Book a demo

For hospital billing teams

CareNav makes
claims management
easier and faster.

CareNav's AI platform helps hospital billing teams submit cleaner claims, resolve insurer queries faster and track every claim until payment lands.

ABDM M1-M3 certified WASA certified FHIR R4
Fewer rejections Validated before submission
Faster closures Less insurer back and forth
Fits your existing setup Layers into any HMIS or runs on its own
Compliance built in Claims automatically structured in ABDM-compliant FHIR R4

THE OPPORTUNITY

A simpler claims journey for hospital teams.

Most claims slow down because information is fragmented. CareNav brings documents, checks, communication and status into one clean workflow.

60% reduction in PCS workload
80% fewer insurer queries
2x faster claim processing

How it works

Handles every part of the claims workflow.

Discharge Summary
Ready for submission
Better Documentation

Better notes from the start

CareNav helps doctors document what payers need, so fewer queries come back later.

HL7 / FHIR feed
Modern HMIS
Supported
WhatsApp upload
No HMIS required
Standalone
Flexible Setup

Connects to your HMIS or runs on WhatsApp alone

If your HMIS supports HL7 or FHIR, CareNav connects directly. If not, WhatsApp upload covers the full workflow.

Discharge Summary
Dr. Mehta · Ward 4
Valid
Hospital Bill
Billing · ₹1,24,000
Review
Lab Reports (3)
Pathology · uploaded
Valid
Reduce Rejections

Complete, submission-ready claims every time

CareNav ensures all documents are validated and in order before the claim is sent for approval.

Your claim
ABDM compliant
ABDM-ready submissions

Every claim reaches the insurer ABDM-compliant and NHCX-ready

No extra steps for your billing team. CareNav handles compliance formatting in the background so every submission is always structured correctly. Works for both private and PMJAY claims.

142
Active claims
38
Approved
7
Need attention
Arjun Shah, Bajaj Allianz
Due in 4 hrs · In progress
High priority
Meena Verma, HDFC-ERGO
Due in 1 day · In progress
Active
💬 "How are we doing this month?"
Claims summary · April 2026
Approved
78%
In review
14%
Flagged
8%
Full Visibility

Always know where every claim stands

Every active claim, what needs attention and what's on track, in one view.

Response
Dear Team,
Please find attached the additional documents requested for Claim #8812, including the updated discharge summary and pharmacy bills. Kindly process at the earliest.

Regards, Billing Dept.
Faster Resolution

Insurer queries resolved faster

Every insurer query gets caught and responded to on time, with the right information attached.

CN
CareNav Assistant ● Live
AI assistant
Claim #8821 for Rajesh Kumar is approved. Settlement pending with HDFC-ERGO. Want me to confirm receipt and close it out?
Yes, confirm and mark it closed.
Done. Confirmation sent at 2:14 PM. Claim #8821 is closed. Anything else?
🎙 Ask about a claim... Send
Close the loop

Ask, follow up and close in WhatsApp

Confirm status, send missing information and wrap the claim without leaving the conversation your team already uses. No new tools, no training, no new screens.

Claim #8834
Settled
On track
Claim #8851
Settled
Needs review
Payments Tracked

Followed until payment lands

CareNav tracks every settlement and payment and flags anything that needs a second look.

WHAT CARENAV CHANGES

Efficiency without changing how your team works.

Your clinical workflow stays the same, with better guidance where it matters.

Step
Your team
Registering patients
Exactly as you do today
Clinical notes
Your own system
Guidance while notes are written
Uploading documents
However you do it today, WhatsApp or your HMIS
Missing documents
Collected for you
Gaps in a claim
Caught before it goes out
Insurer formatting
Done to spec, every time
Insurer queries
You approve the response
Prepared with the right records
Claim status
One live view
Case closure
Followed until payment lands and is reconciled
Settlement letters
Checked manually, if at all
Reviewed for you
Deductions
Accepted as sent
Flagged when something looks off
Payments
Tracked in spreadsheets
Tracked until they land

Trusted by hospitals

The pre-auth form filling used to take our team a while to get right. CareNav has made that faster, and we make fewer errors now.

Dipankar Ghosh IT SPOC, Jeevan Rekha Hospital

Security & Compliance

Built on India's national health infrastructure.

Aligned with NHA standards at every layer - from encryption to health data exchange to patient consent.

National Health Authority National Health Authority
ABDM M1-M3 production certified
Ayushman Bharat Digital Mission ABDM certified
ABDM M1-M3 certified Production-certified across all milestones
WASA certified Independently verified security
FHIR R4 compliant Aligned with ABDM v3 APIs
Fidelius encryption ECDH key exchange, encrypted end-to-end
India hosted All data stored within India
Supported by
i-Hub Gujarat Government Enterprise India Accelerator Sanjeevan Healthcare Accelerator HerStart Accelerator IIHMR Startups
Common Questions

Yes. CareNav uses Fidelius ECDH encryption, the standard mandated by ABDM, for all health records in transit. Data is stored on servers in India and never leaves the country. CareNav is WASA certified and production-certified for ABDM M1-M3.

CareNav checks every document for completeness and consistency before submission and flags gaps early, so hospitals submit cleaner packages and get faster approvals with fewer revision cycles.

Yes. For cashless claims, hospital PCS desks upload directly through CareNav. For reimbursement claims, patients or agents submit via WhatsApp and CareNav creates a validated package for faster settlement.

Yes. CareNav tracks settlements and payments for every claim and flags anything that needs your team's attention.

Yes. CareNav supports PMJAY claims on NHCX alongside private insurance claims.

Next step

See CareNav in your hospital in under a week.

Go live in days. Fits any HMIS or runs on its own. We handle setup end to end.