Accounts Payable Case Study

Structuring the Nephrologist Payment Workflow End-to-End for India's Leading Dialysis Provider

How MYND transformed dialysis physician payment processing for a healthcare network operating 500+ clinics across 290+ cities—delivering on-time consultant payments, improved satisfaction, and reduced specialist attrition.

Healthcare / Dialysis Services
Pan-India (290+ Cities)
5,200+ Team Members

On-Time Payments

Improved Satisfaction

Reduced Attrition

Enhanced Brand Image

About the Client

India's Leading Dialysis Service Provider

Our client is a leading dialysis service provider operating one of India's largest renal care networks. They deliver specialized kidney care through multiple service models—in-clinic dialysis, home-based programs, and mobile dialysis units—ensuring accessibility for patients across urban and rural areas.

With a presence spanning 290+ cities and a workforce of over 5,200 dedicated professionals, the organization serves thousands of patients requiring regular dialysis treatments. Their clinical delivery model depends heavily on visiting nephrologists and retainer doctors who provide specialized medical expertise at each clinic location.

Managing timely, accurate payments to these high-value nephrology consultants is critical—not just for financial operations, but for maintaining the clinical relationships that directly impact patient outcomes and care quality.

500+ Dialysis Clinics
290+ Cities Covered
5,200+ Team Members
100+ Clinics with Consultant Payments

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Industry Context

The Complexity of Healthcare Consultant Payments

In healthcare—particularly dialysis services—physician relationships are the backbone of clinical delivery. Unlike standard vendor payments, nephrologist payment workflows involve multiple fee structures, location-specific agreements, and time-sensitive processing requirements that demand specialized attention.

Complex Fee Structures

Dialysis physician payments involve minimum guarantees (MG), referral fees, per-session commissions, and consultation fees—each requiring precise calculation based on individual agreements.

High-Value Relationships

Nephrologists are specialized professionals whose expertise directly impacts patient outcomes. Payment delays can damage relationships essential to clinical operations and guest care quality.

Multi-Location Complexity

Managing consultant payments across 100+ clinics in different cities requires standardized processes while accommodating location-specific agreement terms and compliance requirements.

The Challenge

Payment Delays Threatening Critical Consultant Relationships

Despite operating a sophisticated clinical network, the organization faced significant challenges in their nephrologist payment workflow that were impacting consultant satisfaction and retention.

1

Delayed Payments Damaging Relationships

Delayed payments to visiting nephrologists and retainer doctors created dissatisfaction and damaged relationships critical to dialysis service delivery. These specialists are essential to patient outcomes, making payment delays a clinical risk, not just an operational issue.

2

No Clear Process Ownership or SLAs

No clear process ownership or turnaround time commitments for payment stages across 100+ clinics. Without defined dialysis doctor payment SLAs, accountability gaps meant payments could stall at any stage without escalation.

3

Reactive Payment Processing

Payment processing was reactive, with no proactive tracking for complex calculations including minimum guarantees (MG), referral fees, per-session commissions, and consultation fees. Each payment type required manual intervention and verification.

4

Lack of Payment Status Transparency

Lack of transparency in payment status created frequent queries from high-value nephrology specialists essential to guest outcomes. Finance teams spent significant time responding to status inquiries rather than processing payments.

MYND's Solution

Structuring End-to-End Nephrologist Payment Workflow

MYND designed and implemented a comprehensive dialysis physician payment processing framework—transforming reactive, fragmented operations into a structured, transparent system with clear ownership and defined SLAs.

Structured Payment Process Flow Process Design

Structured the complete nephrologist payment process flow with clear stage-wise ownership from agreement validation to payment release. Each step now has defined responsibilities, eliminating ambiguity about who handles what and when.

Defined Turnaround Times SLA Framework

Defined turnaround times for each stage, including validation of minimum guarantees, referral calculations, and per-session fee computations. Clear dialysis doctor payment SLAs ensure accountability and enable proactive management of complex payment calculations.

Dedicated Payment Team Resource Allocation

Introduced a dedicated team to manage critical consultant payments end-to-end across all dialysis clinics. This specialized team understands nephrology consultant retention payments requirements and ensures consistent processing standards across 100+ locations.

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Payment Tracking & Escalations Visibility Layer

Built tracking mechanisms for payment status visibility with proactive escalations for any delays. Nephrologists and internal stakeholders can now access real-time status updates, reducing query volumes and building trust through transparency.

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The Impact

Measurable Results Across the Network

The structured nephrologist payment workflow delivered tangible improvements in consultant satisfaction, operational efficiency, and organizational reputation.

On-Time Consultant Payments

Nephrologists and specialists received payments as per agreed timelines, improving satisfaction and retention. Defined SLAs ensured every payment stage had clear deadlines and accountability.

Enhanced Brand Reputation

Reliable payment processing enhanced the organization's reputation among nephrology professionals across 150+ cities. Word-of-mouth among the specialist community improved recruitment outcomes.

Reduced Consultant Attrition

Improved payment experience strengthened retention of clinical expertise. Nephrology consultant retention payments are now processed consistently, eliminating a key source of dissatisfaction.

From Reactive to Proactive Payment Operations

By establishing clear ownership, defined turnaround times, and transparent tracking across the entire dialysis physician payment processing cycle, the organization transformed a fragmented, complaint-driven process into a streamlined operation that supports—rather than undermines—critical clinical relationships.

150+ Cities with Improved
Payment Reliability
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Facing Similar Payment Processing Challenges?

Whether you manage consultant payments in healthcare, vendor disbursements in retail, or complex fee structures in professional services—MYND can help structure your payment workflows for accuracy, transparency, and on-time delivery.

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