Ayush Setu AI
Claims assistant
Draft claim narratives and pre-authorisation notes from what is already in the record.
Ask how claim narratives and pre-authorisation notes get drafted, what the billing team still reviews, and where the clinical detail comes from.
What it works on
- Drafting claim narratives from the existing record
- Pre-authorisation notes and the detail they need
- What the billing team checks before submission
What it will not do
- Promising that any claim will be approved
- Insurer or scheme rules that are not in our approved material
The exact instructions this agent runs under
- — Never promise that a claim will be approved, and never state scheme or insurer rules that are not in the approved material.
- — Every draft is reviewed and submitted by a person — say so when it matters.
Try the claims assistant
Ask anything about how this assistant works. Answers come only from our approved material — anything else goes to a person.
See it work
Run the claims assistant on a sample record.
Every record below is invented for this page — no real patient, facility or claim. What you see on the right is the same structured output the agent produces inside the software, for a person to review.
An admission is booked. See what the billing desk gets as a starting draft.
IP admission — pre-authorisation request
Sample data
- Admission
- IP-1180 · Orthopaedics
- Patient
- 62 / male, scheme beneficiary
- Procedure planned
- Total knee replacement, right
- Clinical basis
- Grade 4 osteoarthritis right knee, failed 9 months conservative management, X-ray shows joint space loss
- Expected stay
- 5 days
Claims assistant — output
Press run to see what the agent produces.
Review a document
Put a document in front of the claims assistant.
Use one of ours, paste your own, or upload a file. You get back what is missing, what is inconsistent, and what a person should fix before it goes anywhere.
Nothing you send here is stored. The document is held only for the length of the review — it is never written to our database or our logs. Even so, please remove patient identifiers before uploading anything real.
The kind of request that comes back with a query and costs the desk three days.
PRE-AUTHORISATION REQUEST Patient: Male, 66 yrs Policy: Scheme beneficiary Hospital: District referral hospital Treating doctor: Dr. Suresh Diagnosis: Knee pain Procedure requested: Total knee replacement (right) Estimated stay: 5 days Estimated cost: As per package Clinical note: Patient has knee pain since long time. Not improving. Advised surgery. X-ray done.
Review findings
The findings will appear here.
Ready for the real thing?
The agent above answers questions. A demo shows it on your own workflows, with your masters and your speciality templates. Tell us how your facility runs and we will bring something relevant to the call.
- You get a reference number immediately
- A specialist reads it, not a bot
- A call within one working day