Axone · Revenue & Operations · TPA & Claims

Cashless that clears without the chase.

Eligibility, pre-authorisation, NHCX submission and denial prediction live in one queue - so claims move while the patient is still in the bed, not weeks after discharge.

Overview

One queue for every payer, every claim, every status.

Axone unifies cashless and reimbursement workflows across TPAs and government schemes, and predicts denials before a claim ever leaves the building.

The pre-auth is approved before the patient reaches the ward.

94%

First-pass approval rate

18 min

Median pre-auth turnaround

NHCX

Native claim exchange

6 days

Average settlement time

Capabilities

Built for the realities of Indian payer ops.

From eligibility to settlement, the system does the paperwork and watches the clock.

Prediction

Denial risk scoring

Every claim is scored against historical payer behaviour, flagging the likely reason for rejection so it can be fixed pre-submission.

Exchange

NHCX & TPA connectors

Submits over NHCX and direct TPA portals, then reconciles remittances and short-payments automatically.

The claims cockpit

Denials predicted before the claim leaves.

The full pipeline, the payer mix, and the live denial-risk queue in one place.

3,140

Claims submitted this month

94%

First-pass approval rate

6 days

Average settlement time

18 min

Median pre-auth turnaround

Claim funnel · this month

Eligibility verified3,612
Pre-auth approved3,318
Claim submitted3,140
Approved2,952
Settled2,761

Payer mix by claim value

Star Health31%
Care Health24%
HDFC Ergo18%
CGHS / ECHS15%
Self-pay & others12%

Claim settlement TAT, quarter on quarter

Live denial-risk queue

Predicted reasonPayerAt riskAction
Missing pre-auth extensionCare Health₹2.4LAppeal drafted
Non-payable consumableStar Health₹68kAuto-corrected
Tariff mismatch - ICUHDFC Ergo₹1.1LRe-submitted
Discharge summary pendingCGHS₹54kDoc attached

Outcomes

What the TPA desk feels within a month.

94%

First-pass approvals

41%

Faster settlements

58%

Fewer query cycles

2.3x

Claims per FTE

Based on cashless-heavy hospitals running Star, Care, HDFC Ergo and CGHS.

The fastest way to get paid is to never give the payer a reason to say no. Axone catches the reason before the claim is even sent.

Get started

Ready to see Axone in action?

A 30-minute conversation with our clinical team. Walk through your wards, your workflow, your numbers. We'll show you what changes from day one.