Our Service Portfolio
Field Investigation Services
- Hospital Verification: Physical verification of patient admission, inpatient records (IP/ICP), bed occupancy, and active stay details.
- Medical History Assessment: In-depth verification of pre-existing diseases (PED), non-disclosures (ND), and timeline mapping.
- Identity & KYC Audits: Comprehensive validation to confirm the policyholder matches the admitted patient, stopping impersonation.
- Residence & Vicinity Checks: Localized cross-checking, neighborhood enquiries, lifestyle, and workplace verification loops.
- Benefit Portfolio Audits: Validation for Personal Accident, Critical Illness, Travel insurance, Daily Cash, and EMI Protection.
Desk Audit & Medical QC
- Bill & Tariff Mapping: Granular invoice cross-checking against regional Preferred Provider Network (PPN) tariffs to arrest package inflation.
- Document Authentication: Forensic evaluation of lab/diagnostic printouts, pharmacy billing receipts, and doctor certifications.
- Clinical Quality Reviews: Direct documentation analysis by qualified medical panel professionals to map clinical treatment alignment.
- Evidence-Backed Dossiers: Objectively structured investigation report formats built for frictionless claims decisioning.
Strategic Regional Network
- Tamil Nadu Presence: Seamless field execution across major metros, tier-2/3 municipalities, and rural hospital networks.
- Kerala Infrastructure: Complete operational footprint backed by native-speaking regional field investigators.
- Karnataka Matrix: Tactical core urban taskforce dedicated to Bangalore corporate medical providers.
- Scalability Parameters: Modular operational design built to handle a baseline of 1,000+ monthly case volumes securely.