Every pre-authorisation sent complete and tracked to approval.
Build cashless requests with the treating doctor's notes, investigations and itemised estimates, send them to the insurer or TPA, and track queries, enhancements and approvals until discharge.
| Request | Patient | Treatment | Amount | Status |
|---|---|---|---|---|
| PA-7731 | R. Venkatesh | PTCA, single stent | ₹2,10,000 | Approved |
| PA-7728 | S. Fatima | Lap cholecystectomy | ₹85,000 | Query 2h left |
| PA-7724 | K. Raghav | Enhancement, day 6 | ₹40,000 | Sent |
| PA-7719 | M. Joseph | TKR, right | ₹2,80,000 | Approved |
What Pre-Auth Desk does for your team.
Request built from clinical notes
Provisional diagnosis, clinical findings, duration of ailment and line of treatment are pulled into the request form from the doctor's notes.
Itemised estimates
Estimates are built from your tariff and surgical packages, split into room, procedure, implants, pharmacy and investigations.
Query inbox with timers
Every insurer and TPA query lands in one inbox with the time it arrived and how long the desk has to answer before the case goes cold.
Enhancement requests
When the stay extends or the plan of treatment changes, raise an enhancement with the updated estimate and supporting notes in a few clicks.
Running bill alerts
The desk is alerted when the interim bill approaches the approved amount, so the enhancement goes out before discharge, not after.
Final approval at discharge
Request the final approval with the closing bill and discharge summary and see the amount approved against the amount billed.
Four steps at this desk.
Draft
The case arrives from Patient Intake with policy details and documents attached.
Send
The completed request goes to the insurer or TPA by portal or email, with the dispatch time logged.
Respond
Queries are answered from the inbox with the missing notes or reports attached.
Enhance and finalise
Enhancements and the final approval are tracked until the patient leaves.
Checks before a request goes out
These are built into the desk, so they are checked on every case and not only when someone remembers.
- Provisional diagnosis with ICD-10 code
- Clinical findings and duration of ailment
- Investigation reports supporting the diagnosis
- Estimate within the package or tariff
- Treating doctor's signature and registration number
- Expected length of stay and room category
The claim moves on.
Every folder stamped settled before you lock the door.
Show us last month's claims. We will run them through AyyanRCM with your team and show you which ones would have been flagged, and how much would have come back.