ClaimManager by Omnivero Health Solutions helps TPAs, insurers, and hospitals process cashless and reimbursement claims faster—from FNOL to payout—with evidence-driven AI and auditable outcomes.
Track, process, and validate claims with complete transparency
From FNOL to payout—automated, auditable, and India-ready
Multi-source ingestion from hospitals, agents, TPAs, and insurance employees. Documents are automatically bundled with patient and policy information.
Intelligent Document Processing with automatic classification, deduplication, and extraction—including handwritten elements and Hindi documents. Works with messy scans and mixed layouts.
Cross-document understanding converts scattered information into a consistent claim view—patient demographics, diagnosis, billing, doctor notes, and policy coverage.
Intelligent verification of policy clauses, business rules, and IRDAI guidelines. Generates an auditable claim summary with extracted facts, exceptions, and checks performed.
Upload and manage patient documents for claim processing
Every document is processed with a confidence score, giving you complete transparency into extraction accuracy. Review extracted data before approval.
Track IDP accuracy from 85% to 100% for every document processed
View and verify all extracted information before final submission
Monitor processing stages from upload to completion
Handle multiple documents simultaneously with batch processing
Human-in-the-loop intelligence with evidence-driven decision support
Designed around claim adjudication outcomes, not just "extract text from PDFs." Every feature serves the decision-making process.
Answers with page-level citations and confidence scores, not black-box outputs. Full auditability and transparency in every decision.
Human-in-the-loop by design. Ask questions like "Is this procedure covered?" and get answers with exact document citations and confidence scores.
Built for India's reality: messy scans, handwritten parts, Hindi support, and multi-party workflows (hospital ↔ TPA ↔ insurer).
FHIR-first ecosystem alignment. Onboarded to ABDM and NHCX for standardized, machine-readable claims exchange and faster cashless processing.
Set your checks once and evolve them over time. Custom business rules, policy clauses, and TPA-specific checklists built into your workflow.
Purpose-built technology and workflows for TPAs, insurers, hospitals, and ecosystem partners
Handle large volumes with faster TAT and consistent adjudication across teams.
Modernize adjudication and meet IRDAI timelines with evidence-driven support.
Smoother pre-authorization and faster cashless claim settlements.
ABDM/NHCX-ready with FHIR-based claims interoperability.
Automatic bundling, classification, and duplicate removal
Intelligent extraction from messy scans, stamps, tables, handwritten elements
Collates scattered information into consistent claim view
Configurable TPA-specific rules and IRDAI guidelines
Standardized exchange for faster cashless processing
Connect with our founders to see how ClaimManager can transform your claims processing
Want to see how ClaimManager can transform your claims workflow?
Schedule a 30-Minute DemoRemote + on-site demos available across India