iCover Policy & Claim Support Services

Workflow Operations

Preauth submission
TPA Portal Management
Interim Enhancements

Administrative Success

Query Resolution
Final Bill Submission
Discharge Coordination

TheCHD@P Result

-40%

Rejections

+2x

Approval Speed

MAX

Satisfaction

OPT

Revenue

Remote Command.

Ideal for medium-sized clinical centers. Complete cashless support via our dedicated expert team located at our tech-hub.

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Centralized Claim Handling

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24/7 Digital Coordinator Access

Technical Solutions

Cashless Intelligence

Addressing your pain points with surgical precision through onsite support, virtual command, and legal advocacy.

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Cashless Hot Desk
@ Premises

Dedicated expert manpower stationed at your hospital premises.
Accurate Pre-Auth filing, query management, and logical approvals.
Interim enhancements and final approval tracking in shortest TAT.

Outcome: Max Patient Satisfaction & Partner ROI

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Virtual Helpdesk
CHD@V

"Recommended for hospitals with < 30 beds."

All features made available through our virtual platform. Managed by experts from our base location, ensuring technical parity without the onsite footprint.

Remote Expert Monitoring

Reimbursement Optimization

Cost Recovery

Optimizing value and facilitating the recovery of incurred costs with forensic precision.

Leakage Control

Reducing percentage of short payments and accelerating claim payment TAT.

Staff Efficiency

Hospital staff focus on core operations while we handle the management auto-pilot.

01 Networking & Empanelment

TPA/Insurer Tie-ups

Assistance in empanelment on best effort basis with complete documentation guidance.

Accreditation (NABH/JCI)

Infrastructure audit, pricing proposals, and annual audit preparation support.

02 Redressal & Unpaid Recovery

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Rejected Claim Assistance

Evaluating rejection grounds and pursuing legal entitlements through various forums.

Unpaid Amount Recovery

Meticulous expertise to recover pending amounts stuck after earlier approvals.

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Deployment Model

The Cashless
Hot Desk.

We provide dedicated expert manpower physically in your premises (or virtually for smaller facilities) to handle every claim hurdle in real-time.

On-Site (CHD)

Recommended for 30+ Bed Hospitals

Virtual Helpdesk (CHD@V)

Base-office support for smaller facilities

Protocol Workflow

Pre-Authorization Mastery

Staff-driven accuracy in filling medical details andAddressing queries with speed.

Active TPA Coordination

Direct liaison for interim enhancements and final discharge approvals.

Revenue Recovery Audit

Meticulous recovery of pending amounts from insurers at the shortest possible TAT.

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The Handhold Advantage

Creating a Win-Win
Ecosystem.

When cashless services are facilitated with forensic precision, it eliminates financial friction for the patient and revenue leakage for the hospital.

Optimized Revenue Zero Pocket Expense Forensic Accuracy

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Pre-Auth Mastery

Accurate medical detailing and document synchronization.

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Portal Management

Centralized handling of various TPA and Insurance portals.

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Discharge Acceleration

Expedited query replies ensuring timely discharge.

Leakage
Recovery.

LEAK

Unpaid Claim Recovery

01

Approved but Unpaid

Tracking funds cleared by TPA but stuck in transit or bank reconciliation.
02

Long Pending Settlements

Aggressive resolution for aging outstanding claims exceeding 90 days.

Strategic
Networking.

NES

Empanelment (NES)

Admin

TPA Tie-ups

Revenue

Pricing Strategy

Compliance

Infra Audit

Quality

NABH Support

The Bottom Line.

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Increased Revenue

Maximize per-claim returns.

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Reduced Shorts

Cut down unfair deductions.

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Faster TAT

Liquidate claims in half time.

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Efficiency

Better clinical focus for staff.

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Patient Experience

Zero-hassle discharges.

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Brand Trust

Enhanced empanelment rating.

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Hot Desk @ Premises

Virtual Helpdesk