Cashless claims decided
in 60 seconds, not 3 hours.
Hospitals submit. AI adjudicates — with the exact policy clause cited and fraud flagged. Insurers oversee. Patients watch it all happen, live.
The Problem
Claims run on paperwork, phone calls, and prayer
An adjudicator hand-processes 50–80 claims a day. A patient waits on a hospital bed while faxes fly. Nobody can say why a claim was denied.
11–12.5%
Claims denied in India
Mostly documentation gaps — the kind AI catches before the claim is even submitted.
₹8–10k Cr
Lost to fraud every year
Inflated bills and duplicate claims that slip through because no one cross-checks every line item.
2–3 hrs
Per cashless approval
While the patient waits, discharged but not released. NoLoop decides in under a minute.
The Platform
One platform. A portal for every side of the claim.
No shared inboxes, no PDFs over email — each role sees exactly what it needs, nothing more.
Hospital Portal
Snap a photo of the bill — AI reads it into the claim form. Submit, and watch the decision land in seconds.
- Document OCR fills the claim form for you
- Live bed & admission board — discharge files the claim
- Real-time claim tracker, event by event
- One-click responses when a query is raised
Insurance Portal
Every claim arrives pre-adjudicated: verdict, cited clauses, fraud flags. Your team reviews the exceptions, not the pile.
- AI verdict with the exact policy clause cited
- Fraud signals with severity, flag by flag
- Override, settle, or query — with a full audit trail
- Analytics: approval rates, TAT, money protected
For Patients
Your claim, live — like tracking a parcel
Every claim gets a number. Type it in and see the whole story — submitted, decided, settled — with the reason for every decision in plain language. No app install, no login, no calling the TPA twice a day.
Claim Lifecycle
Admission to payout, in five steps
🏥
Admit
Hospital
Patient admitted, bed assigned. Discharge auto-drafts the claim.
📸
Submit
Hospital
AI reads the bill photo into the form. One click to file.
🤖
Adjudicate
AI Engine
Coverage, fraud checks, and verdict — with cited clauses, in seconds.
⚖️
Review
Insurer
Adjudicator confirms or overrides. Every action logged.
✅
Settle
Everyone
Payout released. Patient watched every step live.
AI Agents
Four agents, one loop — closed.
Each fires automatically at its stage of the claim. Nobody presses a button.
Agent 01
Query-Proofing Agent
Fires when the hospital uploads documents
Validates document completeness, runs a policy-coverage check via RAG (clause-level citations), and flags billing inconsistencies before the claim reaches the insurer.
Agent 02
Adjudication-Assist Agent
Fires when the insurer opens the claim
Generates a clinical justification summary, checks billing line items against benchmarks, and produces a recommendation with cited policy clauses.
Agent 03
Fraud Detection Agent
Runs in parallel with Agent 2
Calculates a weighted fraud-risk score across billing variance, duplicate checks, historical patterns, hospital credibility, and diagnosis-procedure consistency.
Agent 04
Patient Communication Agent
Fires on every state transition
Sends warm, plain-language updates to the patient at every step, and powers a policy Q&A bot so patients can ask about coverage.
⚖️ IRDAI fined a major insurer ₹1 crore for slow cashless claims
December 2025. The message to insurers: automate or pay. NoLoop answers with sub-minute decisions and an audit trail behind every single one.