The player who started the bidding in the round goes first. For each patient on a red area of a plan, the player must pay a claim. If the patient is black, they can choose from any of the 3 claim decks. Otherwise they must choose from the deck that their color dictates. A claim is paid for this patient every round.
The player who started the bidding for the round pays the first claim. After the claim is paid, the player to the left pays a claim. This continues in clockwise order until every claim has been paid for the round.