INSURANCE CLAIMS HELP DESK

Helping patients & hospitals recover every eligible rupee from health insurance.

We collect documents, guide patients through every step of their reimbursement claim, and give your hospital full visibility until it's resolved.

Plus: a voice + WhatsApp AI agent that handles booking, reminders and check-ins across the patient journey.

Get Started See How It Works
English Hindi Kannada Telugu +6 Indian languages
📋 Insurance Helper — claims made simple 📞 Health Voice Agent — patient engagement & follow-ups

HOW IT WORKS

From confusion to a completed claim.

We simplify reimbursement claims by collecting documents, guiding patients through every step, and providing complete visibility until the claim is resolved.

?

Insurance is confusing

Patients don't know what they're entitled to claim.

📋

Claims are tedious

Documents, timelines and insurer requirements overwhelm most patients.

👁

Limited visibility

Hospitals lose visibility once the patient is discharged.

“Thousands of eligible claims never reach completion — not because patients aren't covered, but because the process is too complicated.”

How it works

1
Patient Visits Hospital
→
2
We Collect Documents
→
3
Verification Checklist
→
4
Guided Claim Submission
→
5
Live WhatsApp Updates
→
6
Claim Settled

Why hospitals benefit

Real-time Dashboard Visibility

  • Claims filed
  • Claims pending
  • Ready to submit
  • Rejected claims
  • Amount recovered

Higher Efficiency & Productivity

Less paperwork. Less follow-ups. More time for what matters.

Better Patient Experience

Patients receive continued support even after discharge.

Better Documentation

Patients arrive with complete, verified documents. Fewer incomplete files, faster approvals.

Actionable Insights

  • Filing trends
  • Rejection reasons
  • Recovery rates
  • Bottlenecks

A Strong Differentiator

Offer insurance support beyond admission. Few hospitals provide this.

✅ Built on trust & compliance Patient remains the legal claimant No overlap with your insurance desk No insurer representation

No-cost pilot proposal

We've built an MVP and are looking for a hospital partner to shape the next version with us.

  • One table & two chairs
  • A few hours each week
  • No software integration
  • No operational disruption
  • No commercial commitment
  • Co-build the next version

Meet the Voice AI agent Asha

Listen to real conversations with patients in multiple languages.

CC
Convo Care · Voice AI On call · 01:49
PatientMr. Ilayaraja · 28
Use caseAppointment booking
LanguageMalayalam
CC
Convo Care · Voice AI On call · 01:21
PatientMr. Ilayaraja · 28
Use caseAppointment rescheduling
LanguageEnglish
CC
Convo Care · Voice AI On call · 01:43
PatientMr. Rishab · 32
Use caseAppointment booking
LanguageKannada

THE GAP

Revenue and patient leaks at every step.

~30%

of OPD appointments are no-shows — most simply forgotten.

~40%

miss their follow-up after the visit.

Between booking and recovery, no one owns the touchpoints — so patients drift and revenue leaks.

100 Appointments booked
Jan 1
→ No reminder sent
30% no-show
70 Show up for their visit
Jan 8
→ No follow-up
40% never return
42 Still in your care
Feb 7

Out of 100 booked patients, only 42 stay in the loop — 58 leaked out silently, with no one noticing until the beds and revenue were already gone.

END TO END

The full patient journey

Before the Visit

  • Appointment booking
  • Reminders
  • Missed-appt recovery
  • Reschedule & cancel

The agent books appointments on voice and WhatsApp, 24/7 — handling inbound requests and reaching out for due follow-ups, no front desk required.

VOICE
You've reached Convo Specialty. I can book you with Dr. Reddy. Which day works?
This Friday morning if possible.
Done — Fri 28 Mar, 11:00. Confirmation and directions are on their way.
Booked · Synced to OPD calendar · reminder scheduled
90%booking requests handled autonomously
30%booked outside clinic hours
<2 minto confirm a slot

WhatsApp + voice reminders the day before, with one-tap confirm. The patient never just forgets.

WHATSAPP
Reminder: Dr. Reddy tomorrow, 11:00. Reply 1 to confirm, 2 to reschedule.
1 — confirmed
Confirmed · no-show prevented
30% → 16%no-show rate with reminders

When a patient misses, the agent calls the same day to find out why and rebook them on the spot.

VOICE
We noticed you missed your appointment today. Everything okay? I can rebook you this week.
Sorry, got busy. Can I come Thursday?
Thursday 10 AM is open. Booked!
Recovered · rebooked same week
1 in 3no-shows rebooked

Patients reschedule or cancel in chat; freed slots are offered to the waitlist automatically.

WHATSAPP
Need to reschedule your appointment? Reply with your preferred day.
Move to next Monday please.
Done — Mon 31 Mar, 11:00. Previous slot offered to waitlist.
Rescheduled · freed slot backfilled
40%cancelled slots refilled

Post OPD

  • Post-OPD checks
  • Surgery prep
  • Admission conversion

After the consult, the agent confirms the patient understood and acted on the plan — prescription filled, tests booked, dosage clear.

VOICE
Following up on today's visit with Dr. Reddy. Were you able to collect your Metformin and book the HbA1c test?
Got the medicine. Not sure how to book the test.
No problem — I've booked your HbA1c for Thu 9:30am. Fasting required; details sent on WhatsApp.
Care plan on track · Test booked · gap closed
90%confirm they're following the care plan
3×earlier detection of issues
+27%diagnostic tests completed

Pre-op checklists, fasting instructions and medication guidance delivered automatically before the procedure.

WHATSAPP
Your surgery is in 3 days. Quick checklist: no food after 10pm the night before, take only prescribed meds.
Got it, thank you.
Pre-op compliance confirmed

When a procedure is recommended, the agent answers cost, insurance and recovery questions — converting the decision into a scheduled admission.

VOICE
Dr. Reddy has recommended a knee replacement. I can help with timing, cost and insurance. Shall I walk you through it?
I'm worried about the cost, and how long recovery takes.
With your insurance the estimate is ₹1.2L, recovery ~6 weeks with physio support. I can hold an admission slot for Tue 1 Apr — shall I?
Yes, please book it.
Admission scheduled · Pre-op checklist & counselling sent
+35%surgery recommendations reach admission
−40%drop-off after procedure advised

After Discharge

  • Check-in calls · D1/3/7
  • Medication reminders
  • Feedback & Google reviews

Check-in calls on Day 1, 3 & 7 confirm recovery and medication — and escalate any distress signal to your team automatically.

VOICE
Hello Mrs. Iyer, how are you feeling after yesterday's discharge? Were you able to take your Metformin this morning?
Yes, I took it. But I felt dizzy when I stood up.
Thank you for telling me. I'm flagging this to Dr. Reddy's team now — someone will call you within 2 hours.
Distress flagged · Routed to clinical team · callback in 2h
85%patients reached on first attempt
35%more likely to recommend
3×earlier at-risk detection

Timely medication reminders via WhatsApp with confirmation tracking to ensure adherence.

WHATSAPP
Time for your evening Metformin (500mg). Confirm once taken.
Done, taken with dinner.
Adherence confirmed · logged to patient timeline

After a positive check-in, the agent asks for feedback — routing unhappy patients privately to your team, and inviting happy ones to leave a public Google review.

WHATSAPP
How was your experience at Convo Specialty? Please rate us 1–5
5 — the staff were very caring
Wonderful to hear! Would you share that on Google? It really helps other patients.
Done — left 5 stars
1–3 stars routed privately to your team — never to Google
4.8avg rating from prompted reviews
6×more reviews than organic
+30%local search visibility lift
✦
Emergency escalation to staff Zero missed calls · 24/7 Complete engagement overview

MEET THE VOICE AI AGENT

One agent, every conversation.

VOICE Appointment booking
"Shall I book your review with Dr. Reddy this Friday at 11?"
"Yes, Friday works."
WHATSAPP Visit reminder
"Reminder: Dr. Reddy tomorrow, 11:00. Reply 1 to confirm, 2 to reschedule."
"1 — confirmed"
VOICE Post-discharge check-in
"How are you feeling after your discharge? Any pain or dizziness?"
"Much better today, thank you."
WHATSAPP Review request
"So glad you're recovering well! Would you share a quick Google review?"
"Done — 5 stars"

Voice AI · Live call

An appointment booked over the phone.

Patient: Mr. Rao · 61 Language:
AGENT

ನಮಸ್ಕಾರ ಶ್ರೀ ರಾವ್ ಅವರೇ, ಕಾನ್ವೋ ಸ್ಪೆಷಾಲಿಟಿಯಿಂದ ಕರೆ ಮಾಡುತ್ತಿದ್ದೇನೆ. ಡಾ. ರೆಡ್ಡಿ ಅವರೊಂದಿಗೆ ನಿಮ್ಮ ಡಯಾಬಿಟಿಸ್ ಪರಿಶೀಲನೆಗೆ ಸಮಯವಾಗಿದೆ. ಈ ವಾರ ನಿಮಗೆ ಅಪಾಯಿಂಟ್‌ಮೆಂಟ್ ಕಾಯ್ದಿರಿಸಲೇ?

Hello Mr. Rao, calling from Convo Specialty. It's time for your diabetes review with Dr. Reddy. Shall I book you in this week?

MR. RAO

ಹೌದು, ದಯವಿಟ್ಟು. ಯಾವ ಸಮಯಗಳು ಲಭ್ಯವಿವೆ?

Yes please. What times are open?

AGENT

ನನ್ನ ಬಳಿ ಶುಕ್ರವಾರ 28ರಂದು ಬೆಳಿಗ್ಗೆ 11:00 ಅಥವಾ ಸೋಮವಾರ 31ರಂದು ಸಂಜೆ 4:00 ಲಭ್ಯವಿದೆ. ನಿಮಗೆ ಯಾವುದು ಸೂಕ್ತ?

I have Friday 28th at 11:00 or Monday 31st at 4:00. Which suits you?

MR. RAO

ಶುಕ್ರವಾರ 11 ಗಂಟೆ ಸರಿಯಾಗಿದೆ.

Friday at 11 is good.

Booked · Fri 28 Mar, 11:00 Synced to OPD calendar · WhatsApp confirmation sent

ALWAYS ON · 24/7

Emergency escalation & zero missed calls.

Emergency escalation to staff

A red-flag symptom or urgent request alerts your on-call team instantly — call, WhatsApp and SMS — with the patient's name, ward and context attached.

<60s to staff alert 100% escalations logged

Zero missed calls

When your lines are busy or after hours, the agent picks up every inbound call — books appointments, answers questions, and routes the urgent ones to a human.

0 missed calls 90% resolved by the agent

PER-PATIENT VISIBILITY

A 365° view of every patient.

Every appointment, voice call, WhatsApp message, event and note — on one timeline your team can act on.

MI

Mrs. Iyer

58 · Internal Medicine · Stable · Kannada
MRN AP-204815
Next appointment 28 Mar, 11:00
Adherence 92%
Last contact Day 7 · voice
4 Calls 18 Messages 1 Review
Public Google review left · 5 stars Day 8
Reached Voice call · Day 7 check-in completed Day 7
Read WhatsApp · medication reminder Day 5
Escalated Note · Reported dizziness → flagged to Dr. Reddy Day 1
Reached Voice call · Day 1 check-in completed Day 1
Delivered WhatsApp · discharge summary delivered Day 0
Booked Voice call · appointment booked Day −7

Complete overview of patient engagement

1,240patients engaged
88%calls completed
96%messages delivered
34at-risk flagged
612reviews collected
1 in 3no-shows recovered
Contacts reached100%
Reminders confirmed91%
Visits attended83%
Follow-up completed76%
Loop closed · reviewed64%

IMPLEMENTATION

Live in 7 days. ROI in 30.

A full deployment of the journey across your departments. We handle setup, flows and scripting end-to-end — recovered revenue shows up inside the first month.

✓ Live in 7 days — full journey deployed end-to-end.
✓ ROI visible in 30 days — recovered no-shows, admissions, readmissions.
✓ Per-patient pricing — no upfront platform fee.
✓ Zero staff burden — just share the patient list.

Book a demo — see ConvoCare live for your hospital.

Pick a time that works for you. We'll walk you through the full patient journey and show you the ROI for your setup.

Or email us → hello@convo.care Call +91 99325 02719