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For hospital billing teams

From admission to payment,
every claim handled.

CareNav prepares pre-auth, checks claims before they go out, answers insurer queries and tracks payment until it lands.

ABDM M1-M3 certified WASA certified FHIR R4
Caught before it's sent Missing documents and code gaps flagged before submission
Queries answered on time Replies drafted for your team to approve
Fits your setup No new software for your team
Followed until paid Settlements tracked and reconciled

How it works

Every step of the claim in one place.

Dr. Mehta WhatsApp
Insight for the doctor
Add the procedure note on the discharge summary before you sign.
Discharge summary
Ready for submission
Insight

Better notes from the start

Doctors document what payers need, so fewer queries come back.

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

Connects to your HMIS or runs on WhatsApp alone

Connects over HL7 or FHIR, or runs on WhatsApp uploads alone.

Discharge summary
Dr. Mehta · Ward 4
Valid
Hospital bill
Billing · ₹1,24,000
Review
Lab reports (3)
Pathology · uploaded
Valid

Complete, submission-ready claims

Every document is checked before the claim goes to the insurer.

Your claim
ABDM compliant

Submitted in the right format, first time

Formatted to ABDM and NHCX standards, for 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%

See where each claim stands

Active claims, what needs review 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.

No query slips through

Queries are picked up and answered on time, with the documents 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

Ask, follow up and close in WhatsApp

Confirm status and close claims from the WhatsApp chat your team already uses.

18
Settled
6
On track
2
Needs review
Claim #8834
Settled
On track
Claim #8851
Settled
Needs review
Payments this month
Settled
18
On track
6
Needs review
2

Payments reconciled

CareNav tracks settlements and payments and flags anything that needs review.

Trusted by hospitals

What hospital teams say.

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

WHAT CARENAV CHANGES

Efficiency without changing how your team works.

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

The result

60%less PCS workload
80%fewer insurer queries
2xfaster claim processing

Stays exactly the same

  • Registering patients
  • Clinical notes in your own system
  • Uploading documents on WhatsApp or your HMIS
  • Approving insurer responses

takes on

Before submission
  • Guidance while clinical notes are written
  • Missing documents collected
  • Gaps caught before the claim goes out
  • Insurer formatting done to spec
During review
  • Query replies drafted
  • One live view of every claim
After approval
  • Settlement letters reviewed
  • Deductions flagged for review
  • Payments tracked and reconciled
ABDM M1-M3 production certified

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.

  • ABDM M1-M3 certified
  • WASA certified
  • FHIR R4 compliant
  • Fidelius encryption
  • India hosted
Recognised by National Health Authority Ayushman Bharat Digital Mission

Supported by

i-Hub Gujarat Government Enterprise India Accelerator Sanjeevan Healthcare Accelerator HerStart Accelerator IIHMR Startups

Common questions

Questions hospitals ask us.

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 settlement.

Yes. CareNav tracks settlements and payments and flags anything that needs review.

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

Read our insights

Next step

See CareNav in your hospital in under a week.

Live in days. We set it up for you.

The AI platform that helps hospital billing teams submit cleaner claims and get paid in full.

© 2026 CareNav. All rights reserved. Built in India for Indian hospitals.