Rigorous investigation workflows and guaranteed turnaround time SLAs.
24-48 hrs
PAV & CPV Verification
48-72 hrs
TPA Claim Cycle
100%
Doctor-Validated Reports
Trigger Received
Hospital Field Visit
Document & Patient Audit
Central Team Scan
Instant dispatch upon receiving cashless authorization request from the TPA central desk.
Investigators arrive on-site at the network hospital to verify admission records and patient presence.
Capture geo-tagged photo evidence, ID proofs, and conduct structured patient questionnaire.
Encrypted digital transmission of hospital registers and case sheets to central quality control.
6-Step Reimbursement Claim Workflow
Document Collection
Hospital/Residence Visit
Cross-Verification
ID & Address Check
Systematic collation of discharge summaries, pharmacy bills, and diagnostic reports.
Physical verification of residential address and treating hospital registration status.
Cross-checking medical records against hospital IP registers and treating doctor statements.
Rigorous KYC and permanent address authentication using local intelligence.
Strict Evidence Standards for Insurers
Geo-Tagged Media
Hospital Register Extracts
Formal Medical Opinion
All field photographs and video logs carry unalterable GPS coordinates and timestamps to verify exact location.
Certified extracts from IP admission registers, nursing charts, and treating doctor consultation notes.
Independent clinical assessment and liability evaluation authored by our MCI-registered MBBS/MD panel.
Partner with LexiNova for dependable, doctor-validated investigative coverage across Pan-Karnataka.