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SOLUTIONS

Health & TPA claims

Capture line items and diagnoses, and flag missing or inconsistent documents early.

  • Discharge summaries
  • Hospital bills
  • Prescriptions

THE PROBLEM

Hours of reading and re-typing

Health claims come with discharge summaries, itemised hospital bills and prescriptions. Reviewers spend time re-keying line items and diagnoses, and a missing or inconsistent document is often found late.

HOW IT FLOWS

From documents to checked fields

Every document moves through the same six stages, so results are consistent and every decision can be traced.

Documents in

  • Discharge summaries
  • Hospital bills
  • Prescriptions
  1. Intake
  2. Understand
  3. Extract
  4. Validate
  5. Review
  6. Deliver

Fields out (sample data)

  • PatientRamesh KumarDischarge summary · p.1
  • Admission04/02/2024Discharge summary · p.1
  • Bill line items14 rowsHospital bill · p.1–2
  • Bill total₹ 62,300Hospital bill · p.2

WHAT DOCINTEL CHECKS

Checks that run on every file

Line items captured

Itemised bill rows extracted as a table, with totals checked against the sum.

Diagnosis consistent

Diagnosis on the discharge summary compared with the prescription and bill.

Dates line up

Admission and discharge dates checked against billed dates.

Missing documents flagged

Claims without an expected document are flagged early, before review.

Items that fail a check, or that the system is unsure about, go to a review queue where people correct and approve.

Let's talk about your documents

Bring a representative set of your own documents. We will show you what comes out the other side.