For TPAs
Independent claim audits with regulatory rigor.
From single-claim audits to white-glove enterprise integration, BimaHaq's audit framework spots fraud, defends decisions, and reduces litigation exposure.
What we offer
Services tailored for you
₹500 / claim
Single Claim Audit
Independent audit of any disputed claim file.
- Documentation completeness
- Policy compliance
- Defensibility opinion
₹2 lakh / 500 claims per month
Bulk Audit — Starter
Volume audits for mid-size TPAs.
- Monthly batch processing
- Standard report templates
- Quality dashboards
₹7 lakh / 2,000 claims per month
Bulk Audit — Growth
Higher throughput with deeper analysis.
- Anomaly detection
- Senior auditor review
- Quarterly trend report
Custom
Bulk Audit — Enterprise
White-glove integration into your claim workflow.
- API + SFTP intake
- Embedded auditors
- Litigation hand-off
₹1,000 – ₹2,500 / claim
Litigation Risk Audit
Pre-litigation review for files at risk of consumer forum complaints.
- Risk score
- Defence kit drafting
- Witness brief
What we look for
Every audit covers six dimensions
Documentation completeness
Policy compliance
Regulatory compliance
Claim defensibility
Fraud indicators
Process deviations
Ready to move forward?
Talk to a BimaHaq specialist. We will tell you, in plain English, whether your case is worth fighting and what it will take.