0%+
Claims Are Cashless
The fastest-growing claim route depends on hospital-insurer coordination.
One shared record.One fast claim decision.No loop.
NoLoop connects patients, hospitals, TPAs, and insurers in one AI-assisted cashless claims platform, so discharge does not get stuck in repeated calls, missing documents, and unclear approvals.
"File it once. Watch it clear. Let the patient walk out."
AM
PN
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Built for patients, hospitals, TPAs, and insurers working from the same claim record
NoLoop live console
Cashless claim trace from admission to settlement
Hospital consoleTPA syncInsurer reviewWhatsApp update
> Cashless pre-auth opened for discharge-ready patient
> Query-Proofing Agent found all required reports and bills
> Policy clauses matched for room rent, implant cover, and co-pay
Built for
Hospitals
TPAs
Insurers
Patients
NHCX-aligned workflows
Hospitals
TPAs
Insurers
Patients
NHCX-aligned workflows
Hospitals
TPAs
Insurers
Patients
NHCX-aligned workflows
0%
Instant Decisions Target
Rule-clean claims can clear without manual back-and-forth.
0x
Reviewer Throughput
Doctors review structured summaries instead of reading every PDF line by line.
Rs0k Cr
Annual Fraud Exposure
Explainable risk signals help insurers catch leakage earlier.
The Cashless Claim Loop Is Broken
A medically cleared patient can still wait days because documents, queries, approvals, and status updates move across disconnected systems.
11-12.5%
Claims Denied
Many patients never receive a clear reason, creating anxiety, escalation, and delayed discharge.
3 files
One Claim, Three Versions
Hospitals, TPAs, and insurers maintain separate records, so every query creates another round of reconciliation.
15%
Fraud Signal Load
Unstructured bills, prescriptions, and history make upcoding and suspicious patterns hard to catch in time.
Days
Blocked Beds
Patients stay admitted after medical clearance while families wait for a claim status nobody can confidently explain.
Four Agents That Kill The Loop
NoLoop uses AI agents where they help most: preventing queries, summarizing cases, detecting fraud, and communicating clearly with patients.
Query-Proofing Agent
Checks bills, reports, prescriptions, and policy fit before submission so preventable queries are stopped at intake.
Case Review Agent
Reads messy medical files, extracts the case facts, and gives the reviewer a plain-English summary with evidence links.
Fraud Detection Agent
Analyzes billing patterns, claim history, and benchmarks to produce a risk score with auditable reasons.
Communication Agent
Keeps patients updated on WhatsApp and answers policy questions with clause-level citations and co-pay clarity.
Capture, Decide, Settle
The claim becomes a shared operating record from hospital submission through insurer review, patient update, and direct settlement.
STEP 01
Capture
The hospital submits a structured pre-auth package with bills, reports, prescriptions, and policy context.
STEP 02
Query-Proof
NoLoop flags missing fields, mismatched items, and policy gaps before the claim reaches the TPA or insurer.
STEP 03
Decide
Policy rules, coverage limits, exclusions, clinical context, and fraud signals are checked in one shared record.
STEP 04
Human Review
Clean claims move instantly; complex claims go to an insurer doctor with summaries, citations, and audit context.
STEP 05
Settle
The insurer pays the hospital directly, the patient pays only the co-pay, and discharge no longer waits on confusion.
Why The Shared Platform Matters
NoLoop is not another isolated hospital portal or insurer dashboard. It is the common layer where every stakeholder sees the same claim.
One Shared Record
Patient, hospital, TPA, and insurer see the same claim status instead of chasing separate files.
Query Prevention
Missing documents and policy mismatches are caught before they become another email loop.
Clause-Level Clarity
Coverage checks cite exact policy clauses so patients and reviewers understand the reason.
Human-in-the-loop
AI reads, checks, and summarizes. Final sensitive approvals stay with insurer doctors.
What Changes At Discharge
The win is simple: fewer avoidable queries, faster insurer review, clearer patient communication, and beds freed sooner.
8 min
Pre-auth Approval Goal
Fast decisions for complete, rule-clean cashless claims
150/day
Doctor Review Capacity
Structured summaries help reviewers handle more cases with less document fatigue
40 min
Ready-to-Discharge Target
Patients leave after co-pay instead of waiting days for claim closure
What Stakeholders Notice First
Each stakeholder gets a concrete benefit: less waiting, less rework, faster review, and a clearer audit trail.
Frequently Asked Questions
The core questions hospitals, insurers, and TPAs ask before adopting a shared claims platform.
Make The Claim Loop Disappear
Give hospitals, TPAs, insurers, and patients one shared claim record for faster cashless approvals and cleaner settlement.