CLARO • Case Study

Resolve escalations faster with consistent, auditable claim analysis

Pilot data across 20 denied and short-paid health claims shows major gains in claim desk throughput and quality.

45%Payable
40%Document pending
15%Not payable

How it works

Upload file - CLARO evaluates - your desk reviews and submits.

Claim workflow with CLARO

Case Study Scope

20

Denied and short-paid claims evaluated by CLARO.

  • Manual reviews are slow and inconsistent at scale.
  • CLARO standardizes analysis and next-action drafting.
  • Outputs stay traceable for compliance and audits.

Algorithmic evaluation split

100% stacked view across pilot cases

Almost half of cases were payable; another 40% stalled on missing documentation.

Evaluation to outcomes

Flow from intake to final outcome

Payable claims converted strongly to paid outcomes, while document-pending claims improved after follow-up inputs.

Time spent per claim

P95 - CLARO vs manual

CLARO

9.0

minutes

Manual

74.0

minutes

CLARO cut review time by ~8x in this pilot.

Errors detected per claim

Median - CLARO vs manual

CLARO

2.0

errors

Manual

1.0

errors

CLARO found at least 2 actionable errors in half the cases.

Run your own 20-case pilot for your claim desk with Claro

Share 20 denied or short-paid claims. CLARO returns payability evaluation, missing-document checklist, and draft insurer responses per case.

Flat pilot fee: ₹ 9,999 + taxes

To start: WhatsApp 9309002465 with "Pilot" or visit www.claro.health.