Revenue operations

Strengthen Your Hospital's Insurance & TPA Operations

Structured consultancy support across network access, documentation, reconciliation, denials and receivables.

Executive summary

How Koushalya supports you

Koushalya helps hospitals organise critical insurance and TPA workflows, subject to each provider's current requirements and decisions.

Connect hospitals with relevant TPAs and insurance providers.

Support processes enabling insured patients to access care without upfront payment where applicable.

Support claims forms, documentation workflows and audits.

Assist with mapping medical and surgical packages and negotiating rates.

Track and support recovery of pending, delayed or short-settled claim amounts.

Match bank credits and UTR numbers with corresponding patient bills.

Support resubmission of rejected claims with suitable clinical and administrative documentation.

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Koushalya helps hospitals organise critical insurance and TPA workflows, subject to each provider's current requirements and decisions.