The insurance system is becoming harder to navigate. Every year.
FY 2024–25 · IRDAI Data
₹30,000 Cr
In health insurance claims rejected or repudiated in a single year — up 15% from the year prior. This number grows every quarter.
Claim rejection rate
11%
Of all health insurance claims are denied. A further 6% remain permanently pending. TPAs now use AI to process and flag claims faster than ever.
AR days · industry average
60–90
Days before a hospital collects what it earned. The benchmark is under 45 days. This gap is working capital hospitals are not deploying — every month.
Silent write-offs
>60%
Of denied claims are never resubmitted. Not because they are invalid — because billing teams do not have the bandwidth to fight every denial.
TPAs and insurers use sophisticated AI to review, flag, and deny claims. Hospital billing teams are still largely working on manual processes. That gap costs the healthcare system significantly — and hospitals carry all of it.
What We Are Building
Not an IT product. An intelligence layer that sits on top of the hospital systems you already use.
OttoIQ does not ask you to replace your Hospital Management System. It connects to it — reading the claim and billing data your HMS already holds — and adds an AI intelligence layer on top that your HMS was never designed to provide.
Compatible with the HMS your hospital already runs
Insta HMSPracto Health SuiteeHospital by AarogyaMocDoc HMSMeddbaseNuvola HMSAhana HMS+ any other HMS
Capability 01
Unified TPA Claim Tracking
Reads claim data from your HMS and maps it across all TPA portals in one view — real-time status, AR aging by insurer, and alerts when claims stall. No duplicate data entry. No new system to learn.
Capability 02
Denial Risk Intelligence
Before your billing team submits a claim from your HMS, OttoIQ scores its denial risk and surfaces the specific issue to fix. The intelligence sits between your HMS and the TPA — invisibly, automatically.
Capability 03
Pre-Authorisation Assistance
Discharge summaries and clinical notes from your HMS are parsed automatically. Pre-auth forms are populated for each TPA. What takes 40 minutes today takes under 5 — without changing how your HMS works.
Capability 04
Revenue Intelligence for Leadership
CFO-level denial trends, recovery forecasts, and AR health — drawn from your existing HMS data, enriched with TPA pattern intelligence, and delivered automatically without manual reporting.
This platform is currently being developed. No new HMS to install. No migration. No IT project. If you are a hospital administrator, billing head, or CFO, we would love your input on what matters most.
Who It Is For
Built for the people doing the hardest work in hospital operations.
01
Hospital CFOs & Finance Heads
You know revenue is leaking but do not have a system that shows exactly where — or stops it proactively. This platform is designed to give you that visibility and control.
02
Billing & TPA Teams
Managing multiple TPA portals, hundreds of claims a month, and a small team. This is designed to be the co-pilot that catches what there is simply no time to catch manually.
03
50 to 500 Bed Private Hospitals
Large chains have dedicated revenue cycle teams. Mid-size hospitals deserve the same intelligence without the overhead. That is precisely the gap this product fills.
Our Mission
At OttoIQ, we are committed to providing hospitals with AI powered efficiency — built into the systems they already use — so that teams can focus on delivering care and not navigating the administrative complexity that surrounds it.
OttoIQ · Efficiency. Built in.
Get Involved
Register your interest. Help shape what we build.
We are actively looking for hospital teams who want early access, want to give feedback, or simply want to follow the journey. There is no product to buy yet — just a conversation worth having.
Register Interest
Tell us about your hospital and what problems matter most to you. Be the first to know when we launch.
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Speak directly with the founder. Share your experience, your pain points, and what a solution would need to look like to work for your team.
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