Healthixio is hospital management software built for hospitals of every size — small single-specialty, surgical, maternity, children's, eye and orthopaedic hospitals of about 10–50 beds; mid-size multi-department hospitals of 50–200 beds; and large multi-specialty and enterprise hospitals of 200–500+ beds, including corporate, teaching and trust hospitals and hospital groups. It is a cloud-based, ABDM-integrated HMS that runs OPD, IPD, nursing, operation theatre, pharmacy and hospital inventory, pathology (LIMS), TPA, insurance and PM-JAY billing, accounts, MIS, payroll and WhatsApp automation on one platform, with one record per patient, role-based access and a complete audit trail. Hospitals up to 70 beds buy on published per-bed pricing; hospitals above 70 beds are on a custom enterprise plan with an itemised quote in writing.
This guide is for owners, CEOs, medical directors, CFOs and IT heads of 100 to 500+ bed hospitals choosing an HMS in 2026: what a large multi-specialty hospital needs, department by department; how Healthixio covers every size on one platform; how enterprise pricing and onboarding work; and a checklist for vendor demos.
Key takeaways
- A large hospital's software problem is coordination: many departments, hundreds of logins, one patient record and one bill.
- The non-negotiables for a 100–500+ bed hospital are department-wise OPD, ward and bed management with transfers, digital nursing charts, integrated pharmacy and inventory, a LIMS, TPA and PM-JAY billing, role-based access with audit logs, and ABDM M1–M3.
- One platform for every size. Healthixio runs the same software for a 10-bed hospital and a 500-bed hospital. What changes with size is configuration — departments, wards, tariffs, users and roles — not the product.
- Pricing is published up to 70 beds — ₹40,000 in the first year up to 20 beds, plus ₹10,000 for every additional 10 beds — and quoted in writing above 70 beds. Onboarding, training and data migration are included.
Why a multi-specialty hospital needs a different kind of HMS
A 300-bed multi-specialty hospital is not a 30-bed hospital multiplied by ten. Handoffs grow faster than beds, and every handoff is a place where a charge is missed or a patient waits. Six differences decide whether an HMS will cope:
- Many departments, one patient. A patient may see cardiology in the morning, be admitted under medicine in the afternoon and move to a surgical ward after a procedure. The record, the orders and the bill must follow them without re-registration.
- Volume at every counter. Registration, billing, pharmacy and sample collection each handle hundreds of transactions a day, and a slow screen becomes a queue.
- Many payers. Cash patients, corporate tie-ups, a dozen TPAs and insurers, and PM-JAY or state schemes each carry their own rates, pre-authorisations and settlement cycles.
- Hundreds of users. The more people who can open a record or edit a bill, the more access control and audit trails matter.
- Management by numbers. The CEO and CFO need department-wise revenue, occupancy and doctor-wise performance every day, not at month-end.
- Audits from every direction. NABH, TPA auditors, scheme reviewers, ABDM and the DPDP Act all ask for complete, time-stamped, attributable records.
What a 100–500+ bed hospital needs, and how Healthixio covers it
Everything below is part of one Healthixio platform. Each module is described on the features page, and the real screens are on the product tour.
Department-wise OPD and registration
Departments, doctors, services and tariffs are configured once in the masters, so each specialty runs its own OPD on a shared patient record and the MIS reports revenue by department. Registration takes about 30 seconds, with ABHA creation or verification at the same desk and ABDM Scan and Share for patients who arrive with their ABHA. Tokens are generated automatically and shown on a display, each doctor works from a dashboard of waiting patients, and prescriptions use saved templates. Lab orders from the consultation flow straight into the pathology queue, and OPD and lab charges are billed together.
IPD: admissions, wards, beds and transfers
Admission captures the patient, bed, ward and treating doctor in one form. A real-time bed and ward board shows free, occupied and reserved beds, so admissions are planned rather than negotiated by phone. Ward transfers, bed charges, services and procedures post to a running bill throughout the stay; IPD accounts track advances, receipts and the balance; and the final bill applies discounts, TPA and adjustments at discharge. Every document for an admission — bills, notes, reports and uploaded consents — sits in one IPD file.
Nursing charts and the Patient File
The IPD Patient File replaces the paper case sheet with ten bedside charts behind one screen per admission: case history, doctor's notes, nursing notes, IV fluid, feeding, nebulisation, oxygen, ICU and NICU monitoring, NICU continuation and procedures. Every entry carries its author and time, an edit creates a new version instead of overwriting the old one, and each role may write only on the charts it is permitted to. Ward medicine schedules are pushed straight to the pharmacy. Nurses and doctors can also record vitals and chart entries from WhatsApp by voice or text — see bedside charting from WhatsApp.
The discharge summary — diagnosis, course of treatment, advice and follow-up — starts from the case history already on the file and prints with the hospital's branding. Doctors can dictate it as a WhatsApp voice note; the AI fills the summary's 17 fields as a draft, and nothing is final until a doctor signs it off.
Operation theatre
OT rooms are scheduled from a master schedule with surgical staff allocated to each case. Pre-op and post-op checklists and surgeon and anaesthesia notes are recorded against the patient, and consumables are tracked so surgeon fees, anaesthesia and disposables reach the bill.
Pharmacy and hospital inventory
The pharmacy runs batch- and barcode-wise stock with expiry and low-stock alerts, reorder levels, purchase orders, GRN and supplier management, and GST-compliant billing linked to prescriptions, with GSTR-1 generated from sales. Ward sale orders are pulled into the pharmacy counter automatically, and IPD pharmacy issues post directly to the patient's bill. Hospital inventory covers procedure kits and consumables: a kit is deducted from stock automatically when the procedure is billed.
Pathology (LIMS)
The LIMS handles sample collection and barcoding, analyser interfacing for automated result entry, department-wise worklists, multi-level report verification and customisable report templates. Signed reports reach the patient's WhatsApp on release, and test-wise MIS shows volumes, revenue and turnaround.
TPA, insurance and PM-JAY billing
The TPA desk manages pre-authorisation, insurer queries, paperless document upload, claim settlement status, co-payments and corporate tie-up billing, and records deductions, TDS and settlement against each claim. PM-JAY and Ayushman Bharat cases are billed as packages: the package is the claim, services delivered under it are flagged non-billable to the patient, and a sponsored payment mode keeps scheme money separate from cash. Our guide to TPA and insurance claims management covers the desk workflow.
Accounts, MIS and management reporting
Accounts cover GST invoices, advance deposits, TPA settlements, expenses and daily collection reports. The MIS gives management real-time dashboards on footfall, collections, department-wise revenue, doctor-wise performance and occupancy, exportable to Excel and PDF for board meetings. The day's collections and expenses report reaches the owner or administrator on WhatsApp as a PDF at 11:57 PM.
Role-based access and audit logs
Every staff member gets a named login and a role, so a receptionist cannot open clinical notes and a pharmacist cannot see accounts. Every login is recorded with user, time, device and IP, and every action — a bill edited, a discount applied, a record deleted — goes into a tamper-proof audit trail. Data is protected with 256-bit SSL encryption and daily automated backups, in line with the security safeguards the DPDP Act expects. See audit logs and role-based access.
ABDM Milestones 1, 2 and 3
Healthixio is officially integrated with the Ayushman Bharat Digital Mission and covers all three milestones: ABHA creation and verification at reception (M1), linking OPD prescriptions, lab reports and discharge summaries to the patient's ABHA (M2), and consent-based sharing and fetching of health records across providers (M3). The team also helps with HFR and HPR registration. See our ABDM integration page and ABDM milestones explained.
Staff attendance and payroll
Payroll handles salaries, consultant commission splits, leave approvals, salary slips and TDS, with biometric attendance sync. Ward staff can also punch attendance from WhatsApp with location or selfie verification — see staff attendance and leave on WhatsApp.
WhatsApp automation for patients and staff
Patients receive appointment confirmations with their queue token, 7 PM follow-up reminders with Confirm, Reschedule and Cancel buttons, and lab report PDFs. Authorised staff use a WhatsApp AI agent to book an OPD appointment in about two seconds, record vitals and dictate discharge-summary drafts. It is included in every plan; the complete guide to WhatsApp automation for hospitals lists every workflow.
One platform from 10 beds to 500+ beds
Healthixio does not sell one product to small hospitals and another to large ones. The same software runs at every size; only the configuration changes:
- Small hospitals (about 10–50 beds) — single-specialty, surgical, maternity, children's, eye and orthopaedic hospitals — typically run OPD, a few wards, an in-house pharmacy and lab, and one billing desk with a handful of users. See HMS for small hospitals.
- Mid-size hospitals (about 50–200 beds) run full OPD, IPD, pharmacy, lab and TPA desks across shifts, with more wards, more payers and more roles to control.
- Large multi-specialty and enterprise hospitals (200–500+ beds) — corporate, teaching and trust hospitals and hospital groups — add many departments, ICUs, OT schedules, dozens of TPA and scheme arrangements, and hundreds of staff logins.
Because the platform is the same, a hospital that grows from 40 to 150 beds, adds a department or opens an ICU extends its configuration instead of migrating to new software. Hospitals that want to digitise their OPD first can start on the OPD Only plan at ₹14,000 for the first year and ₹7,000 a year after.
How pricing works for large hospitals
Healthixio publishes its prices, exclusive of GST, on the pricing page:
- Complete HMIS up to 70 beds: ₹40,000 in the first year up to 20 beds, plus ₹10,000 for every additional 10 beds. A 70-bed hospital pays ₹90,000 in the first year.
- Renewal: ₹20,000 a year up to 20 beds, plus ₹3,000 for every additional 10 beds — ₹35,000 a year at 70 beds.
- Above 70 beds, the enterprise plan: a custom quote, because a flat per-10-bed rule stops being fair at that size. The hospital shares its bed count and departments and receives an itemised quote in writing, with the renewal rate on the same page.
Enterprise scoping covers what varies between large hospitals: beds, departments, wards, user seats and integration requirements. Onboarding, staff training, data migration, software updates and support are part of the subscription at every size.
Implementation, onboarding and training
A large hospital cannot stop for a software change, so implementation runs in phases:
- Scoping. Departments, wards and beds, tariffs, TPAs and schemes, user roles and the data to be migrated are listed before anything is configured.
- Masters and migration. Departments, doctors, services, tariffs, wards and pharmacy items are set up in the masters, and existing data is migrated from the current system. Supplier bills can be bulk-imported into the pharmacy.
- Training by role. Front desk, doctors, nurses, pharmacy, lab, TPA desk and accounts are trained on the screens they will actually use.
- Phased go-live. Registration and OPD billing usually go first, then pharmacy, IPD and billing discipline, then clinical records and ABDM linking, so each desk is stable before the next starts.
- ABDM registration. The team guides the hospital through HFR and HPR registration so ABHA workflows work from go-live.
- Support after go-live. Healthixio provides 24/7 support in Hindi and English.
Our hospital migration guide covers each phase in detail.
A buyer's checklist for multi-specialty and large hospitals
Take these questions into every vendor demo, and ask to see each answer on screen rather than on a slide:
- Can each department run its own OPD and see its own revenue, on one shared patient record?
- Does the bed board show free, occupied and reserved beds across every ward in real time, and do ward transfers carry the charges with the patient?
- Are nursing charts, ICU monitoring and doctor's notes digital, versioned and attributed to a named user?
- Do pharmacy issues, lab tests, OT consumables and procedure kits post to the IPD bill without re-entry?
- Can the TPA desk track pre-authorisation, queries, deductions, TDS and settlement per claim, and bill PM-JAY as packages?
- Does every user have a named login and a role, and can the administrator see who viewed or edited any record, with time, device and IP?
- Is the software integrated with ABDM through M1, M2 and M3 in production, not only in the sandbox?
- Does management get department-wise revenue, occupancy and doctor-wise performance without asking IT for a custom report?
- Are onboarding, training and data migration included in the price, and is the renewal rate written into the quote?
Frequently Asked Questions
Is Healthixio suitable for 300-bed multi-specialty hospitals?
Yes. Healthixio serves large multi-specialty and enterprise hospitals of 200–500+ beds. A 300-bed hospital runs department-wise OPD, IPD with wards, beds and transfers, nursing charts, OT, pharmacy, LIMS, TPA and PM-JAY billing, MIS and ABDM M1–M3 on one platform, on the custom enterprise plan.
How is enterprise pricing decided?
Up to 70 beds the price is published: ₹40,000 in the first year up to 20 beds plus ₹10,000 per additional 10 beds, renewing at ₹20,000 plus ₹3,000 per additional 10 beds. Above 70 beds, the hospital shares its bed count and departments and receives an itemised quote in writing, with the renewal rate on the same page. Prices exclude GST.
Can a hospital group run several hospitals on Healthixio?
Yes. Each hospital in the group runs on Healthixio with its own beds, wards, departments, tariffs, staff logins and ABDM facility registration on the Health Facility Registry. Reports, MIS and audit trails are kept per hospital, so each hospital's numbers and records stay its own.
What is included in implementation for a large hospital?
Onboarding, staff training, data migration, software updates and support are included at every size. Implementation is scoped around the hospital's departments, wards, tariffs, payers and users, and modules go live in phases.
Is Healthixio only for large hospitals?
No. The same platform serves small hospitals of about 10–50 beds, mid-size hospitals of 50–200 beds and large multi-specialty hospitals of 200–500+ beds. Hospitals up to 70 beds buy on published per-bed pricing, and hospitals that want to digitise their OPD first can start on the OPD Only plan.
Get an enterprise quote for your hospital
Share your bed count, departments and payers for an itemised enterprise quote in writing. Contact us for a demo and quote, see published pricing up to 70 beds, or walk through the real screens on the product tour.