Back-office queue

Cases

Active hospital cases routed through Billing-Assist for claims-readiness review.

PatientSpecialtyCase typeStagePayer / TPAReadinessRiskBack-office action needed
Patient R.S.OrthopaedicsCashless pre-authorisationPre-auth pendingPrivate Insurance / TPA62/100
High
Improve pre-authorisation packet
Patient A.K.CardiologyCashless insuranceDischarge pendingPrivate Insurance / TPA68/100
Medium-high
Apply back-office fixes
Patient M.J.OncologyCashless pre-authTPA queryStar Health / TPA71/100
Medium
Attach histopathology report
Patient S.V.General SurgeryFinal claimResubmissionHDFC Ergo84/100
Low
Reconcile consumables in final bill
Patient N.D.ICUCashless insuranceDischarge pendingICICI Lombard59/100
High
Justify length of stay
Patient P.G.CardiologyCashless pre-authPre-auth pendingCare Health77/100
Medium
Attach angiography indication
Patient R.K.OrthopaedicsFinal claimClaim submissionNiva Bupa92/100
Low
Ready for submission
Two preloaded cases are available for full review: Patient R.S. and Patient A.K.
Open AI Review

Human-reviewed AI support for documentation integrity, TPA readiness, and cleaner claims.

AI support for hospital review only. Does not make medical decisions. Does not guarantee claim approval. Human validation required.