Clinic billing that reconciles itself
GST-ready invoices, treatment packages, partial payments and online collection — in the same place the appointment and the record already live.
Quick answer
NxaCare clinic billing generates GST-itemised invoices against the patient record, supports treatment packages and partial payments, and collects online through Razorpay (UPI, cards, net banking, wallets) and Stripe for international cards on Pro and Enterprise. Cash and cheque are recorded through manual billing on every plan, and payment webhooks reconcile automatically so the ledger matches the bank.
Key facts
- GSTIN and default rates set once; GST applied and itemised on every invoice
- GST summary exportable for your accountant at the end of a period
- Razorpay (UPI, cards, net banking, wallets) and Stripe on Pro and Enterprise
- Cash and cheque recorded through manual billing on every plan
- Treatment packages billed as one price and collected in instalments
- Payment webhooks reconcile transactions automatically
Why billing is where clinics lose money quietly
Most independent clinics do not lose money dramatically. They lose it in a partially collected package nobody chased, a cash payment written in a register and never entered, and an invoice issued without the GST breakdown the patient’s employer needed. None of these show up as a crisis; they show up as a month that came in lower than it felt.
The reconciliation work is the other cost. When payments arrive through UPI, cards, cash and the occasional cheque, and the record of them lives in a different place from the appointment, someone spends the end of every week matching two lists that were never designed to match.
Billing that sits in the same system as the appointment and the chart removes the matching step entirely, because the payment was never a separate record in the first place.
Who this is for
Clinics registered for GST
If you are issuing tax invoices by hand or in a spreadsheet template, the itemisation and the period summary are both automatable.
Practices selling courses of treatment
Packages collected in instalments need a running balance that updates itself, not a note in the margin.
Clinics taking payment four different ways
UPI, card, cash and cheque in one ledger is the difference between reconciling and guessing.
How it works
Configure GST once
Set your GSTIN and default rates under Settings → Billing. From then on GST is applied and itemised automatically.
Bill from the visit
The invoice is generated against the appointment and the patient record, so it carries the clinical context without re-entry.
Collect however the patient pays
Send an online payment link through Razorpay or Stripe on Pro and Enterprise, or record cash and cheque through manual billing on any plan.
Packages track their own balance
Bundle a course of treatment into one priced package; the outstanding balance updates on every invoice as sessions are used.
Export the period
Pull a GST summary and revenue reports at the end of the month for your accountant.
What you get
- One ledger for every payment method
- Online, cash and cheque all resolve against the same invoice.
- Automatic reconciliation
- Razorpay and Stripe webhooks mark invoices paid without anyone tallying a bank statement.
- Correct tax invoices, every time
- GST is calculated and itemised from your configured rates rather than typed in.
- Balances patients understand
- A package shows what has been paid and what remains, on every invoice.
- Revenue you can actually see
- Billing feeds the analytics dashboard, so the monthly number is live rather than reconstructed.
What to expect
- GSTIN, rates and invoice details configured during onboarding.
- Razorpay or Stripe connected on Pro and Enterprise; Starter clinics bill manually and can upgrade later.
- Invoices as PDFs from the first day of use.
- Exportable revenue and GST summaries available at any time.
Why clinics choose NxaCare for this
- Billing is not a bolt-on ledger — it is generated from the appointment and the record, which is why it reconciles.
- Cash and cheque are treated as first-class payment methods on every plan, not an afterthought for clinics that are not fully digital.
- On Pro and Enterprise, invoices and payment pages carry your clinic’s branding rather than the vendor’s.
What this does not cover
Stated plainly, so you can rule NxaCare out quickly if one of these is a requirement rather than discovering it three weeks into a trial.
- Online payment collection through Razorpay and Stripe is available on Pro and Enterprise. Starter records payments manually.
- PayU is not supported. Razorpay and Stripe are the two live payment integrations.
- There is no accounting sync with Tally, Zoho Books or QuickBooks yet — reconciliation with your books is by export, not by integration.
- Insurance claim submission and TPA workflows are not part of the product.
Frequently asked questions
Yes. Set your GSTIN and default rates once under Settings → Billing, and GST is applied and itemised on every invoice. You can export a GST summary for a period for your accountant.
Razorpay covers UPI, cards, net banking and wallets, and Stripe covers international cards — both on Pro and Enterprise. Cash and cheque are recorded through manual billing on every plan, including Starter.
Yes. Bundle the course into a single priced package and collect it in instalments. The outstanding balance updates on each invoice as sessions are used.
Not today. Accounting sync is on the roadmap. Currently you export revenue and GST summaries and hand those to your accountant.
No. Online collection through Razorpay and Stripe starts on Pro. Starter clinics can still invoice and record cash, cheque and externally collected payments manually.
Where to go next
See it against your own clinic’s workflow
Book a 30-minute demo and we will walk through NxaCare with your actual scheduling, billing and records in mind. 30-day free trial, no card required.