Trusted by India's most ambitious healthcare teams
Apollo Hospitals
Motherhood
Cloudnine
Nova IVF
Aastrika
AINUDPDPA-aligned · ISO 27001 certified · Patient data hosted in AWS Mumbai
For hospital insurance desks, it assembles cashless files, flags likely denials before submission, and chases TPA approvals so cases stop waiting.
Apollo HospitalsMotherhoodCloudnineNova IVFAastrikaAINUA cashless request goes to the TPA without the discharge summary or implant invoice, bounces back as a query, and the patient waits another two days at the billing counter.
The desk learns a claim was rejected for a non-payable item only after submission, when the patient is already at discharge expecting a cashless settlement.
Approved claims sit unbilled to the TPA for weeks because nobody tracks which cases crossed their approval window across branches.
The repetitive human moments this agent absorbs — so the insurance desk focus on the work that needs a person.
Hands off to a human when a claim is rejected, an amount is disputed, or a medical-necessity query arises — every such case routes to the insurance desk officer for a human decision.
It pulls the consultation notes, prescriptions, test reports, and itemised bill into one cashless pack and checks every mandatory document is attached before submission.
Against past TPA decisions it scores each case for denial risk, flags non-payable line items, and names the gap so the desk fixes it before sending.
It sends the request, answers routine TPA queries, and follows up on WhatsApp and email until approval lands, tracking turnaround against your TAT target.
It tracks days in AR per TPA and branch, surfaces claims ageing past their window, and alerts the billing desk before the recovery clock runs out.
We stopped finding out about denials at the discharge counter. The desk now fixes files before they go out, and our cashless cases clear far faster than they used to.
Bring a week of real pre-auth cases and we will show you where denials and AR delays hide. Tell us what you need; our team responds within one business day.
Bring your TPA panel and recent denials, and we will show it pre-auth, denial prediction, and AR tracking on your own cases. Real workflows, no slideware.