Turns a doctor's notes into a ready-to-submit insurance form. Checks for missing documents. Predicts approval chances.
Time from patient arrival to insurance approval. IRDAI mandates 1 hour. Routinely violated.
Of submissions get sent back for missing information. Each round-trip adds 2-6 hours. Patient waits.
Different insurance portals. Each with different forms, different rules, different document requirements.
The bottleneck isn't the insurer. It's the 2-4 hours spent inside the hospital — reading handwritten notes, filling 15 different form templates, gathering reports from 5 departments — before the request even leaves.
Doctor's notes go in. A complete, TPA-ready insurance submission comes out.
'Patient ko 6 months se right knee mein pain hai.' Reads this natively. No translation step needed.
If a lab result isn't in the input, it won't appear in the output. Every finding traces to the original notes.
Catches missing documents before submission. Eliminates the 2-6 hour query cycle that hits 40% of cases.
Medi Assist wants PAC for 55+. FHPL needs cost itemization. Vidal needs conservative treatment proof. All checked automatically.
Right knee vs. left knee = different code. Wrong code = send-back. Cross-references notes for laterality and severity.
Flags them, checks policy waiting periods, adjusts approval prediction. Knows diabetic patients trigger specific insurer queries.
Same knee replacement: ₹2.5L in Bhilai, ₹5L in Mumbai. Flags costs that deviate from insurer expectations.
Missing vitals, absent lab dates, unclear values. Extracts what's available, flags what's missing by importance.
Medi Assist queries high blood sugar before elective surgery 80% of the time. System preemptively recommends surgeon's note.
Connect to the hospital system directly. Auto-gather lab reports, scans, and history. The 30 minutes spent collecting documents becomes zero.
After 500+ submissions, learn each insurer's real patterns. Medi Assist queries HbA1c 7.0-7.5% at 80% rate but FHPL only at 30%.
Doctor speaks in Hindi-English. AI transcribes, structures, and generates the form. Skips handwritten notes entirely.