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Our Working Process
We follow a streamlined, compliance-driven workflow to ensure faster claim approvals and smoother hospital operations.
Empanelment Setup
We coordinate with insurance companies and TPAs to complete empanelment, tariff standardization, and documentation — ensuring your hospital is fully compliant from day one.
Patient Verification
Every patient’s insurance is verified for eligibility, coverage, exclusions, waiting periods, and fraud checks for accurate
pre-authorisation.
Case Document Audit
Our team reviews each case file to confirm completeness and compliance with insurer guidelines, reducing rejection risks and documentation errors.
Claim Submission
We prepare and submit the complete case file with all required medical and non-medical documents for timely Submission.
Query Handling
Any insurer/TPA queries are resolved quickly by coordinating with hospital departments and providing accurate clarifications.
Payment Follow-Up
We actively track all submitted claims and follow up with insurance companies until final payment is received.
Why Choose Medinex Consultancy?
Faster Claim Submission
We ensure complete, accurate documentation aligned with insurer/TPA guidelines — resulting in quicker Submission.
Lower Rejection Ratio
Our detailed audits and compliance-driven checks significantly reduce documentation errors and claim rejections.
Improved Cashflow
Timely settlements mean better financial stability and uninterrupted hospital operations.
Cost-Effective Outsourcing
Instead of managing a large in-house team, hospitals save costs with our end-to-end support model.
Expert Insurance Desk Team
Our trained coordinators ensure smooth communication between hospital departments and insurance/TPAs.
Transparent Tracking & Reporting
Hospitals get real-time updates on claim status, queries, and payments through our reporting system.