Gooclaim OS
Use case · Hospitals

For hospitals. Stop chasing TPAs. Start discharging on time.

Cashless denials happen at admission and discharge — and the patient always blames the hospital. Gooclaim OS gives your front desk and billing team a single, real-time view across every TPA your network deals with.

Works with every TPAVoice + WhatsApp + SMSAudited every step
The problem · in one number
6–48 hrs
patients wait for cashless discharge today

Multiple TPAs, multiple portals, multiple statuses. Hospital staff lose hours on phone-tag while patients sit in beds. The IRDAI 3-hour discharge mandate now penalises the whole chain.

Pilot field interviews 2026 · RTI Wiki · IRDAI Master Circular 2024
What Gooclaim OS does for Hospitals

One inbox across every TPA

Unified status, unified queries, unified document requests — no more juggling portals.

Voice agent for reception

Front-desk staff can’t always type. Voice in, voice out, audited.

Real-time patient updates

Send status changes to patients on WhatsApp the moment they happen — no IVR chase.

Document collection, automated

TPA asks for a document → Gooclaim OS asks the patient → patient uploads → file moves.

Multi-lingual

Hindi · English · Hinglish + regional — meet your patients where they are.

Network-wide rollout

One pilot at one hospital, then network roll-out — no per-site rebuild.

Who this is for

Three people own this in your org.

Gooclaim OS shows up first for these roles — but the platform serves the entire claim chain.

Hospital Administrator

Owns bed turnover, patient satisfaction and TPA relationships.

Billing / Insurance Desk Manager

Owns daily cashless throughput and revenue cycle.

Group IT Head

Owns the chaos of multiple TPA portals and integrations.

Your team should run beds. Not phone trees.

Bring TPAs, insurers, patients and your front desk into the same audited conversation. Discharge clocks become predictable, and the patient stops blaming the wrong people.