Every insurance claim — pre-authorisation request, document submission, approval, rejection, resubmission, and final settlement — tracked in one screen. Average TPA settlement time drops from 60 days to 18 days at hospitals using ZenoHosp.
When a TPA patient is admitted, ZenoHosp generates the pre-authorisation request from the patient's admission details and insurance information. The request is sent to the TPA, and the approval status is tracked from within ZenoHosp. The billing team sees the approved amount before discharge.
After discharge, ZenoHosp compiles the claim package — discharge summary, itemised bill, investigation reports, consent forms — from the patient's record. The claim is submitted to the TPA and tracked through every stage.
When a TPA rejects a claim, ZenoHosp flags it with the rejection reason code. The billing team sees exactly what needs to be corrected, updates the documentation, and resubmits — from the same screen. Resubmission is tracked as a separate stage.
"Our TPA team used to manage claims in a spreadsheet. Claims got lost. Settlements were delayed 60–90 days. Since ZenoHosp, everything is tracked. Our average settlement is now 18 days."
Every capability — built for Indian hospital workflows.
When a TPA patient is admitted, ZenoHosp generates the pre-authorisation request from admission details and insurance information. The request is sent to the TPA and the approval status is tracked within ZenoHosp.
Rejected claims are flagged with the rejection reason code. The billing team sees exactly what needs correction, updates documentation, and resubmits from the same screen. Resubmission is tracked as a separate stage.
Before a claim is submitted, ZenoHosp checks that all required documents are present — discharge summary, itemised bill, investigation reports, consent forms. Missing documents are flagged before submission.