-32%average claim settlement time
-45%claims returned for documents
+9%net collections from insurance
About the client
A 120-bed multi-speciality hospital, based in Nashik, Maharashtra, operating in the healthcare, hospitals & clinics sector.
The problem
Insurance claims were tracked in spreadsheets, documents were often missing and settlements took months.
What we did
- Hospital ERP with OPD, IPD, pharmacy and billing
- TPA pre-authorisation tracking with alerts
- Document checklists per claim
- Package billing aligned to approvals
- Ageing reports for pending claims
Outcome
- -32% average claim settlement time
- -45% claims returned for documents
- +9% net collections from insurance
Services involved
Client identity withheld. This anonymised case study is an illustrative example of our approach; figures are indicative and results vary by business, market and budget.
