A 200-bed multi-specialty hospital was drowning in paperwork -- patient records, insurance pre-authorizations, claim submissions, and discharge summaries. Staff spent more time on documentation than patient care. We built a desktop automation tool that integrates with their existing HMS and automates insurance claim processing across 15 TPA portals.
15
TPA Portals
180/mo
Hours Saved
3%
Rejection Rate
100+
Claims/Day
Time Saved
180+ hours per month
Estimated ROI
Rs 8,00,000+ monthly savings
Tech Stack
8 Technologies
The hospital's administrative team of 12 people spent 70% of their time on documentation and insurance claim processing. Each insurance claim required filling forms on different TPA portals, uploading medical documents in specific formats, and tracking claim status. Claim rejections due to data entry errors were costing the hospital Rs 5-8 lakhs monthly.
We developed a Windows desktop application using Python and PyAutoGUI that integrates with the hospital's HMS (Hospital Management System). The application auto-extracts patient data, prepares insurance claim documents, fills TPA portal forms, uploads required documents, and tracks claim status -- all from a single interface.
Patient data is extracted from HMS automatically
Insurance details are verified and pre-auth is initiated
Required documents are compiled and formatted
Claim forms are auto-filled on the respective TPA portal
Documents are uploaded in portal-required format
Claim status is tracked and updated in real-time
Rejections are flagged with suggested corrections
Weekly MIS reports are generated automatically
Yes, our solution integrates with most popular HMS systems in India including eHospital, Medi Mantra, HMS Pro, and custom-built systems. We use screen-level automation and API integration depending on the HMS capabilities.