Doctor + Legal Background • 20+ Years Experience

Claim Rejected? We Help You Fight Back.

Specialized consultancy for rejected, delayed, underpaid, and disputed health insurance claims — by a Doctor with LLB and 20+ years of TPA & insurance expertise.

20+ Years Experience
Doctor + LLB
Pan India Service
Why Policyholders Choose Us
20+
Years Experience
6+
Claim Types
PAN
India Coverage
24h
Response Time
Health Claims
Accident Claims
Critical Illness
Hospi Cash
Ombudsman Help
Medico-Legal
Our Services

What We Help You With

Expert consultancy across all types of health insurance claim disputes — from simple underpayments to complex rejections.

Health Claim Rejection

Pre-existing disease disputes, room rent deductions, cashless denials, underpayment, policy interpretation, and delayed settlements.

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Accidental Claim Assistance

FIR and MLC document support, hospital record verification, GPA benefit analysis, PTD/PPD disability claim guidance.

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Critical Illness Claims

Cancer, cardiac conditions, stroke, kidney failure, organ transplant — CI claim disputes reviewed medically and legally.

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Hospi Cash Claims

Verify eligibility, prepare documents, and follow up on unpaid hospital daily cash benefits in your policy.

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Claim Investigation

Professional investigation and medical verification for insurers, TPAs, hospitals, corporates, and legal professionals.

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Medico-Legal Services

Documentation compliance, consent formats, medical record audits, and annual subscription plans for doctors and hospitals.

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20+
Years Industry Experience
6+
Claim Types Handled
PAN
India Coverage
24h
Response Time
Why Choose Us

The Saarthi Difference

Most consultants are either medically trained or insurance-trained. We are both.

Doctor + Legal Background

Led by Dr. Bharat — a medical doctor with an LLB degree who evaluates every claim dispute from both clinical and legal perspectives simultaneously.

20+ Years TPA Experience

Deep expertise across health insurance, TPA operations, hospital administration, and claim adjudication — we know exactly how the system works from the inside.

Pan India WhatsApp Support

Consult from anywhere in India. Share your rejection letter on WhatsApp +91 88281 22157 for immediate expert review without leaving home.

Personalized Case Review

Every claim is reviewed individually. No templated responses — only case-specific strategy and documentation support tailored to your situation.

Honest Guidance

We do not guarantee claim approvals — only the strongest professional representation. Transparent, ethical, and always in your best interest.

B2B & B2C Services

We serve individuals, doctors, hospitals, corporates, TPAs, insurance companies, and legal professionals across all industries.

How It Works

Simple 4-Step Process

From your first WhatsApp message to claim resolution.

1

Share Documents

Send your policy, rejection letter, discharge summary, and bills via WhatsApp or email.

2

Expert Review

Our team reviews the claim medically and technically within 24 hours.

3

Strategy Session

We explain what went wrong and outline the best path forward for your case.

4

Claim Assistance

We prepare representation letters, appeals, and follow up until resolved.

Client Feedback

What Clients Say

"Professional guidance and quick response helped us understand exactly why our claim was rejected and what documents were needed for the appeal. Highly recommended."

RM
R.M., Mumbai

"Very experienced team with strong medical and insurance knowledge. Dr. Bharat personally reviewed our critical illness case and guided us step by step through the entire appeal process."

SK
S.K., Pune

"We engaged Saarthi for employee group claim disputes. Their TPA process knowledge is exceptional. They helped our employees recover significant claim amounts."

HR
Corporate HR Manager, Mumbai
FAQ

Frequently Asked Questions

Yes, depending on the reason for rejection and supporting documentation. Many rejections can be successfully challenged through a representation letter, appeal to the insurer, or complaint to the Insurance Ombudsman or IRDAI. Time limit is typically one year from the insurer's final decision.

No. Claim decisions are taken solely by the insurance company or TPA. We provide professional consultancy to present the strongest possible case for fair assessment — but we do not guarantee any specific outcome.

Yes. We assist in understanding denial reasons, identifying documentation gaps or policy misinterpretation, and preparing supporting documentation for reconsideration. Many cashless denials can be converted to reimbursement claims even after discharge.

Yes, services are available pan India through WhatsApp, email, and video consultation. Physical consultations available in Mumbai and Maharashtra.

WhatsApp or call ${PHONE}, email ${EMAIL} for claim matters, or ${EMAIL_C} for general queries. Available Monday to Saturday, 10:00 AM to 7:00 PM.

Need Immediate Help With Your Claim?

Share your rejection letter on WhatsApp — expert review within 24 hours. Pan India service.

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