Referral management and OTP-based doctor payouts.
Every referral owned before discharge. Every cash or bank payout confirmed by OTP at the moment of handover. So when someone asks four months later — “who got paid for that patient?” — the answer is a record you pull up in forty seconds, not a WhatsApp search.
Month 1 completely free. Nothing migrated, nothing replaced, your HIMS untouched.
- Patient
- UHID 4312 · IP admissionAdmitted 14 May 2026, 09:04
- Referral owner
- PRO — North sectorClaim locked 14 May 09:12, before discharge
- Bill verified
- ₹ 41,900 net of pharmacyChecked against HIMS bill register
- Entitlement
- ₹ 2,400 · approvedReleased by finance head, 21 May 11:04
- Payout
- Cash · counter 2 · 22 May 16:38
- Recipient
- Dr •••••••• (masked to carrier)
- OTP confirmed
- 22 May 16:39:21 · code ••••17Sent to the doctor’s own number, not the carrier’s
- Dispute status
- None raised · record retained
Hospitals don’t lose referral money on bad arithmetic.
They lose it in the gap between the referral and the cash — the part no HIMS was ever built to own. Every operator recognises this list.
Two PROs claim the same patient.Whoever speaks to you first, or loudest, gets paid.
The approval was verbal, in a corridor.Nobody can reconstruct who authorised what, or on what basis.
Cash goes out against a signature on a slip.Four months later that slip proves a handover happened. It does not prove who received it.
Bank details don’t match the doctor’s name.The payment goes through anyway, because the alternative is an argument.
Genuine referrers wait weeks while someone checks the file.The honest ones get punished for the system’s slowness. They stop referring.
The owner becomes the dispute desk.Every small disagreement climbs to the one person who can’t delegate it.
Spending more on patient acquisition does not fix a payout process that can’t defend itself.
One control layer from referral to audit.
Each step hands a verified object to the next. Nothing enters the chain late, and nothing leaves it without a record. This is a real sequence — a payout cannot skip a step.
Referral
Ownership claimed and locked early — before discharge, not after the dispute.
Verify
Claim checked against the actual bill in your HIMS. No bill, no entitlement.
Approve
Role-based release. The approver is named and the timestamp is kept.
Payout + OTP
Cash or bank, tied to an approved entitlement and a named recipient. OTP confirmed at the moment of handover.
Proof
Amount, releaser, recipient, time and confirmation captured as one record.
Audit
Searchable by patient, doctor, PRO, branch or date — permanently.
On the OTP: it is one control inside a verified chain, not identity proof standing on its own. What makes it hold up is everything around it — the entitlement it is attached to, the amount already approved, the person who released it, and the record that survives the conversation.
A control layer. Not a rip-and-replace ERP.
What it does
- ✓Owns the referral ledger — who introduced the patient, and when the claim was locked.
- ✓Holds entitlement and approval as separate, named acts.
- ✓Puts an OTP at the cash counter, sent to the recipient’s own number.
- ✓Keeps a searchable audit trail that outlives the staff who created it.
- ✓Reads your existing bill register to verify claims.
What it deliberately isn’t
- —Not a HIMS replacement. Yours stays exactly where it is.
- —Not a data migration project. There is nothing to move.
- —Not an accounting system. It hands clean records to the one you have.
- —Not a marketing retainer. This is a product, bought monthly.
- —Not a six-month rollout. One branch, live inside a week.
Built inside a working multi-branch hospital group — and still running there every day.
Not a prototype written from a market study. It was built because disputed referrals and unreconstructable payouts were a real, recurring cost inside a functioning group, and nothing on the market handled the cash side honestly. It was hardened in daily use, then opened to a small number of hospitals with the same problem.
We don’t name that group. For the same reason we won’t name yours. How a hospital pays its referrers is nobody else’s business — discretion is part of the product, not a gap in the pitch.
One month is free.
Here’s what’s included, and what the first thirty days look like.
A free process audit.
We review how your referral payouts run today, before anything is bought.
- ✓Twelve months of subscription, with one month free
- ✓One branch to start, not the whole group
- ✓No data migration, no HIMS change
- ✓Your records stay yours and stay exportable
- ✓No agency retainer attached. This is the product on its own.
Tell us about your hospital. We’ll reply within one working day.
You contact us; we don’t cold-call. Fill in the basics and one person from Spark Strategy replies on WhatsApp or email — to you, nobody else — with a walkthrough slot and what the first thirty days would look like for your branch.
Nothing is sold on this form. It just tells us who to reply to.
The questions owners actually ask.
Do we have to change our HIMS?
No. That’s the entire design decision. Spark Ledger sits beside it and governs the part your HIMS never owned — who introduced the patient, what they’re owed, who approved it, and whether the money reached them. Your billing, your registration, your reports all stay where they are.
What does it cost after the free month?
A flat monthly subscription, priced per branch. We share the number on the walkthrough call rather than on a public page — it depends on how many branches and PROs you’re running, and we’d rather quote it honestly than post a figure that fits nobody.
Our PROs won’t use an app.
They will if it gets them paid faster and settles claims in their favour. The PRO side is deliberately small: claim a patient, see the status, see what’s approved. The people who resist it hardest are usually the ones the current system suits.
Who can see the data?
Role-based. A PRO sees their own claims. A branch head sees their branch. Finance sees entitlements and approvals. The owner sees everything. Recipient numbers are masked from the person carrying the cash — that separation is the point.
What if we stop?
You export your records and walk away. There is no data hostage-taking and nothing embedded in your HIMS to rip out afterwards.
Is this an agency service?
No. Spark Strategy also runs marketing work, and this is not that. Spark Ledger is a standalone product bought on a monthly subscription. If the marketing side is ever useful to you, that’s a separate conversation you can decline without affecting this one.
See it run for twenty minutes.
Referral ledger, an approval, an OTP cash handover, then a four-month-old payout pulled up from search. That’s the whole demo.
You message first. We reply within one working day, and only to you.