Stronger claim decisions. Fewer surprise denials.
Pramaan, a caretaker for your claims — before they're denied.
It flags, fixes, and follows up on every claim you file.
Documents come in. Pramaan reads the fine print. Agents surface the risk and chase the insurer when a denial shouldn't stand — so billing isn't left filing blind.
| Claim | Payer | Amount | Win | Status |
|---|---|---|---|---|
CLM-4821 Waiting period check | Insurer A | ₹2.4L | 0% | Hold |
CLM-4819 Exclusion review | Insurer B | ₹95K | 0% | Review |
CLM-4814 Documentation gap | Insurer C | ₹1.1L | 0% | Risk |
health claims denied last year, after the insurer reviewed them
the value of those denials in FY25 — up from ₹21,861 Cr in FY23
the insurer's deadline to settle your claim, or pay interest
Source: IRDAI Annual Report 2024-25
From documents to a fightable case.
Upload. Parse the fine print. Structure the claim. Get a straight report. The same Pramaan pipeline that powers pre-file decisions for your billing team.
Documents to report
Waiting period served · exclusion misapplied · prior rulings attached
The fine print is the case
We read every clause against IRDAI rules and past Ombudsman rulings — not a checklist.
Honesty before the fight
If you don't have a case, we say so. A rejection isn't automatically a battle worth fighting.
We don't stop at the report
Agents chase grievance officers, IRDAI, and the Ombudsman — so a denial isn't the end.
How it works
Automate claim decision support with the Pramaan engine that challenges insurers — so you recover more with fewer blind filings.
See risk in the queue
Every claim ranked by denial likelihood and financial impact — so billing focuses on what matters first.
Pramaan reads the case
Policy clauses, IRDAI rules, and Ombudsman patterns against the documents you already have — before submission.
Decide: file, fix, or hold
A straight recommendation with grounds. Fix weak docs, hold a doomed claim, or file with confidence.
Learn from every fight
The appeals Pramaan wins feed back into pre-file flags — so the next denial is cheaper than the last.
Decision support from the appeal side of the table.
Claims software sees the denial and stops. We live in the fight after — and bring that signal back to filing.
Intelligent denial prioritization
Rank claims by overturn likelihood and rupees at risk — not first-in, first-out.
Policy-aware decisions
Pramaan checks clauses, waiting periods, and exclusions against IRDAI and Ombudsman precedent.
Pre-file rejection flags
Know what will be denied before you submit — fix the packet or hold the claim.
Appeal-trained intelligence
Every fight we win teaches the next decision. Claims software never sees that side.
We're shaping this with a small set of hospitals.
Help your team take better claim decisions before revenue walks out the door. We're building this with hospitals who feel the denial problem every week.
Stop filing blind.
Decide with Pramaan.
Pre-file flags, policy-aware grounds, and appeal-trained intelligence — so denials don't surprise your billing team.