Billing, payouts and statements
Radiology software usually stops at the report and hands the money to a spreadsheet. This does not. A billing line is raised the moment a report is completed, invoices are built from those lines each month, and what a radiologist is owed comes out of the same records. The ledger and the worklist cannot disagree, because they are the same system.
Where a charge comes from
The gap where radiology revenue leaks is between finishing a report and remembering to charge for it. Somebody exports a list at month end, somebody else reconciles it against the worklist, and the studies that fell between the two are simply never billed.
Here the charge is a consequence of the report rather than a separate task. Completing a report raises the line, and the database itself refuses a second automatic line for the same report, so a study cannot be double-billed by a retry, a re-open or two people working at once.
If it was reported, it is on the invoice. That is the whole point of keeping them in one system.
What the radiologist is owed
Paying readers is where trust is won or lost, so the machinery is deliberately strict. A payout line accrues per report against whoever reported it. Where a study belongs to a group it splits into a line per member at that member’s share, and the system will not accept shares that do not add up.
A statement is a draft until somebody issues it, and a draft is invisible to the person it is about on every screen and every export, so nobody is shown a number that is still being worked out. Issuing assigns the statement number. After that the lines are locked, and a payment cannot be recorded against anything unissued.
Voiding reverses the payments and releases the lines back to be restated. That behaviour exists because the alternative was found the hard way: without it, lines stranded on a cancelled statement could be paid twice.
Being straight about maturity: the payout machinery is complete and the rate cards on our own platform are still being filled in, so we will show you how it works rather than quote you volumes.
What you can pull out of it
The statement view shows settled money only; the ledger view shows everything with its totals. They are separate screens on purpose, because the question 'what have we collected' and the question 'what is outstanding' are different questions.
Who can see which money
Once one platform carries our own hospitals and partners running their own businesses, the hard question is whose money a given study represents. That is recorded explicitly on each site rather than worked out from circumstance.
It is worth saying why. An earlier version inferred it, and an audit of live data found the inference wrong for the overwhelming majority of sites. Inference was removed in favour of an ownership field, which is the sort of correction that only shows up when somebody checks real data against what the code believed.
Straight answers