Why Oncology Pre-Authorizations Face Severe Friction in India
Cancer treatments involve multi-cycle protocols with expensive biologics, supportive antiemetics, and continuous monitoring. In conventional paper hospitals, administrative staff spend 4 to 6 hours assembling biopsy reports, staging imaging, prior chemo sheets, and current lab panels. Any missing document results in a TPA claim query, delaying treatment by 48 to 72 hours.
The OncoCare Pre-Authorization Automation Engine
1. One-Click Dossier Compilation
Automated gathering of histopathology, immunohistochemistry (IHC), baseline PET-CT/CT scans, and current pre-chemo CBC/LFT/KFT labs into a standardized PDF bundle.
2. PM-JAY Package Mapping
Pre-mapped NHA Health Benefit Package (HBP) codes for Medical Oncology regimens (M1 to M5 tiers) to ensure exact nomenclature matching.
3. Digital Day-Sheet Audit Trails
Dual-nurse timestamped drug administration records with vial barcodes satisfy TPA post-claim audit scrutiny with zero dispute friction.