Support the hospital insurance desk
A cashless pre-authorisation request brings together the reason for admission, documented diagnosis, proposed treatment and estimated costs. InsuranceAIDesk helps hospital insurance teams organise case details into a structured draft for review before submission to an insurer or third-party administrator (TPA).
What to prepare before drafting
Gather the admission record, patient and policy details, clinical history, examination findings, available investigation reports, proposed treatment and an authorised estimate. Check the specific insurer’s form and document requirements; requirements can vary by case and policy.
From case records to a reviewed request
Add the relevant case information, generate a draft and compare it with the source records. The treating clinician should verify the clinical explanation, while the insurance desk checks identifiers, dates, requested amounts and attachments. Complete the insurer’s submission process through your usual authorised channel.
Checks that matter before submission
Check that patient names and admission dates agree across documents. Confirm that the medical reason for hospitalisation is supported by recorded findings. Resolve missing or unclear information with the treating team rather than filling gaps with assumptions.
Does a draft guarantee cashless approval?
No. The insurer or TPA makes the decision according to policy terms and the submitted evidence. InsuranceAIDesk assists document preparation; it does not issue authorisations or replace clinical review.
Can it help with ongoing hospitalisation?
An interim clinical summary can support an ongoing authorisation or enhancement request. Use the documented progress, treatment and current plan, and have the clinical and billing teams verify the request before submission.