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Medisure Specialize in Insurance Claim Beneficiary

Investigation & Verification

  • 1. Health Insurance
  • 2. Life Insurance
Get In Touch With Us

What we do

Beneficiary Verification
  • Platform for Beneficiary Verification and EKYC
  • Integration with PAN and Aadhar/ABHA Verification
  • Biometric Verification
  • Name Match Logic and Photo ID and Pic Match
Pre Policy Medical Verification
  • TMER/VMER/PMER
  • 10,000+ Hospital OPDs/Clinics/Doctors on our Pan India Panel
  • App Based Data Collection for Pulse/Steps
  • 100+ In-house Doctors for VMER and PMER
  • Pan India Coverage for Sample Collection and ECG Reporting
Post Claim Physical Verification
  • Physical Verification across India for Reimbursement/Death Case
  • Geo-tagged Investigation
  • Hospital record investigation
Treatment and Issue Verification
  • Verification by Experienced MBBS Doctors
Document Analyser
  • OCI Reader based Document Analyser
  • Detects DOB/Father Name/Address Discrepancies
Analytics and Fraud Detection
  • Advanced Modelling for Beneficiary Screening
  • Fraud Detection using Advanced Analytics

What we operate

We work with leading Health and Life Insurance Companies for Pre Underwriting Risk Mitigation and Pre Claim Payment Investigation to reduce Outgo and Risk to the Portfolio

Our experienced and quality data analytics platform which has been perfected with more than 20+ years of data of over 50,000 Crore of Claim Outgo across India in over 35,000 Hospitals enables deep understanding in our modelling, analytics and triggers

Our experienced on field Investigators across India are capable of Live Investigations in a 24 TAT for accurate and timely and error free deep investigations without intrusion to the policy holders

Our Pre Policy Platform enables seamlessly booking and management of VMER/Diagnostics in short TAT in reputed centres or at home, with fast reporting, digitalisation of reports, and doctor certifications in a timely manner.

Pan India Reach

Over 4,000+

Partner Hospitals/Centres

Over 100

Inhouse Doctors

Over 100+

Field Investigators

Inhouse

Analytics Team

Plug & Play

And API Based Solutions

Our Team

On our team consists of MBBS doctors, Other Doctors, Field investigations & Data Scientist For end-to-end fraud detection & Management

Why Us

100% in house app-based investigation with GEO Tagging & Pictures.

Double cross check of all claims & reports

Have found & rejected more than INR 12 crores claims in FY 23-24

Extensive in-house data on fraud trends, Problem hospital’s locations etc.

  • Personal Accidental Claim Investigation
  • Death Claim Investigation
  • live Investigation
  • Reimbursement Investigation

Contact Us

Get In Touch With Us

Our Contact Form

Addresses

F-703, Lado Sarai New Delhi - 110030, India

Mobile

+91 9312880002

Email

info@medisure.in