Was your health insurance claim cut by the rules?
ClaimCheck reads your policy, your hospital bill and the insurer's settlement letter, then checks every deduction against the policy wording and IRDAI's rules. Each answer quotes the clause it rests on.
The demo is a fictional gallbladder surgery claim under India's standard Arogya Sanjeevani policy.
This hosted demo shows a check that was run with the real pipeline. To check your own claim, run ClaimCheck on your computer: the code and instructions are on GitHub.
Insurer's deductions
- Non-payable items as per IRDAI list₹5,200Allowed
- Proportionate deduction on pharmacy, consumables and investigations₹57,563Too high
- Investigations not related to the treatment₹4,800Unclear
Checking the claim
The insurer's deductions, one by one
What the policy should pay
Worked out in code from the policy's limits and IRDAI's rules, step by step.
Bill items the policy never pays separately
Your appeal letter
Fill in the bracketed details and send it to the insurer's grievance officer.