Use case · Eye hospital

OT procedure billing, cataract packages, optical retail GST, and lens stock on one ophthalmology counter spine

Hayati connects OPD refraction, surgery scheduling, OT consumables, IOL and lens inventory, optical shop retail, and TPA cashless packages — queue at front desk, billing clerk packages, store FEFO, optional AI Receptionist for appointment lines.

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Eye hospital operating system unifies ophthalmology OPD, operation theater procedure packages, optical retail billing, and lens frame stock under one patient UHID. Hayati handles Indian GST on procedures, lenses, and frames separately, tracks IOL batch and power SKUs, deducts OT consumables at surgery billing, and supports TPA package splits for cataract and retinal procedures — operational ERP scoped honestly without claiming full clinical EMR for every subspecialty chart.

Consult to OT to optical pickup

  1. 01

    OPD registration

    Reception issues token; vision tech or optometrist queue

  2. 02

    Consultant exam

    Doctor advises surgery or optical prescription

  3. 03

    Package + schedule

    Billing clerk posts cataract or procedure package; OT date assigned

  4. 04

    OT day

    IOL issue from store; OT consumables billed to package

  5. 05

    Post-op pharmacy

    Eye drops and medicines at hospital dispensary counter

  6. 06

    Optical retail

    Frames and lenses billed with separate GST lines at shop counter

Operational workflows

Eye hospitals run three commercial engines on one floor: OPD consultation and diagnostics, OT procedure packages, and optical retail. Reception registers UHID, prints OPD token, and routes to refraction or consultant queue — patient queue display reduces crowding at doctor cabin doors. Consultant documents surgery indication; counselor or billing desk explains package components: surgeon fee, facility, anesthesia, IOL category, and post-op medicines included versus excluded. OT scheduler assigns date, pre-op investigations bill at lab counter or in-house diagnostics, and TPA desk validates pre-auth for cashless cataract packages. OT day workflow: store keeper issues IOL by power and model against surgery list; OT nurse confirms consumables; billing posts procedure completion against package. Post-op medicines dispense at hospital pharmacy with eye-drop SKUs tracked for FEFO. Optical shop runs parallel retail: frame selection, lens power from prescription, edging and fitting status, and GST invoice at shop counter — not mixed blindly with OT package on same document when audit requires separation. Branch groups may centralize lens procurement while each hospital runs local optical display stock.

Staff responsibilities

Reception manages appointments, walk-in tokens, and insurance card routing to TPA desk before surgery scheduling. Optometrist or vision technician performs refraction and ancillary tests; results feed consultant without duplicate patient entry. Counselor explains package inclusions — billing clerk posts package code only after signed estimate when hospital policy requires. Billing clerk handles OPD fees, procedure packages, add-on investigations, and optical shop handoff — separate GST treatment for medical service versus retail goods. OT store keeper issues IOL batches matched to scheduled power; wrong power issue is a clinical and commercial incident logged in system. OT sister documents consumable usage; billing aligns OT completion with package consumption. Hospital pharmacist dispenses post-op drops with batch traceability. Optical shop manager owns frame and lens masters, vendor GRN, and retail discount rules — retail clerk cannot alter OT package rates. TPA desk staff split package lines per payer cataract norms and prepare discharge documents. Accounts reviews doctor settlement for surgeon share per configured rule. Night admin monitors next-day OT list and IOL stock adequacy by power range.

Patient journey

Patient presents with blurred vision; reception registers, token to refraction, then consultant ophthalmologist. Doctor recommends phacoemulsification with monofocal IOL; counselor explains package price and lens upgrade options. Cashless patient visits TPA desk for pre-auth; billing schedules OT date and posts advance if required. Pre-op blood work bills at in-house lab with same UHID. Day before surgery, patient receives call or SMS confirmation — optional AI Receptionist line can handle reschedule requests. OT day: patient checks in at admission desk, store issues IOL, surgery completes, recovery brief given. Billing posts package completion; patient pays top-up if upgraded premium IOL excluded from base package. Post-op drops at pharmacy counter. Follow-up OPD at day seven uses same UHID with consultation fee posting. Patient visits optical shop for reading glasses — retail clerk bills frames and lenses on separate GST invoice from surgery package. Report delivery and spectacle pickup may occur days later; shop tracks job order status so patient is not asked to repeat prescription data.

Billing flow

OPD consultation and investigation fees post at main billing counter with service GST as configured. Cataract and retinal packages bundle defined components — billing clerk selects package tier so IOL upgrade, toric lens, or MICS surcharge bill as explicit add-on lines auditors and TPA can read. OT completion triggers package recognition; consumables included in package do not double-bill unless policy marks them extra. TPA cashless flow tags pre-auth, approved amount, and copay due at discharge — billing cannot finalize until TPA desk confirms payer-specific package split. Optical retail bills frames and lenses with product HSN, often different rate from medical services — mixed cart splits tax lines correctly when patient buys spectacles same visit. Advance receipts adjust against final OT bill; refunds for cancelled surgery before IOL issue follow credit note discipline. Hospital pharmacy eye-drop lines attach to patient or sell walk-in OTC per counter policy. UPI, cash, and NEFT post to daily collection split by OPD, OT, pharmacy, and optical shop counters. Offline billing at optical shop and pharmacy during connectivity loss syncs without breaking invoice sequence — critical on busy camp days.

Inventory implications

IOL inventory is power- and model-specific: store must stock range by surgery volume forecast; billing deducts exact SKU issued to patient surgery. FEFO applies to eye drops and OT consumables — expired drops at pharmacy counter are regulatory and reputational risk. Optical retail holds frames by brand and lenses by power range, often separate from hospital pharmacy stock location. Lens edging may consume blank from stock with job order link to retail invoice. OT consumables — viscoelastic, sutures, drapes — issue against surgery schedule or patient procedure code. Transfers between central warehouse and branch optical display need documented movement for stock take. Returns of unopened IOL after cancelled surgery reverse issue with batch intact. Multi-branch eye chains compare IOL consumption versus surgeries billed to detect issue errors. Near-expiry report on pharmacy drops and contrast if retinal angiography offered. Vendor GRN for frames and IOL feeds margin analysis — optical retail manager reviews slow-moving frame styles separately from clinical consumables.

Reporting requirements

Daily collection split by OPD, OT, pharmacy, and optical shop lets owner see retail versus clinical income without manual Excel merge. Surgery count by type — cataract, glaucoma, retinal — supports counselor targets and OT utilization. IOL consumption by model and power validates store issue accuracy against completed surgeries. Package versus add-on revenue report clarifies upgrade lens income. TPA aging and pre-auth pending list for cashless cataract camps before month-end settlement. Optical retail GST and HSN summary for frames and lenses feeds CA filing separate from service invoices. Doctor professional fee settlement report per surgeon contract. Post-op pharmacy sales linked to surgery date helps review default drop regimens. Branch comparison for chains with hospital plus satellite optical outlets. Audit log on package discount, IOL issue reversal, and optical retail return supports internal review. Camp day collection reconciliation when outreach billing runs offline in field setup.

Rollout steps for eye hospitals

  1. Package and IOL master workshop

    Define cataract and procedure packages, IOL tiers, upgrade surcharges, and optical retail categories. Surgeon, counselor, and finance sign off tariff before import.

  2. Counter mapping

    Assign reception, OPD billing, OT store, pharmacy, optical shop, and TPA desk logins with branch scope. Separate retail discount authority from procedure package overrides.

  3. OPD and queue pilot

    Run tokens, refraction flow, and consultation billing for one busy OPD week. Optional AI Receptionist on appointment line only if scripted.

  4. OT and IOL issue workflow

    Pilot five surgeries: schedule, pre-auth, IOL issue by power, package completion, and consumable alignment. Test cancelled surgery reversal.

  5. Optical shop go-live

    Load frame and lens masters, job order status, and retail GST. Keep retail invoices separate from OT package documents per audit preference.

  6. TPA cataract alignment

    Validate top payer package splits, copay posting, and discharge bill export against real pre-auth samples.

  7. Reporting and camp readiness

    Enable surgery count, IOL consumption, and split collection dashboards. Test offline billing for outreach camp if applicable.

Common questions

Can OT package and optical shop run on one system?

Yes — one UHID links surgery package, pharmacy drops, and retail spectacle invoice. GST lines stay separated for audit clarity.

How is IOL power tracked?

Store issues IOL SKU by model and diopter against scheduled surgery. Wrong issue is logged; consumption reports match completed OT list.

Does Hayati handle toric or premium lens upgrades?

Upgrade surcharges bill as add-on lines to base package — counselor and billing clerk select tier configured during onboarding.

TPA cashless cataract — what does Hayati cover?

Hospital-side package split, pre-auth reference, copay, and GST invoice. Portal submission remains your TPA desk procedure.

Optical retail — separate counter?

Typically yes — retail clerk uses shop login and HSN masters for frames and lenses while sharing patient prescription context.

Post-op eye drops at pharmacy?

Hospital dispensary bills and dispenses with FEFO batch selection; walk-in OTC policy configurable separately.

Camp surgery billing offline?

Offline collection records locally and syncs on policy — validate invoice numbering and IOL issue workflow on camp pilot.

Who joins the eye hospital walkthrough?

Reception, counselor, billing, OT store, pharmacy, optical shop manager, TPA desk, and one surgeon office representative.

All features: AI Receptionist · AI Retention Agent · Patient Queue Display · Doctor Dashboard · TPA billing · Multi-branch · Pharmacy inventory · GST billing · Offline billing · Queue management

Pilot your OT, pharmacy, and optical counters

Bring package rate card, IOL stock list, sample TPA cataract bill, and optical retail SKU export. We scope counters and reporting before first surgery week go-live.