How a 120-Bed Pune Hospital Cut Insurance
Claim Turnaround from 3 Days to 4 Hours

The Hospital

Sunrise Multispeciality Hospital is a 120-bed facility in Pune, serving a mixed patient population across general medicine, orthopaedics, gynaecology, and cardiac care. The hospital handles approximately 400 insurance and TPA patients per month — a significant but typical volume for a mid-size Indian private hospital.

The Challenge

Before careup.ai, Sunrise's billing team was managing insurance claims almost entirely manually:

• ✗ Pre-authorisation requests sent by email and fax — no systematic tracking
• ✗ Claim documents assembled manually from printed reports, scanned and emailed to TPAs
• ✗ Average turnaround from discharge to claim submission: 72 hours
• ✗ First-pass acceptance rate: 68% — the remainder required follow-up, resubmission or write-off
• ✗ Two full-time billing staff spending 80% of their time on manual claim preparation
• ✗ Estimated ₹25–30 lakh per year in denied claims that were written off due to insufficient follow-up resources

“We were spending more time on paperwork than on anything else. And even then, claims were getting denied for basic errors that we should have caught earlier.” — Billing Manager, Sunrise Multispeciality Hospital

The Solution

Sunrise deployed careup.ai with full TPA and insurance integration in 6 weeks. The implementation covered:

Before & After

Conclusion

For Sunrise, careup.ai's RCM automation transformed insurance billing from a manual, error-prone bottleneck into a fast, accurate, largely automated process. The ₹1.2 crore annual revenue improvement delivered in the first year — from faster submissions, higher acceptance rates, and systematic denial management — made the platform investment pay back in under 4 months.

“The ROI was clear within 3 months. We wish we'd done this sooner.” — CFO, Sunrise Multispeciality Hospital