Role guide · Providers

Get paid faster on Vetra.

Hospitals, clinics, pharmacies and labs — submit claims, follow PAs, see payments and resolve disputes in one place, across every HMO you're contracted with.

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The provider portal — dashboard with today's claims, PA status and recent payments

Screenshot — coming soon

The provider portal.

What the provider portal gives you

Dashboard	Today's claims, PA status, settlements, disputes — all live.
HMO Network	HMOs you're linked to + the directory of HMOs you can request to join.
Claims	Three-step submission, queue with statuses, query replies, attachments.
Authorizations (PA)	Pre-auth requests, codes, SLAs, appeals.
Payments	Remittances, payment proofs, statements — your real-time AR.
Disputes	Raise and track disputes against an HMO's remittance.
Roles & Users	Invite your billing team with scoped access.
Settings	Facility details, banking, tax, departments.

Joining a network

Sign up at app.vetrainsure.com/provider/signup with your facility name and licence details.
Verify your facility (upload licence + tax cert).
Open Network. Search the HMO directory and send a "Link to network" request.
Once the HMO approves the link, their plans, fee schedules and PA rules become visible to you for that HMO only.

The same facility account can be linked to as many HMOs as you sign agreements with — each link is approved separately by that HMO.

Submitting a claim — the 3-step flow

1
Patient & encounter
Enter the Vetra Member ID — eligibility is verified instantly. Pick encounter type (out-patient, in-patient, pharmacy, diagnostics, dental, optical). Capture provisional / final diagnosis (ICD-10).
2
Line items
Add each procedure, drug, lab, consumable with code, quantity, unit price. Lines over the plan benefit limit are highlighted.
3
Attachments & review
Attach prescriptions, lab requests, diagnostic reports, encounter notes or discharge summary. Review totals, submit. You can track the claim in real time.

Step 2 of the 3-step claim submission flow showing line items with benefit-limit hints

Screenshot — coming soon

The 3-step claim flow, mid-submission.

Claim statuses you'll see

SUBMITTED	Sent — waiting for HMO to receive.
RECEIVED	HMO has accepted into their queue.
IN_REVIEW	Adjudicator is working on it.
QUERIED	HMO asked a question — open the claim to reply.
RESUBMITTED	You've answered the query — back in queue.
APPROVED	Approved in full or part.
REJECTED	Declined — see the coded reason.
SETTLED	Paid — see the remittance in Payments.

Pre-authorizations

Pick the urgency: ROUTINE, URGENT or EMERGENCY.
If an HMO has an auto-approval rule that matches, you receive an instant auth code.
A rejected PA can be appealed with extra context.
Emergency PAs also notify the enrollee directly — to prevent fraud.

Getting paid

Each HMO runs settlement runs at their configured cadence.
A run produces a remittance: which claims, what amount, fees, net payable.
Once the HMO uploads the payment proof, your Payments tab shows it instantly.
Disputes let you challenge a remittance line — tracked through to resolution.

Approved claims are the predictable revenue. Use the Payments tab as your real-time AR ledger.

Roles inside your facility

Facility Admin — everything.
Billing — submit claims and PAs, view payments.
Read-only — view-only across the portal.

API / EHR integration (optional)

POST /v1/claims — submit a claim.
POST /v1/authorizations — request a PA.
Webhooks — get status changes pushed to your system.
See vetrainsure.com/developers for details.

Watch the full walkthrough

Provider portal walkthrough

From linking an HMO to filing a claim to receiving a remittance.

Walkthrough — coming soon