Our AI finds every rejected, short-paid and forgotten insurance claim. Our team chases each one until the money lands in your account. You pay only a share of what comes back.
Insurance and scheme claims pass through many hands. A missing document, a late reply to an insurer's query, a wrong package, or a payment that comes in short can quietly cost a hospital lakhs. In many hospitals a small team, often a single person, manages all of it with registers and spreadsheets, so nobody can see what was lost.
Refused for missing documents or small errors, and never resubmitted.
Insurers pay less than approved and nobody checks the difference.
Queries go unanswered and claims expire.
Patients are discharged and the claim is never raised.
Move the sliders to match your hospital. This is your own estimate, not our promise. The free claims check measures the real number.
No new software for your staff to learn. Just a call, the records you already keep, and money coming back.
A short call or WhatsApp chat about your hospital and the schemes you work with.
Your claims register or billing export, and any insurer statements. Excel, CSV or PDF is fine.
AI flags every stuck claim with the reason. Our team prepares the fixes; your team approves; we follow up with insurers and TPAs.
We invoice our share only after the money reaches your account, based on one report we both see.
Software gives your busy staff one more screen to work through. We bring the AI and the people to do the work.
One insurance desk person can't recheck hundreds of claims against every payment. Our AI can, in minutes, and hands your team a short list of what to chase.
Takes your claims register, billing export and insurer statements as they are, and turns them into one clean list of claims.
Matches each claim to its approval, payment and status, even when names, dates or amounts are written differently.
Flags claims that were rejected, paid short, stuck on a query, or never raised, with the amount at stake.
Reads rejection and query remarks and tells your team in simple words what went wrong: a missing document, a wrong package, a late reply.
Prepares draft resubmissions and query replies with the documents needed, ready for your team to check and approve.
Watches every open query and filing window, and reminds your billing staff before a claim expires.
Our incentive matches yours: we earn only when you recover money.
What was stuck, what came back and what we charged, on one page.
From nursing homes that still run on registers and Excel to large multi-specialty hospitals. If you raise insurance or scheme claims, it fits.
The AI finds and drafts. Your team approves.
Built to follow India's DPDP Act. Stored and processed in India, access limited by role.
Taxes extra as applicable. Written terms are shared before we start. Recovery pricing terms
Looking for software for your clinic instead (scheduling, reminders, voice)? See More from Pragati.
We're working with a first group of hospitals and the people who advise them.
Be among the first hospitals on Pragati Claims. Start with a free claims check, work directly with the founding team, and help shape what we build next.
Hospital billing consultants, TPA and insurance-desk professionals, CA firms and hospital associations: introduce hospitals that are losing money on claims, and grow with us.
There is no upfront or monthly fee. We take an agreed percentage of the money we recover for you. If we recover nothing, you pay nothing.
Only money received by your hospital on claims from the period we reconciled, which we flagged and helped pursue. You see the same report we do.
Your claims register or billing export for a recent period, and any insurer or scheme statements you have. Excel, CSV or PDF is fine.
No. They keep their current process. Our tool gives them a clear list of what to chase.
We follow India's DPDP Act. Your data is stored and processed in India, and access is limited by role. We use your data only to reconcile your claims, and delete it within 30 days if you stop working with us.
We prepare and track, and your team approves anything before it goes out. We never change medical records or submit anything without your approval.
PM-JAY / Ayushman Bharat, CGHS/ECHS, state government schemes, and private insurers and TPAs. If you work with another insurer or scheme, tell us and we will check it for you.
Yes. It works for hospitals of any size, whether you have a single insurance desk person working from registers or a full billing team.
Yes. There is no minimum term. You can stop with 30 days' notice, and fees stay due only on recoveries already in progress. We delete your claims data within 30 days of you leaving.
A free claims check takes minutes to set up. No fee unless we recover money for you.
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