Comprehensive field audit protocols tailored for insurance carriers and third-party administrators requiring rapid evidentiary confirmation.
TPA Claim Investigation
PAV and CPV Verification
Official Document Procuration
On-site verification for reimbursement, cashless admissions, critical illness, and hospital bed audits to prevent fraudulent payouts.
Permanent and contact point address checks, pre-employment verification, and KYC audits for policyholders and corporate clients.
Direct retrieval of indoor case sheets, FIR reports, medico-legal certificates, IP registers, and hospital registration credentials.
Audit Verification Questionnaires
14-Point Patient Verification
12-Point Hospital Audit
Doctor Panel Validation
Exhaustive field interview recording physical condition, admission timeline, treatment history, vital sign logs, and photo identification.
Systematic inspection of IP registers, bed occupancy logs, doctor visit notes, surgery records, and hospital registration certificates.
Mandatory review by MCI-registered MBBS/MD physicians to cross-examine clinical diagnosis against billed treatment procedures.
IRDA Compliance and Geo-Tagged Evidence
Every investigation dossier contains encrypted geo-coordinates, time-stamped visual evidence, and verified medical panel opinions held under strict data confidentiality protocols.
Connect with our central case coordinators to trigger 24-hour field investigations across urban and rural Karnataka.