Claim Status Checker Bot
Simplify Health Claim Tracking with AI-Powered Updates
Enable patients and policyholders to instantly check claim progress, approval status, and required documents — all through a conversational AI interface powered by Kriatix.
See Claim Status Checker Bot In Action
The Claim Status Checker Bot by Kriatix eliminates the frustration of manual insurance claim tracking.
It provides real-time claim updates, document requirements, and estimated timelines directly through chat or web interface. By integrating with insurer APIs and hospital billing systems, it creates a transparent and seamless experience for patients, insurers, and administrators.
🔹 Automate claim status tracking and document verification
🔹 Reduce customer support load for insurers and TPAs
🔹 Deliver 24/7 updates via web, chat, or mobile
What Is the Claim Status Checker Bot?
The Claim Status Checker Bot is a smart conversational assistant designed for healthcare insurers and hospitals. It fetches live claim information from connected insurance or TPA databases, explains current status (submitted, under review, approved, or rejected), and alerts users about pending requirements.
It minimizes manual calls to support centers while ensuring customers receive accurate, real-time updates.
Who Is It For?
| Role | How They Benefit |
|---|---|
| Insurance Providers | Reduce inbound claim status queries |
| Hospitals & TPAs | Improve claim processing transparency |
| Patients/Policyholders | Track claim progress anytime, anywhere |
| Customer Service Teams | Automate repetitive claim inquiries |
| Executives/Compliance Heads | Maintain accuracy and reduce operational delays |
Key Features
- API integration with insurer and TPA claim systems
- Real-time claim status updates and progress visualization
- Notification engine for pending or missing documents
- Multi-channel deployment (web, chat, WhatsApp)
- Policy and claim reference number validation
- Analytics dashboard for claim turnaround times
Benefits
- Improve customer experience through proactive updates
- Eliminate long waiting times and manual claim follow-ups
- Reduce claim-related support calls by up to 70%
- Strengthen insurer-patient trust with real-time transparency
- Increase claim handling efficiency through automation
How It Works
- Connect insurer or TPA APIs to the bot engine.
- Patients or policyholders provide claim ID or policy number.
- The bot retrieves claim status and provides detailed updates.
- Sends automated reminders for document submission or verification.
Add-ons & Integrations
- Insurance APIs: MediAssist, Niva Bupa, Star Health, ICICI Lombard
- Messaging Platforms: WhatsApp, Web Chat, Slack, MS Teams
- Hospital Systems: ERP, Billing, and Patient Portals
Deployment & Access
-
- SaaS or on-premise setup
- Web, chat, or in-app interface for patients
- Multi-user dashboard for admin and support teams
What Our Partners Are Saying
"Company AI-powered interfaces have been praised for their usability ,Through exhaustive research and advanced automation, Kriatix made the application fluid, accessible, and future-ready for all users. The team adapted quickly to deliver complex AI-driven tasks and independently developed creative, detailed solutions. Their AI chatbot services stood out in particular — seamlessly integrating conversational AI that enhanced user engagement and streamlined support."
Amit Kumar
Co-Founder, Venture Transform Strategy Consulting LLP
"Kriatix.ai delivered the AI-powered application on time, leveraging Agile methodology to ensure flexibility and efficiency. The team conducted bi-weekly demos, keeping the project transparent and aligned with our goals. Using Jira, GitHub, and Slack, they maintained flawless communication and streamlined project management.Their integration of AI chatbots for real-time feedback loops accelerated our release cycle by nearly 25% and reduced manual validation efforts by 40%, resulting in a smoother, faster, and higher-quality delivery."
Sumit Kumar
CEO, HImalayan Basket Private Limiteds
"The AI-powered website delivered by Kriatix.ai is both visually appealing and high-performing they built a website that not only impressed us with its sleek design but also outperformed our expectations in speed and functionality. Their team worked as true partners—creative, experienced, and highly attentive to every detail.By integrating AI personalization and intelligent chatbots, the website now adapts to user behavior in real time, leading to a 35% increase in engagement and a 25% reduction in support queries."
Sneha Das
CEO, Ittisa
"Kriatix.ai completed the deliverables with excellence, often going the extra mile by suggesting AI-driven alternatives to our change requests. The workflow was seamless, with the team being timely and proactive in addressing every issue. They set realistic expectations, built intelligent automation into our processes, and delivered results with superb quality.Their AI chatbot integration not only streamlined support but also improved responsiveness, ensuring our users always received accurate and instant assistance."
Gururaj Mahale
Director of Growth Marketing, SYNERGOS
Frequently Asked Questions
1. What kind of claim updates can it provide?
It provides status updates such as submitted, under review, approved, settled, or rejected.
2. Does it work for multiple insurers or TPAs?
Yes. It integrates with multiple insurance providers and third-party administrators.
3. How secure is the data?
It uses encrypted channels and follows IRDAI-compliant security protocols.
4. Can it send proactive alerts?
Yes. The system sends alerts for missing documents, upcoming deadlines, or claim settlements.
5. Can it handle multiple claims per user?
Yes. Users can check and track multiple claim IDs within a single conversation.
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