Observed arrival · 2026-11-03
Six Indian health-claim audits, down to the rupee
Dr. Harish Kumar’s site presents six interactive worksheets for auditing Indian health-insurance claims, using synthetic cases and cited rules.
- For
- People reviewing Indian health-insurance claims
- Worth noticing
- Rules are labeled by source quality, including regulator PDFs, summaries, chosen defaults, and items still unverified.
Field notes
The six worksheets address separate points in claim review, including room-rent limits, pre-existing-condition waiting periods, package charges, and AYUSH inpatient criteria. The homepage says source labels distinguish rules read in regulator PDFs from summaries, chosen defaults, and items still unverified; it also says the rules have automated tests. Cases are described as synthetic, and the worksheets as working drafts rather than claim decisions or legal advice.
Observed signals
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Editorial observations of this landing page, not a rating.
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