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Accounts Payable Case Study

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

How MYND transformed dialysis physician payment processing for a healthcare network operating 550+ clinics across 4+ countries—delivering on-time consultant payments, improved satisfaction, and reduced specialist attrition.

Healthcare / Dialysis Services
4+ Countries
5,000+ Team Members

On-Time Payments

Improved Satisfaction

Reduced Attrition

Enhanced Brand Image

About the Client

Asia's Leading Dialysis Service Provider

Our client is Asia's leading dialysis service provider, headquartered in India and operating one of the region's largest renal care networks. They deliver specialised kidney care through multiple service models, including in-clinic dialysis, home-based programmes, and mobile dialysis units, ensuring accessibility for patients across urban and rural areas.

With a presence spanning 4+ countries and a workforce of over 5,000 dedicated professionals, the organisation serves thousands of patients requiring regular dialysis treatments. Their clinical delivery model depends heavily on visiting nephrologists and retainer doctors who provide specialised 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.

550+ Dialysis Clinics
4+ Countries Covered
5,000+ Team Members

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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 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 payment processing framework, transforming fragmented operations into a structured, scalable system with clear ownership across the dialysis network.

Structured Payment Process Flow Process Design

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

Priority-Based Payout Management Payout Engine

Introduced priority-based payout management for doctors, nephrologists, and PODs, with attendance and rate validation built into the workflow to ensure accurate, timely payments.

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Plug-and-Play F&A Framework Scalability Framework

Established a plug-and-play F&A framework that supports seamless scalability and M&A integration as the network expands.

Centralized Processing Model Centralized Operations

Built a centralized processing model for geographically distributed clinic operations, bringing consistency and standardised processing across locations.

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The Impact

Measurable Results Across the Network

The engagement delivered tangible improvements across consultant payments, working capital, and the broader F&A framework, supporting operational efficiency and continued network growth.

Zero Late Payments

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

Petty Cash Management

Petty cash controls at the clinic level tightened expense management and improved working capital optimisation across the network.

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Plug-and-Play F&A Framework

A standardised F&A framework enabled seamless scalability and supported M&A integration, providing a repeatable foundation as the network grew.

100% Agreement Validation

Every nephrologist agreement was verified for fee structure and payment terms across all clinics, ensuring complete consistency in consultant contract data.

Reduced Timeline

Streamlined AP reconciliation across clinics shortened the financial closing cycle, accelerating month-end reporting.

From Fragmented Processes to a Streamlined F&A Backbone

By establishing clear ownership, defined turnaround times, and standardised controls across nephrologist payments, petty cash, and AP reconciliation, the organisation transformed a fragmented set of processes into a scalable F&A backbone that supports both day-to-day operations and continued network growth.

Related Solutions

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Whether you're managing consultant payments, vendor invoices, or complex multi-location disbursements, MYND provides end-to-end accounts payable outsourcing solutions.

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End-to-end AP management including invoice processing, vendor payments, reconciliation, and reporting. Achieve 99% accuracy with defined SLAs.

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Complete finance & accounting outsourcing for enterprises. From record-to-report to compliance management across all Indian states.

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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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