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Industries - Healthcare

ERPNext for hospitals:
HMS and finance in one system

Stop reconciling hospital software with Tally by hand. Bring OPD and IPD billing, pharmacy inventory and insurance claims into one audit-ready system where the ledger updates itself.

Healthcare & lab integrationsLIS lab analysers (HL7 / ASTM)PACS & DICOM imagingPharmacy POS & expiryABDM
ERPNext healthcare dashboard showing billing and claim status
Claims posted to accountsInsurance receivables age in the ledger, not a spreadsheet
0.00
Opening Balance Variance
50%
Faster Month-End Close
Batch
& Expiry Controlled
Live
P&L by Department
The Patient Journey

From admission
to the balance sheet

Data flows from the reception desk into the accounts without anyone re-entering it.

  1. Admission

    Patient registration, insurance pre-authorisation checks and bed allocation.

  2. Clinical & pharmacy

    Doctors order medicines, pharmacy dispenses, stock falls and the bill updates together.

  3. Billing & discharge

    The final bill is split between what the patient pays and what the insurer is claimed for.

  4. Accounting

    Revenue posts to the P&L and insurance receivables show up in the ageing report.

Capabilities

Built for hospitals
that run on their own ledger

Every clinical action that has a financial consequence lands in the accounts as it happens.

OPD & IPD management

Appointments, queues and bed occupancy, with doctors' service orders creating billing lines.

Pharmacy inventory

Batch-wise stock with expiry alerts, so everything dispensed is billed before discharge.

Insurance & TPA

CGHS and TPA rate lists, claim status, partial approvals and aged receivables from insurers.

Integrated accounting

Department-level P&L, GST compliance and doctor payout calculations in the same system.

Lab & radiology

Report templates for lab and imaging, with analyser integration where the equipment supports it.

Tally migration

Masters, opening balances and historical vouchers moved across and reconciled before go-live.

Client Result

A hospital off Tally,
balanced to 0.00

C.C. Shroff Memorial Hospital ran billing, insurance and accounting as disconnected silos. We structured the financial workflows, migrated the Tally data and connected HMS billing straight to the ledger.

  • 0.00Opening balance variance
  • 50%Faster month-end close
  • 100%HMS billing in the ledger

Exalix Tech structured our financial workflows and made our hospital audit-ready. The transition from Tally was seamless.

Subrahmanya Reddy
Subrahmanya ReddyC.C. Shroff Memorial Hospital
C.C. Shroff Memorial Hospital
Why It's Different

ERPNext healthcare
vs HMS plus Tally

What mattersERPNext healthcareTypical HMS plus Tally
Pharmacy salesLedger entry per invoice, automaticallyJournal entry at day end
Inventory valuationPerpetual, updated as stock movesOften mismatched between systems
Insurance receivablesNative accounts receivable ageingTracked in a spreadsheet
Doctor payoutsCalculated from the billed servicesWorked out manually each month
Audit trailOne system, one set of booksTwo systems to reconcile
How We Start

Billing first,
then the full ledger

We stabilise billing and inventory before moving the accounting, so nothing stops while the hospital runs.

  1. 1-2 weeks

    Scope

    We map your OPD, IPD, pharmacy and insurance flows, and agree the KPIs the pilot has to hit.

  2. 2-4 weeks

    Configure & validate

    Departments, rate lists, pharmacy batches and claim workflows configured and tested with your team.

  3. 4-8 weeks

    Migrate & go live

    Tally masters, balances and history migrated and reconciled, then billing and accounting go live together.

Questions

Healthcare ERPNext
FAQs

Yes. ERPNext has a full chart of accounts, general ledger, GST returns and financial statements, and the advantage is that entries post from the billing module instead of being typed in again.
Yes. Pre-authorisation, claim submission, partial approvals, receivable tracking and reconciliation are configured against your TPA and CGHS rate lists.
Yes. Pharmacy stock is batch and expiry controlled, and what is dispensed is linked to the patient invoice, which is where most revenue leakage is found.
ERPNext has a healthcare domain and we implement the ABDM integrations your facility requires as part of the project.
A typical pilot of scope, configure and validate runs 4-8 weeks, so billing and inventory are stable before the accounting migration goes live.
Yes. Revenue and cost are posted with the department, so cardiology and orthopaedics can be compared in a live P&L.
Healthcare Pilot

Ready to modernise
your hospital?

We deliver focused pilots with clear KPIs: faster billing, accurate pharmacy stock and audit-ready accounts.

  • Billing and inventory stabilised first
  • Tally data migrated and reconciled
  • Clear KPIs agreed up front

Book a healthcare scoping call

Tell us about your hospital and the systems you run today.

Free, no obligation. We never share your details.

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