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Bill-only

Clinical Supply Chain

Definition

A bill-only is a clinical supply transaction in which a product, typically an implant or high-value device, is supplied by a vendor representative at the time of the procedure and billed to the hospital afterwards rather than purchased from existing inventory. Accurate bill-only workflows are essential for charge capture and contract compliance.

Why it matters

Bill-only items account for a substantial share of procedural spend in US health systems, particularly in orthopaedics, cardiology and spine. Because the product enters the hospital outside the normal purchase order process, bill-only is one of the highest-risk categories for pricing errors, missed charges and contract leakage. Catching errors before charges post requires real-time visibility of product use against contracted prices.

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