Insurance and cashless hospitalization now account for over 50% of revenue in private Indian hospitals. However, manual claim submission and delayed TPA pre-authorizations often tie up millions of rupees in working capital.
The Cashless TPA Bottleneck
Missing medical documents, improper diagnostic codes, and delayed discharge summaries lead to claim rejections or partial settlements.
Automated Claim Verification
Automated billing modules cross-reference doctor EMR notes, lab reports, and itemized bills against TPA requirements before submission, ensuring 99%+ first-pass approval rates.
Financial Impact on Hospital Cash Flow
Hospitals using automated TPA workflows reduce claim processing time from 14 days down to 48 hours, vastly improving cash liquidity.