A queue, a document hunt, re-typing
Families queue at the counter with questions. Documents are photocopied and chased. The doctor's form is filled by hand, typed again into the portal, and queried when something is missing.
Claims Ignite · for the insurance desk
The patient fills their half on their phone, the doctor fills the clinical half, and the pre-auth form generates itself. Your desk adds what only the hospital knows, checks nothing is missing, and submits.
What changes in your day
Families queue at the counter with questions. Documents are photocopied and chased. The doctor's form is filled by hand, typed again into the portal, and queried when something is missing.
The patient's details, policy and identity documents are already read and cross-checked. The clinical half comes from the doctor. Your desk completes, checks and submits.
At the desk
New, in progress, with the doctor, submitted, queried and decided, updated as it happens.
The rules the payer applies are run before filing, so a file cannot be submitted with something missing.
Each room class is priced against the policy's limit before the family chooses.
The estimate is checked against the remaining cover as you type.
Submitting starts the clock. A query pauses it. Warning thresholds alert the people you name.
The reply is prepared from what is already on file and attested by the doctor.
After submit
Channel adapters file with the TPA portal, NHCX or the insurer's API, and bring every query and decision back to the desk board and the patient's phone.
Claims Ignite delivers the complete file into it. Your team files and settles there, and status flows back so the patient's page stays live.
| Platform | What its vendor says publicly | How Claims Ignite hands over |
|---|---|---|
| ClaimBook | Claim upload from Excel, CSV and PDF is live; a webhook export to HIS and ERP is listed as being built. | Export in its upload template, by scheduled file or on demand. Webhook once available. |
| IHX | A claims exchange linking hospitals with insurers. No public hospital API documented. | Partner integration agreed with IHX, or its bulk intake format. |
| Any other | Varies. | API if offered; otherwise a file export to its import format; NHCX FHIR bundle where it reads one. |
What you configure
| Item | What it holds | Who owns it |
|---|---|---|
| Payers and channels | Which TPAs and insurers are empanelled, and how each is filed. | Insurance desk head |
| Departments and specialties | Mapped to each payer's own list, so the form always uses the payer's values. | Insurance desk head |
| Document rules | Which documents each payer and procedure needs, and above which estimate PAN is required. | Insurance desk head |
| Clocks and escalations | Warning thresholds on the IRDAI hours, who is alerted, working hours. | Insurance desk head |
| Room classes and tariff | Per unit, used by the room advisor and the estimate. | Finance |
| Messages | Status, query and approval templates in English and Telugu. | Patient experience |
Getting your team ready
Desk staff and doctors are trained in short sessions, with a champion in each unit and printed guides for the counter and the consulting room.
Go-live comes with on-site support in the first weeks and 60 days of hypercare with daily check-ins.
For your colleagues
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No. After the desk presses submit you choose where the file goes. Claims Ignite can file and track it itself, or deliver the complete file into the claims platform you already use, with status flowing back so the patient's page stays live.
Only the bed, the estimate and what the hospital alone knows. The patient's details arrive from their phone, the clinical half from the doctor, and the pre-auth form is generated at the doctor's sign-off.
The query pauses the IRDAI clock and appears on the desk board. A reply is drafted from the record, the doctor attests it, and the clock resumes when it is sent.
Your insurance desk head. Which payers are empanelled, how each is filed, which documents each payer and procedure needs, and the warning thresholds on the clocks are all configuration you own.
Half a day at your desk
We observe the current flow, then show the same admissions running through the desk board.