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What is split billing e-invoicing for medical clinics with TPA?

Quick Answer

Split billing e-invoicing occurs when a single patient visit generates two separate e-invoices: one for the patient's out-of-pocket portion and one for the insurance panel or Third Party Administrator (TPA) covering the insured portion. Under LHDN e-invoicing rules, each portion must be submitted as a separate e-invoic...

Full Details

Split billing e-invoicing occurs when a single patient visit generates two separate e-invoices: one for the patient's out-of-pocket portion and one for the insurance panel or Third Party Administrator (TPA) covering the insured portion. Under LHDN e-invoicing rules, each portion must be submitted as a separate e-invoice with the correct buyer details — the patient's personal information for their portion, and the insurer's business TIN for the panel claim. This is the standard billing model for GP clinics, dental practices, and specialist clinics serving corporate-insured patients in Malaysia.

MedicalMet automates split billing by applying panel-specific pricing based on the patient's tagged insurance panel, then generating and submitting both e-invoices to MyInvois automatically. Visit medicalmet.com/features/insurance-panel for panel billing details.

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