Claimslens — Complete Features for Your Insurance Desk
Everything your hospital needs to process claims faster, reduce rejections, and improve cashflow — with zero IT integration.
Last Updated: January 2025
Rules Engine (Right-First-Time Validator)
Automated validation checks ensure claims are complete before submission.
- Flags missing documents
- Identifies mismatches in bills, codes, and forms
- Reduces rejections by 40–60%
- Ensures "clean claims" that get approved faster
Fewer delays, fewer queries, faster settlement.
Smart Data Extraction (OCR & Auto-Tagging)
Claimslens intelligently reads documents and extracts key information.
- Auto-detects patient details, dates, amounts
- Reduces manual entry time by 70%
- Auto-organizes bills, medical records, and attachments
- Standardizes documents for HCX & non-HCX insurers
Faster filing with fewer human errors.
Integrated Communication (Email + Notes)
Manage all insurer/TPA communication from one place.
- Send and receive emails directly inside Claimslens
- Attach documents instantly
- Auto-save communication history per claim
- Internal notes for team coordination
Zero confusion. Complete traceability.
Automated Progress Tracking
Track every claim in real time — pre-auth to settlement.
- Live status updates (HCX + legacy)
- Clear visibility on pending actions
- Automatic stage movement
- Highlighted delays and risk claims
No follow-ups missed. Better cashflow planning.
Notifications & Alerts
Stay on top of every update.
- Enhancement requests
- Missing documents
- Query from insurer
- Approval or rejection
- Delayed claims alerts
Instant response → fewer hold-ups → faster TAT.
One-Click Actions
Improve speed and accuracy.
- One-click resubmission
- One-click enhancement upload
- One-click claim bundling
- One-click export for insurer portals
Lower staff workload, faster processing.
Enhancement Workflow
Seamlessly manage insurer queries and additional document requests.
- Upload additional documents in seconds
- Track enhancements separately
- Prevent revenue leakage through missed queries
Better approval rates and fewer denials.
Reconciliation Dashboard
Clear financial visibility for management.
- Track paid vs unpaid claims
- Identify pending settlement amounts
- Highlight discrepancies
- Map insurer payments to claim IDs
Faster dispute resolution. Stronger cashflow control.
Reporting & Analytics
Make decisions backed by real data.
- Daily/weekly claim status reports
- Rejection & query trend analysis
- Team performance insights
- TAT analytics by insurer/TPA
Improve processes and reduce operational bottlenecks.
Display Boards (Real-Time Dashboards)
Visual dashboards for your insurance desk.
- Claims In Progress
- Approvals / Rejections
- Queries pending response
- Today's workload
- Team productivity metrics
At-a-glance visibility for better coordination.