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Healthcare & Wellness Automation

Guide patients through insurance claims on WhatsApp — step by step, automatically

WhatsPortal sends patients a WhatsApp-guided claim walkthrough — what documents to submit, where to submit them, and what to expect next — reducing the hand-holding your staff does today.

Official Meta BSP · No credit card required

  • Official WhatsApp BSP
  • Free plan — no credit card required
  • Instant webhook integrations
  • Custom WhatsApp Flows
  • Billed in INR via Razorpay

Insurance claims are one of the most stressful parts of a hospital experience. And they don't have to be.

01

A patient is discharged. They have no idea what to do for their insurance claim — which documents to collect, which insurer to contact, which form to fill. They call your billing desk. And call again. And call again.

02

Your billing team spends significant time explaining the same claim process to patients day after day — documents required, timeline, TPA contact details. This is information automation can deliver perfectly well.

03

Patients who don't understand the claim process give up and pay out of pocket — or worse, file claims incorrectly and face delays that create frustration and complaints back to your hospital.

The solution

WhatsPortal guides patients through the insurance claim process on WhatsApp — so your billing team focuses on exceptions, not explanations.

Post-discharge claim guide

At discharge, WhatsPortal sends a WhatsApp message with a step-by-step claim guide — documents to collect, submission process, TPA contact, and expected timeline.

  • At discharge, WhatsPortal sends a WhatsApp message with a step-by-step claim guide
  • documents to collect, submission process, TPA contact, and expected timeline
  • Fully automated system
  • Real-time notifications

Document collection via WhatsApp

The bot prompts patients to upload required documents — discharge summary, bills, prescriptions, ID — directly on WhatsApp. Documents are logged against the patient's record.

  • The bot prompts patients to upload required documents
  • discharge summary, bills, prescriptions, ID
  • directly on WhatsApp
  • Documents are logged against the patient's record

Claim status updates

As the claim progresses, WhatsPortal sends WhatsApp updates — 'Your claim has been submitted to [Insurer]', 'Your claim is under review', 'Approved: ₹X has been processed.' Patients stay informed without calling.

  • As the claim progresses, WhatsPortal sends WhatsApp updates
  • 'Your claim has been submitted to [Insurer]', 'Your claim is under review', 'Approved: ₹X has been processed.' Patients stay informed without calling
  • Fully automated system
  • Real-time notifications

FAQ bot for common queries

Common claim questions — 'How long does approval take?', 'What if my claim is rejected?' — are answered instantly by the bot, 24/7.

  • Common claim questions
  • 'How long does approval take?', 'What if my claim is rejected?'
  • are answered instantly by the bot, 24/7

How it works

Streamlined automation in four simple steps.

  1. 01

    Trigger the claim guide at discharge

    Connect your discharge system to WhatsPortal via webhook. When a patient is discharged, the claim guidance flow starts automatically.

  2. 02

    Patient follows the guide on WhatsApp

    They receive each step clearly, upload documents when prompted, and get answers to common questions from the bot.

  3. 03

    Billing team handles only exceptions

    Patients who have specific issues get routed to a human agent in the shared inbox. Routine guidance runs on autopilot.

  4. 04

    Sync patient records

    Appointment times, booking confirmations, and patient documents are instantly logged in your hospital management system (HMS) or CRM.

C

Dr. Ananya R.

Care Clinic

Hi Rohan! This is a reminder from CareClinic for your appointment with Dr. Ananya on Saturday at 11:00 AM. 🏥

9:00 AM ✓✓

Please confirm your availability.

9:00 AM ✓✓

Confirm appointmentReschedule visitCancel booking

Confirm appointment

9:15 AM ✓✓

Thank you! Your appointment is confirmed. Please arrive 10 minutes early. Here is the location map: click.careclinic.in/map 📍

9:15 AM ✓✓

Example conversation — automated by WhatsPortal

What our customers say

“Our billing helpdesk was fielding 30–40 claim-related calls a day. After adding WhatsPortal guidance, routine questions dropped and our team could focus on actual claim issues.”

— [Hospital billing team name]

Live

Proactive claims guidance reduces patient confusion and claim errors significantly

< 1 min

Average setup time for standard workflows

Increase in response rates compared to email alerts

₹0

Get started for free — free plan included

FAQ

Common questions about healthcare insurance claim support

Can I customise the claim guide for different insurers?

Yes. Build separate claim flows for CGHS, ESI, and private insurers — each with the specific documents, submission process, and TPA contacts relevant to that insurer.

Can patients upload claim documents on WhatsApp?

Yes. WhatsApp supports photo, PDF, and document sharing. Patients can photograph discharge summaries and bills directly and send them via WhatsApp — no scanner needed.

Does this work for cashless and reimbursement claims?

Yes. Build separate flows for cashless authorisation (pre-hospitalisation) and reimbursement claims (post-discharge) — each with its own document checklist and timeline guidance.

What does WhatsPortal cost?

Free plan: ₹0, 100 messages/month. Standard: ₹1,199/month (5,000 messages). Premium: ₹2,499/month (unlimited). All in INR via Razorpay.

Make insurance claims less confusing for your patients. Automate the guidance today.

No credit card required. Free plan available. Official Meta BSP.