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HealthcareVedaCore Care
Insurance claim packets assembled without the back-and-forth
An agent assembles, validates and tracks TPA claim packets, cutting rejections and shortening the cash cycle.
A diagnostic chain with 90 collection centres · Pune, India
18 days → 9
Average settlement cycle
7,500
Claims processed monthly
94%
First-time-right submissions
The challenge
- Claims bounced for missing documents discovered weeks after submission.
- Each TPA wanted a slightly different packet format.
- Finance had no live view of where a claim was stuck.
What we built
- Built a validation agent that checks each packet against per-TPA rules before submission.
- Automated document collection chasing across centres and patients.
- Added a live claims dashboard with exception queues for the finance team.
The results
- Rejections halved within the first quarter.
- The cash cycle shortened by nine days on average.
- Finance now works exceptions instead of assembling paperwork.
“The agent knows each TPA's quirks better than any of us did.”