ClaimsOS

ClaimsOS

ClaimsOS

Building the AI-native operating layer for insurance claims at India’s private hospitals.

Stuck claims, unstuck.

Most hospitals can tell you what a claim was billed for. Almost none can tell you, on any given day, what’s actually been approved, paid, or quietly lost somewhere between an insurer’s ‘yes’ and the money landing in the bank.

Most hospitals can tell you what a claim was billed for. Almost none can tell you, on any given day, what’s actually been approved, paid, or quietly lost somewhere between an insurer’s ‘yes’ and the money landing in the bank.

Most hospitals can tell you what a claim was billed for. Almost none can tell you, on any given day, what’s actually been approved, paid, or quietly lost somewhere between an insurer’s ‘yes’ and the money landing in the bank.

A two-week forensic reconstruction of your claims history.

We rebuild every claim into a single, rupee-quantified, payer-by-payer map — a diagnostic picture where none existed before.

01

No disruption to existing hospital systems.

02

Reads records without altering them.

03

Delivers clarity where scattered spreadsheets gave you none.

A living ledger for every claim, updated in real time.

The continuously updated counterpart to the audit. Every claim is tracked against India’s statutory response deadlines — and the moment one is breached, you know.

1 hour

Pre-authorization

Statutory response window

3 hours

Discharge

Statutory response window

30 days

Reimbursement

Statutory response window

Underpayments are flagged automatically — one source of truth, not fifteen spreadsheets.

Built on a compliant architecture, not bolted onto one.

An agentic pipeline, not a monolith

Purpose-built stages, each doing one job well — auditable, replaceable, and far more reliable than a single black-box model.

An append-only audit ledger

Every event is chained to the one before it. Nothing is edited in place, so the record is tamper-evident by construction.

Deadlines as first-class objects

IRDAI response windows live inside the system as tracked objects — not numbers reconstructed in a report after the fact.

DPDP-aligned from the schema up

Purpose limitation and consent are built into the data model itself — not a policy layer added once the data is already everywhere.

First time

First time

Enforceable payer deadlines now exist in India — statutory, and measurable for the first time.

Barely live

Barely live

A national claims exchange exists — yet hospitals have barely begun to adopt it.

Year over year

Year over year

India’s insured base keeps growing, structurally, year after year.

Stuck claims, unstuck.

Stuck claims, unstuck.

Request an audit — or just tell us where your claims are getting stuck.

ClaimsOS

© 2026 ClaimsOS — Stuck claims, unstuck.