
Prospective study tracking haematuria cases (bladder bleeding) and response to various lysing agents. Endpoint: clot resolution time, recurrence rate, intervention outcome.
Enrolled
38
| Case ID | Age/Sex | Aetiology | Lysing Agent | Clot Resolution | Outcome | Action |
|---|---|---|---|---|---|---|
| URO-001 | 62M | Post-TURBT bleeding | Alum Irrigation | 48 hrs | Resolved | |
| URO-002 | 55F | Radiation cystitis | tPA (Alteplase) | 72 hrs | Partial | |
| URO-003 | 71M | Bladder Ca haematuria | Saline Irrigation | — | Surgical | |
| URO-004 | 48M | BPH with haematuria | Urokinase | 36 hrs | Resolved |
➕ New Case Entry
Aetiology
Lysing Agent Used
Clot Volume (USG, mL)
Haemoglobin at entry (g/dL)
Concomitant Anticoagulant
📊 Agent Comparison (n=38)
Alum irrigation82% resolved
Urokinase74% resolved
tPA Alteplase61% resolved
Saline irrigation48% resolved
👶
PREM — Preterm / Neonatal Case Registry & Outcomes
Prospective registry of neonatal admissions: gestational age, birth weight, NICU interventions, morbidity, and discharge outcomes.
Enrolled
52
| PREM ID | GA (wks) | Birth Wt | Surfactant | Ventilation | Sepsis | Outcome | Action |
|---|---|---|---|---|---|---|---|
| PRM-001 | 28 | 920g | Yes | CPAP | Yes | Discharged | |
| PRM-002 | 30 | 1240g | Yes | O₂ Hood | No | Discharged | |
| PRM-003 | 25 | 680g | Yes | IMV | Yes | Expired | |
| PRM-004 | 32 | 1580g | No | None | No | NICU Day 4 |
➕ New PREM Entry
Gestational Age (weeks)
Birth Weight (grams)
Mode of Delivery
Surfactant Given
Respiratory Support
Culture-Proven Sepsis
IVH Grade (if done)
🤰
NPAC — Natal & Perinatal Antenatal Cohort
Prospective cohort tracking pregnancy outcomes: antenatal vitals, foetal ECHO, maternal morbidity, and postnatal outcomes at 6 weeks.
Enrolled
74
| NPAC ID | Gravida/Para | GA at Enrolment | Risk (ANC) | Foetal ECHO | Delivery Outcome | 6-wk FU |
|---|---|---|---|---|---|---|
| NPC-001 | G2P1 | 12 wks | High — GDM | Normal | Term LSCS · 3.1 kg | Done |
| NPC-002 | G1P0 | 10 wks | Mod — PIH | Pending | Ongoing (32 wks) | Pending |
| NPC-003 | G3P2 | 8 wks | Low | ASD (sm) | Term SVD · 2.9 kg | Done |
➕ Enrol / Update NPAC
Gravida / Para
GA at Enrolment (weeks)
ANC Risk Category
Foetal ECHO Result
ANC Visits Completed
Delivery Outcome (if complete)
6-week Follow-Up Status
🦠
EBS — Event-Based Syndromic Surveillance
Structured data capture for infectious disease presentations: symptoms, travel, contact, severity, and clinical outcomes. Feeds IHR reporting.
Cases (30d)
41
| EBS ID | Syndrome | Travel Hx | Contact Hx | Severity | Outcome | IHR Notified |
|---|---|---|---|---|---|---|
| EBS-001 | Fever + Rash | Kerala (5d ago) | Sick sibling | Moderate | Recovered | Yes |
| EBS-002 | Fever + Alt. Sensor. | None | None known | Severe | ICU — ongoing | Yes |
| EBS-003 | Acute Diarrhoea | None | Common water src | Mild | Discharged | Pending |
➕ New EBS Case
Presenting Syndrome
Key Symptoms
Travel History (14 days)
Travel destination (if any)
Contact History
Severity of Illness
Clinical Outcome
🫶
KMC Study — Kangaroo Mother Care Follow-Up
Tracking post-natal mothers for skin-to-skin contact sessions, exclusive breastfeeding initiation and duration, complementary feed introduction, and growth outcomes at 6 months.
Enrolled
61
| KMC ID | Delivery | S2S hrs/day | EBF initiated | EBF at 6 wks | Comp. Feed (mo) | Wt gain |
|---|---|---|---|---|---|---|
| KMC-001 | SVD, 38 wks | 6 hrs | Within 1h ✓ | Yes ✓ | 6 months | +28g/d |
| KMC-002 | LSCS, 36 wks | 2 hrs | Delayed (6h) | Partial | 5 months | +18g/d |
| KMC-003 | SVD, 40 wks | 8 hrs | Within 30m ✓ | Yes ✓ | 6 months | +32g/d |
| KMC-004 | LSCS, 34 wks | 0.5 hrs | Not initiated | No — Formula | 4 months | +11g/d |
EBF Initiation rate
78%
Avg S2S hrs/day
4.2
EBF at 6 wks
64%
Comp. feed ≥6m
82%
➕ New / Update KMC Entry
Mode of Delivery
Gestational Age (weeks)
Skin-to-Skin (hrs/day)
Breastfeeding Initiation
EBF at 6 weeks
Complementary Feed Introduced (month)
Weight Gain (g/day)
📊
NCD Study — RRE Impact on Chronic Disease Control
Measuring whether caregiver follow-up, regular RRE notifications, and Annual Care Plan adherence improve HbA1c, BP, and lipid control rates vs baseline.
Enrolled
59
HbA1c Controlled
68%
vs 41% at baseline
BP Controlled
74%
vs 52% at baseline
ACP Adherence
81%
Annual Care Plan tasks
RRE Notification Response
77%
Acted within 48h
| Patient | Condition | Caregiver FU | RRE Alerts Acted | ACP Tasks Done | Baseline | Latest | Δ |
|---|---|---|---|---|---|---|---|
| Kavitha R. | DM-2 | Regular | 4 / 5 | 8 / 10 | HbA1c 8.4 | 6.9 | ↓ 1.5 |
| Rajan M. | HTN | Occasional | 3 / 6 | 6 / 10 | BP 158/96 | 134/84 | ↓ 24/12 |
| Sumathi P. | DM+HTN | Regular | 5 / 5 | 9 / 10 | HbA1c 9.1 | 7.2 | ↓ 1.9 |
| Arumugam K. | DM-2 | None | 0 / 4 | 2 / 10 | HbA1c 10.2 | 10.1 | — |
➕ Update NCD Follow-Up
NCD Condition
Caregiver Follow-Up Frequency
RRE Alerts Sent
RRE Alerts Acted On
ACP Tasks Completed / Total
Key Biomarker (latest)
🧫 Cultures This Month
148
Blood, Urine, Wound, Sputum
⚠️ MDR Isolates
22
15% of positives
🔬 Positivity Rate
31%
46 positive cultures
📤 Reports Shared
3
IDSP · ICMR · State Lab
🧫 Lab Results (WHONET)
📊 Resistance Patterns
📤 Export & Share
🔬
Live feed from the Lab module. Each culture result is structured in WHONET format — organism, specimen, antibiotic panel, MIC/disk diffusion, and EUCAST/CLSI interpretation.
| Lab ID | Date | Specimen | Organism | Ampicillin | Ceftriaxone | Meropenem | Colistin | Vancomycin | Category | Action |
|---|---|---|---|---|---|---|---|---|---|---|
| LAB-4821 | 19 May | Blood | K. pneumoniae | R | R | R | S | — | XDR | |
| LAB-4798 | 18 May | Urine | E. coli | R | R | S | — | — | ESBL | |
| LAB-4776 | 17 May | Wound Swab | S. aureus (MRSA) | R | R | — | — | S | MRSA | |
| LAB-4755 | 16 May | Sputum | P. aeruginosa | — | R | I | S | — | MDR | |
| LAB-4731 | 15 May | Urine | E. coli | S | S | S | — | — | Sensitive |
S = Sensitive · I = Intermediate · R = Resistant · Interpretations per EUCAST 2024 breakpoints · MRSA = Methicillin-Resistant S. aureus · ESBL = Extended-spectrum β-lactamase · MDR = Multi-Drug Resistant · XDR = Extensively Drug-Resistant
🔥 Cumulative Antibiogram — % Resistant (May 2025)
| Organism (n) | Ampicillin | Ciprofloxacin | Ceftriaxone | Piperacillin-Taz | Meropenem | Colistin | Vancomycin |
|---|---|---|---|---|---|---|---|
| E. coli (n=18) | 78% | 67% | 44% | 33% | 11% | 6% | N/A |
| K. pneumoniae (n=12) | 92% | 83% | 75% | 58% | 42% | 8% | N/A |
| S. aureus (n=9) | 67% | 44% | N/A | N/A | N/A | N/A | 0% |
| P. aeruginosa (n=7) | N/A | 71% | 71% | 43% | 29% | 14% | N/A |
Heatmap: 🟥 ≥70% resistant (critical) · 🟨 30–69% (concern) · 🟩 <30% (acceptable). Per CLSI M39 cumulative antibiogram methodology (≥10 isolates per organism).
🚨 Notable Resistance Alerts
Carbapenem-resistant K. pneumoniae (CRKP) — 42%
Meropenem resistance at 42% in K. pneumoniae — above threshold. Last-resort: Colistin (92% sensitive). Refer to Infection Control Committee immediately. Review carbapenem stewardship policy.
MRSA rate — 67% of S. aureus isolates
MRSA proportion exceeds 50% threshold. All S. aureus wound infections must have MRSA cover with Vancomycin or Linezolid pending sensitivity. Reinforce contact precautions.
ESBL-producing E. coli — 44% Ceftriaxone resistant
Empiric ceftriaxone should not be used for UTI/sepsis in high-risk patients. Prefer Nitrofurantoin (UTI) or Piperacillin-Tazobactam (systemic). Review empiric UTI protocol.
⚙️ Export Configuration
Report Period
Report Type
Output Format
Include Sections
🔗 Share with External Systems
🏛️
IDSP — District Surveillance Unit
Monthly P-form AMR data · ICMR-mandated
🔬
ICMR-AMRSN (National AMR Network)
WHONET .dBase upload · Quarterly
🌐
WHO GLASS Platform
Global Antimicrobial Resistance & Use Surveillance System
🏥
State Reference Lab (TNMSC / King's)
Confirmatory testing referral + AMR share
📧
Internal — Infection Control Committee
Monthly antibiogram report · Auto-scheduled
🕓 Recent Submissions
| Date | Report | Sent To | Format | Status |
|---|---|---|---|---|
| 01 May 2025 | Monthly Antibiogram — Apr 2025 | IDSP DSU · ICC | PDF + WHONET | Acknowledged |
| 15 Apr 2025 | Q4 FY24–25 AMR Summary | ICMR-AMRSN | WHONET .dBase | Uploaded |
| 01 Apr 2025 | Monthly Antibiogram — Mar 2025 | IDSP DSU · ICC · State Lab | Acknowledged |