The problem: money leaks across chambers
Many doctors in Bangladesh see patients at three, four, or more chambers, each with its own owner, its own fee, and its own way of paying the doctor. The accounting usually lives in a notebook at each counter or a spreadsheet that gets updated "later." That is exactly where money leaks. A follow-up that was charged but never written down. A percentage split that someone rounded in their own favour. A month where the rent was paid twice because nobody could find last month's entry.
None of this is dishonesty — it is the cost of tracking real money in your head and on paper while you are busy seeing patients. The fix is not a better notebook. It is making every paid visit a structured record that already knows which chamber it belongs to and which share model applies, so the settlement is a query, not a calculation you do at 11pm.
The three share models
Almost every chamber arrangement in Bangladesh reduces to one of three models. Agreeing which one applies — and recording it once — is the whole game.
| Model | How the split works | Best for |
|---|---|---|
| FULL | The doctor keeps the entire gross fee. The chamber takes nothing per visit (it may earn elsewhere — pharmacy, diagnostics, registration). | Your own chamber, or a space where you owe nothing on consultations. |
| SPLIT | The fee is divided by an agreed percentage — e.g. doctor 70%, chamber 30%. The doctor's share is computed on every visit and totalled for the period. | Hospitals and diagnostic centres that share consultation revenue. |
| RENT | The doctor keeps the gross fees but pays the chamber a fixed monthly rent, independent of how many patients came. | A rented room where you keep all consultation income. |
The important point: which model applies is a property of the chamber, not something you re-decide per visit. Set it once and every visit at that chamber settles correctly. Prescriply's engine implements FULL, SPLIT and RENT exactly as above and is covered by unit tests so the math does not drift between versions.
Daily vs monthly closing
A share model tells you how to split. A closing schedule tells you when to settle and hand over money.
- Daily closing fits chambers where the counter collects fees and pays your share the same evening. At day's end you want one number: today's visits, today's gross, today's share, settled.
- Monthly closing fits anything that accrues — a RENT arrangement, or a SPLIT that is tallied and paid once at month-end. Visits accumulate through the month and the books close on the last day.
Prescriply supports both. Daily chambers settle per day; monthly chambers accrue and settle at month-end. You see the open balance for the current period at any time, so there is never a surprise on closing day.
Closing is not the same as final. A settled chamber period recomputes live if a late visit lands in it — the report never trusts a stale total — if a visit is registered against a chamber after that chamber's period was already settled, Prescriply stops trusting the frozen total for that period and recomputes it live from the visits that actually exist, on the settlement board and in every report that reads from it.
Why paisa-exact integer money matters
This is the quiet detail that decides whether your statement reconciles. The moment you do percentage splits, rounding creeps in. If a ৳700 fee at a 70/30 split is rounded to whole taka on each visit, the error is small — but multiply it across hundreds of visits a month and the doctor or the chamber ends up measurably short. The two sides then disagree, and you cannot prove who is right.
Prescriply stores every amount as an integer number of paisa (১ taka = ১০০ paisa) and only rounds when a number is shown on screen. Per-visit fees and share amounts are exact integers; period totals are summed as exact integers too. The result: a settlement statement that always adds up, and a figure you and the chamber owner can both trust without re-checking.
Visit-type fees feed the settlement
Settlement is only as accurate as the fee that goes into it, and the fee depends on why the patient came. Each chamber sets three fees:
- New patient — the standard consultation fee for a first visit.
- Report — when the patient returns to show test results.
- Follow-up — a return visit, charged ৳0 inside the free-follow-up window you configure (for example, a free follow-up within 7 days), and the follow-up fee after it.
The visit type chosen when the patient is registered selects the correct fee automatically, so the front desk does not guess and the amount that reaches settlement is never a manual entry. Because the fee logic is a single source of truth, the amount the patient is charged and the amount that flows into the chamber split are always the same number.
From calculator to settlement engine
Put the pieces together and the manual ledger disappears. Every paid visit is tagged to its chamber, its visit type sets the fee, the chamber's model sets the split, and the closing schedule decides when it settles. At any point you can pull an earnings statement per chamber and across all chambers — gross collected, chamber share, your net — ready for your own records and your tax return.
That is the difference between a calculator you operate and an engine that runs itself. You stop adding up fees at the end of the day, you stop losing follow-ups you forgot to write down, and you settle with each chamber on a statement neither side has to argue about. If you also want to see how the front desk and visit-tagging work in practice, read our guide to digital serial & queue management for chambers, and the basics in choosing prescription software in Bangladesh.
Prescriply is free to start (30 prescriptions in total), with Pro at ৳199/month for unlimited prescriptions and an assistant seat, and Clinic at ৳499/month for up to ten assistant seats. Chamber-wise fees and settlement are included on every plan. More guides are on the Prescriply blog.
Frequently asked questions
What is chamber settlement for a doctor?
Chamber settlement is the process of reconciling how much of each visit fee the doctor keeps versus how much goes to the chamber owner, based on the agreed model (FULL, SPLIT or RENT). For a doctor practising at several chambers, settlement produces a clear, per-chamber statement of fees collected, the chamber's share, and the doctor's net earnings for a day or month.
What is the difference between FULL, SPLIT and RENT chamber models?
In FULL the doctor keeps the gross fee and owes the chamber nothing per visit. In SPLIT the fee is divided by an agreed percentage — for example the doctor keeps 70% and the chamber keeps 30%. In RENT the doctor keeps the gross fees but pays the chamber a fixed monthly rent regardless of patient volume. Prescriply computes all three to the paisa.
Should I settle daily or monthly?
Daily settlement suits chambers where money changes hands the same evening — a counter that collects fees and pays the doctor's share before closing. Monthly settlement suits arrangements that accrue over the month, such as a fixed rent or a percentage tallied at month-end. Prescriply supports both: a daily closing for per-day chambers and a monthly accrual that closes at month-end.
Why does paisa-exact money matter?
Percentage splits and rounding cause drift. If each visit is rounded to the nearest taka, a month of visits can be off by tens or hundreds of taka — and the doctor or chamber owner ends up short. Prescriply stores every amount as an integer number of paisa and only rounds at display, so a settlement statement always reconciles exactly.
How are new, report and follow-up visit fees handled?
Each chamber sets three fees — new patient, report-showing, and follow-up. The visit type selected at registration picks the right fee automatically. Follow-ups within the chamber's free-follow-up window are charged ৳0. This logic lives in one place, so the fee a patient is charged and the fee that flows into settlement are always the same number.
Does Prescriply replace my settlement calculator and ledger?
Yes. Instead of a notebook or spreadsheet per chamber, every paid visit is tagged to its chamber and fee. The settlement engine applies the chamber's model and closing schedule and produces an earnings statement you can use for your own records and tax. You stop adding up fees by hand and stop losing money to forgotten visits.