One Platform. Every Claim. Zero Delays.

Connect patients, hospitals, TPAs, and insurers through a unified AI workflow that verifies documents, validates treatments, detects fraud, and accelerates approvals.

NoLoop claim flow — patient, hospital, AI assistant, and insurer connected through one AI workflow

Trusted by forward-thinking healthcare organizations

Star Health
HDFC ERGO
Niva Bupa
Max Bupa
Care Health
ManipalCigna
New India
United India
THE PROBLEM

Healthcare claims are slow, costly, and broken.

Millions of patients face delayed, denied, or fraudulent cashless claims each year. The system still runs on phone calls and paper.

11–12.5%

Claim denial rate in India

Far above the global average — mostly documentation gaps AI can catch before submission.

₹8–10k Cr

Annual fraud loss

Fraudulent billing and duplicate claims go undetected without automated cross-validation.

2–3 hours

Average TAT per claim

Manual processes, phone calls, and paperwork slow every cashless claim to a crawl.

THE NOLOOP ANSWER

60 sec

NoLoop target TAT

Documents, adjudication, and fraud detection processed by AI — all in parallel.

Manual process2–3 hrs
NoLoop AI~180x faster
60 sec
Faster decisions Less fraud Happier patients
Patient WhatsApp Bot

Patients stay informed. Right on WhatsApp.

Meera never opens a portal or files a form. From admission to discharge, NoLoop keeps her informed in one WhatsApp thread and asks only when it truly needs her.

  • Live status, plain language“Cashless approved”, not claim codes.

  • Co-pay known up frontNo surprise bill at the discharge counter.

  • Consent & pay, one tapApprove sharing and settle the co-pay in-thread.

Launch Portal

NoLoop Care · Claim #NL-2216

Online
NoLoop Care

Hi Meera — your father has been admitted at Acme Hospital. Tap below to allow us to share his policy details for cashless approval.

✓ Consent given · one tap
Meera

Is his cardiac surgery covered? What will we have to pay?

NoLoop Care

Cashless approved ✅ — the surgery is covered under his policy (clause 4.2). Your co-pay is ₹16,000, known now — no surprise bill at discharge.

NoLoop Care

Discharge cleared 🎉 ₹1,84,000 settled directly with the hospital. Settle your co-pay right here when you're ready.

Pay ₹16,000 co-pay · UPI
Claims Command Centre

A live command centre for every claim

Track admissions, verifications, and settlements as they happen. AI recommendations with confidence scores sit beside every claim, so reviewing doctors decide in seconds — not hours.

Explore the Platform

Claims Queue

Live · SLA on track

R. SharmaNL-2214

Acme Hospital · ₹92,400

Approved

A. VermaNL-2215

CityCare · ₹1,20,000

AI Review

S. IyerNL-2216

Acme Hospital · ₹1,84,000

Queried

AI Recommendation · NL-2216

Approve ₹1,84,000 — clause 4.2 cardiac cover, fraud score 3%.

94% confidence

The Pipeline

From admission to settlement, on autopilot

Eight automated stages move every cashless claim through verification, fraud checks, and policy rules — humans approve only where it matters.

Cashless Claim Pipeline · #NL-2216

Running · 58s elapsed
01

Patient

Admitted
02

Hospital Upload

Complete
03

AI Doc Verification

Complete
04

Medical Validation

Complete
05

Fraud Detection

Score 3%
06

Policy Rule Engine

Matched
07

Approval Decision

Approved
08

Claim Settlement

Initiated

The Multi-Tenant Platform

One platform. Three dedicated stakeholder apps.

Each stakeholder gets a purpose-built application designed for their workflow — fully isolated, fully integrated.

Hospital

Hospital Portal

Billing teams submit cashless pre-auth requests, upload documents, manage beds, and track every claim in real time.

  • Admission dashboard with bed management
  • AI document validation before submission
  • Real-time claim tracker with SLA countdown
  • Hold & query centre with one-click resubmit
Insurer

Insurer & TPA Portal

Reviewing doctors and TPA staff evaluate claims with AI rationale, policy clause citations, and confidence scores.

  • Review queue with confidence score badges
  • AI adjudication report with cited policy clauses
  • Fraud score with check-by-check breakdown
  • Confidence-based auto-routing & manual overrides
Patient

Patient Live Tracker

Policyholders follow their cashless claim in real time — co-pay breakdowns, timeline status, and plain-language updates.

  • No app installation required
  • Live step-by-step claim lifecycle progress
  • Stated vs approved amount transparency
  • AI adjudication reasoning, explained simply

AI Agents

Four agents. Each purpose-built for claims.

Every agent fires automatically at the right stage — no manual triggering required.

Agent 01

Query-Proofing Agent

Fires when the hospital uploads documents

Validates document completeness, runs a policy-coverage check via RAG with clause-level citations, and flags billing inconsistencies before the claim ever reaches the insurer.

Agent 02

Adjudication-Assist Agent

Fires when the insurer opens the claim

Generates a clinical justification summary, checks billing line items against benchmarks, and produces a recommendation with cited policy clauses.

Agent 03

Fraud Detection Agent

Runs in parallel with Agent 2

Calculates a weighted fraud-risk score across billing variance, duplicate checks, historical patterns, hospital credibility, and diagnosis-procedure consistency.

Agent 04

Patient Communication Agent

Fires on every state transition

Sends warm, plain-language updates to the patient at every step, and powers a policy Q&A bot so patients can ask about their coverage anytime.

A major insurer was fined ₹1 crore by IRDAI · Dec 2025

IRDAI compliance risk?
NoLoop is your fast path out.

Full audit trail, automated TAT compliance, and AI-powered accuracy — built into every claim from day one.

Immutable audit trailAutomated TAT complianceClause-level citations