Claims & insurance
Claim files that are complete before they leave the desk
Signed notes carry the diagnosis, ICD-10 code and package. Bima names what is missing before submission.
MediRec Bima — for claims teams
Auto-coding & claim verification
ICD-10 codes from the note. A live checklist scores each claim against package criteria and documents.
- ✓ICD-10 auto-coding with package mapping
- ✓Verification checklist with pass/fail and the fix
- ✓Package-ceiling checks flag items above the approved rate
- ✓Rules, not guesses — same input, same result, every time, in the demo and on the server
Claims deskPneumonia package HBP-J18 · ceiling ₹16,500bundle received
Ravi Menon · 54 M · J18.9
discharge summary · chest X-ray report · drug chart · billed ₹15,400
ICD-10 (J18.9) maps to package HBP-J18Code
Fever >38 °C documented at triageTriage
Cough recorded in presenting historyNote
Chest X-ray report attached (infiltrates)Lab
WBC count report in bundleLab
Attach the CBC report — WBC count is a required criterion.
Auscultation findings documentedNote
Antibiotic duration ≥ 72 hrs documentedRx
Drug chart must document at least 72 hours of antibiotics.
Readiness 71% · INCOMPLETE — fix flagged itemsWithin package ceiling.
📎 CBC report attached by the ward clerkLab
💊 Drug chart: ceftriaxone day 1–3 documentedRx
Readiness 100% · READY TO SUBMIT₹15,400 · Within package ceiling. ✓
For hospitals & patients
The desk starts from a finished file
Coding and checking happen at signing, not at discharge.
- Coded before it is filed — diagnosis, ICD-10 and package on the signed note.
- Says what is missing — pass or fail per criterion, with the fix.
- Missing papers caught before submission — the file carries every document the package names.
- Package rules you can read — three packages built in today: pneumonia, dengue and a general OPD claim; other packages and insurers on request.
For insurance providers
Structured claims, checkable line by line
Coded diagnoses, package criteria and an audit trail, from the record.
- Structured data, not scanned PDFs — machine-readable diagnoses, procedures and medications.
- Complete on first submission — the package's documents travel with the claim.
- Consistency checks built in — diagnosis, treatment and billing cross-checked with the record.
- Audit trail on every record — a tamper-evident chain shows who changed what, when.