Billing Overview

Overview

NICE HMS billing covers the complete financial workflow of a healthcare facility. It supports multiple transaction types, GST-compliant invoicing, account management, and integration with patient registration, pharmacy, lab, and IPD modules.

Transaction Types

There are three transaction types in NICE HMS:

How It All Connects

Patient Registration
       ↓
OPD/IPD Encounter → Services rendered (consultation, tests, medicines, procedures)
       ↓
Bill Transaction ← Items from Accounts Master with configured prices
       ↓
Payment collected → Advance Transaction adjusted → Final settlement
       ↓
Contra Transaction → Fund transfer between accounts (if needed)

Key Concepts

Accounts Master

All billable items (consultations, procedures, medicines, lab tests, room charges, etc.) are defined in the Accounts Master with their pricing. See Accounts Master.

Items

Items (medicines, consumables, services) are managed separately and linked to accounts. See Item Management.

Cash Access

Daily cash-in and cash-out management, separate from patient billing. See Cash Access.

GST Compliance

NICE HMS supports all Indian tax types:

• IGST — Interstate supplies (5%, 12%, 18%, 28%)
• CGST + SGST — Intrastate supplies
• CST — Central Sales Tax (2.5%, 6%, 9%, 14%)

Tax is configured per item in the Accounts Master and applied automatically to bills.

Related Guides

• Bill Transaction — Creating and managing patient bills
• Advance Transaction — Recording and adjusting advance payments
• Contra Transaction — Internal fund transfers
• Accounts Master — Setting up your chart of accounts
• Cash Access — Daily cash management
• Item Management — Managing billable items