CHALLENGES
Solutions
Mediclaim where
AI is optimizing the processes
Clean Claims
Right code with right documents meet payer's requirements on the first attempt ensure transparency through real-time processing, resulting in timely payments and avoiding the need for re-submission or further follow-up.
Code pilot AITM
Code Pilot AITM identifies and corrects errors in medical coding according to ICD-11, optimising claim accuracy and increasing revenue. This ensures accurate patient admission coding, which traditionally relies on certified professional coders and specialist doctors.
Claim denial Prediction AITM
The real-time availability of specialist doctors for claim submission can be challenging. Claim Denial Prediction AI streamlines the process by managing documents, ensuring accuracy, and eliminating errors. It allows hospitals to predict the chances of claim rejection even before they arise, helping them stay ahead by securing consistent approvals
Automate Documentation
Say goodbye to manual paperwork and cumbersome documentation processes. Our AI automation seamlessly manages and organizes Claim- related documents, reducing errors and ensuring data accuracy
real time claim processing
Settlemed app makes real-time claim processing, eliminating malpractice and ensuring clean claims with timely settlements, eliminating the need for professionals to handle claims.
Patient Satisfaction
SettleMed ensures a shield against revenue leakage with AI, minimizing doctor time on tedious tasks. This transforms into compassionate patient support, treating each beneficiary with dignity and respect, ultimately enhancing overall satisfaction.
Objection Handling
A comprehensive documentation system ensures that all relevant information is considered during objection handling. Providing understandable information like specimens and details for objection handling ensures that the sub-admin can seek clarification and assistance.
Risk Mitigation
SettleMed AI, is a solution for reducing the impact of potential claim risks. We specialize in developing comprehensive plans to effectively manage, eliminate, or limit setbacks, ensuring a smoother and more secure journey for your claims process.
Cost Saving
Reduce operational costs. Settlemed's AI automation optimizes resource utilization, allowing you to allocate your budget more efficiently.
Save operational cost: ₹ 300000 annually
Save operation time: 2880 hrs. annually
why settlemed?
The primary objective of the National Health Authority (NHA) is to streamline claim processing. In alignment with this goal, Settlemed offers solutions with Code Pilot AITM and Claim Denial Prediction AITM, which ensure accurate patient admission coding. Traditionally, this task relies on certified professional coders and specialist doctors, but engaging these highly skilled professionals incurs significant upfront costs for hospitals. Additionally, it diverts medical professionals' focus from patient care to repetitive paperwork, leading to inefficiencies.
The real-time availability of specialist doctors for claim submission can be challenging. Claim Denial Prediction AITM addresses this issue by allowing hospitals to check the chances of claim denial before submission. This facilitates the initiation of the correct documentation in real time, while maintaining accuracy and transparency in the admission process, resulting in clean claims
Claim submission to payout process that brings AI Results in weeks, not years
Roadmap
Executive
Training
Uplift the potential of your executives in just 2 hours with Settlemed’s dynamic training program
(2 hrs.)
Onboard SettlemedTM Technology
Activate your Admin/Subadmin app and set up a proficient team exclusively of your hospital for settlemed mediclam services in 72 hrs
(2-3 Days)
Settlemedtm Trial Period
Experience the confidence of our services risk-free with a settlemed trial period. If, within 8 weeks, you find yourself unsatisfied, we guarantee a prompt and hassle-free full amount refund. Your satisfaction is our priority
(upto 8 weeks)
Unlock Financial Excellence Production
Experience a transformative journey towards financial excellence with Settlemed's AI-powered solution which helps in acceleration and enhancement of your cash flow
(3-12 months)
Beneficiary Result of AI in Ayushman Mediclaim
₹0
Saved operational Costs due to AI
₹0
Generated revenue by AI Solutions
0 hrs.
medical professionals time saved with help of AI
AI Technology
Automate the Ayushman Mediclaim Process. This solution enhance operational & financial performance, while positively impacting patient satisfaction.
Our deep automation expertise assures return on investment. Those who do not adapt to this technology risk being left behind.
Press and Blogs
reduce manual , repetive tasks and human error
power of ai reduce
leakage
Customise your plan
CASES
Advisory Board
AIIMS veteran doctors have integrated with SettleMed AI, and together, we are revolutionizing the Ayushman claim process.
MBBS, MD (AIIMS,Delhi)
Former Assistant Professor, AIIMS, Delhi
Medical Director, Sunrise Medical Center, LasVegas, USA
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MBBS, MD (AIIMS,Delhi)
Former Cardiothoracic Anaesthesia, AIIMS, Delhi, Fellow Greenland Hospital, Auckland, NewZealand
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