Insurance

Insurance turns Momentfy from a cash-only POS into a full payer workflow. Set up the providers you accept (AXA, Bupa, Allianz…), define their plans and coverage percentages, and every sale with an insured client automatically becomes a claim with the covered portion pre-calculated and the client copay displayed at checkout.

1. 1Dashboard → Add-ons → Insurance → Activate.
2. 2Set up providers and plans before going live — see next sections.
3. 3Link each client to their insurance from the client profile's Insurance tab.

1. 1Add-ons → Insurance → Providers.
2. 2Add Provider. Name is enough to get started — "AXA Insurance", "Bupa", etc.
3. 3Edit any provider with the pencil icon; delete with the trash icon (only if no claims exist on it).

Every provider has one or more coverage plans (sometimes called classes) — Gold 100%, Silver 80%, etc. Each plan defines the share of a sale the insurer covers.

1. 1Open a provider → Classes.
2. 2Add a plan with a name, coverage percentage, and any copay or cap rules.
3. 3Save.

Auto Create Claim

When on, every sale with an insured client auto-generates a claim in Draft state.

Claim Number Prefix

Prefix for claim numbers — "INS" gives INS-001, INS-002, and so on.

Default Coverage Percent

Fallback percentage used if a client is insured but no plan is selected — usually 80.

The Claims page is where the day-to-day happens. Filter by status, date, or search by client.

• Select one or more drafts with the checkboxes and hit Batch Submit — the add-on packages them up for the payer.
• Click any row to open the claim detail slide-over: covered amount, client copay, attachments, status history.
• Status flow: Draft → Submitted → Approved / Rejected → Paid.
• Rejections can be edited and resubmitted; Approved claims wait on payment.

• Add every plan even if you think they're the same — payers reconcile on plan names, and a mismatch is a manual support call.
• Keep the Claim Number Prefix stable. Payers reference it; changing it mid-stream is pain.
• Batch-submit at the end of the day, not after every sale. One batch is much easier to reconcile than 40 single submissions.