Executive reporting
Reports
Impact of AI claims-readiness review on TPA submissions, documentation gaps, and discharge clearance.
38%
Discharge clearance faster
42
TPA queries avoided
₹18.6L
Deduction risk flagged
31
Documentation gaps found
26
Pre-auth packets improved
Top documentation gaps
Across cases reviewed (last 30 days)
TPA query categories
Most common reasons for TPA queries
Departments with most claim risk
By back-office review escalations
Pre-authorisation packet readiness
Share of pre-auth packets ready after AI review
74%ready for submission
- Ready after AI review95
- Pending back-office action28
- Awaiting clinical clarification5
Discharge clearance improvement: 38% faster average turnaround after Billing-Assist review.