Medical Claim Recovery and Receivables Management for Hospitals
Recover pending and disputed claims from insurers, TPAs, government schemes and corporates. We reconcile, dispute unfair deductions, close queries and bring old receivables back into your bank account.
About Medical Claim & Debt Management Services
Many hospitals have large amounts stuck with insurers, TPAs, government schemes and corporates for months or even years. Some are pending, some are short-paid and some were rejected without a fair reason.
I&D Hospital Solution audits your receivables, reconciles every claim against payments and deductions, prepares evidence-backed disputes, closes pending queries and follows up with each payer until money is received. We also fix the process gaps that created the backlog.
Key Benefits
Cash Back in the Bank
Recover pending and short-paid amounts that were written off or forgotten.
Complete Reconciliation
Every claim matched with payments, TDS and deductions, payer by payer.
Fair Deduction Disputes
Evidence-based disputes with insurers, TPAs and schemes for unjustified deductions.
Lower Receivable Days
Structured follow-up reduces ageing and improves working capital.
Root-Cause Fixes
We find why claims get stuck and fix the process to prevent repeats.
Clear MIS
Ageing, recovery and payer-wise reports for management review.
What We Deliver
- Receivables and ageing audit
- Payer-wise reconciliation statements
- Deduction analysis and dispute files
- Pending query closure
- Follow-up with insurers, TPAs, schemes and corporates
- Escalation support
- Weekly recovery reports
- Process improvement recommendations
Our Process
- 1
Receivables Audit
Collection of claim, bill and payment data and a payer-wise ageing analysis.
- 2
Reconciliation
Matching claims with settlements, TDS and deductions to find the real outstanding amount.
- 3
Prioritisation
High-value and time-sensitive claims taken up first.
- 4
Query and Document Closure
Missing documents arranged and pending queries answered.
- 5
Dispute and Escalation
Deduction disputes and escalations through the right channels for each payer.
- 6
Recovery Tracking
Weekly follow-up and reporting until payment is received.
Need help with Medical Claim & Debt Management Services?
Talk to our experts for a free assessment of your hospital.
Everything about Medical Claim & Debt Management Services
Detailed guides on eligibility, documents, process, cost and more.
Why Hospital Receivables Get Stuck
- Pending insurer or scheme queries that were never answered
- Missing or incorrect documents in the claim file
- Deductions for tariff, package or room-rent mismatch
- Claims lost between portal, email and physical submissions
- Payments received but not reconciled against claims
Prevent New Backlogs
Recovery works best with a strong front end. Pair this service with cashless TPA desk management and move to digital claims with our guide to hospital RCM and NHCX.
Frequently Asked Questions
Can old claims still be recovered?+
Often yes. Many pending and short-paid claims can be recovered with proper reconciliation, documents and follow-up, subject to each payer’s rules and timelines.
Which payers do you cover?+
Health insurers, TPAs, CGHS, ECHS, ESIC, PM-JAY and state schemes, PSUs and corporates.
How do you charge for claim recovery?+
Engagement models vary by volume and scope. We share a proposal after the free receivables review.
Do you need access to our hospital software?+
We need claim, bill and payment data, which can be exported from your software or shared in files. We follow strict confidentiality.
How can we avoid deductions in future?+
By checking policy terms at admission, mapping tariffs and packages correctly, submitting complete files and reviewing deduction reasons every month.
Medical Claim & Debt Management Services Across India
I&D Hospital Solution provides medical claim & debt management services to hospitals, nursing homes and healthcare centres across India, with remote support and on-site visits whenever needed. Share your hospital city in the form above and our team will guide you on the next steps.
States and union territories we serve
Major cities
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