ClaimBuddy
Health insurance claims assistance platform connecting patients and hospitals across India
Overview
ClaimBuddy is a health insurance claims technology platform for hospitals and patients in India. Founded in August 2020 by Khet Singh Rajpurohit and Ajit Patel, the company operates as a third-party intermediary between insurers, healthcare providers, and patients to streamline the medical claims process.
The platform combines trained claims specialists embedded at hospital locations with digital infrastructure to manage claim documentation, eligibility verification, and submission workflows. Patients submit case details through the web portal, email, or WhatsApp, and assigned advisors handle the claim lifecycle from initial filing through resolution. For hospital partners, ClaimBuddy manages the entire claims operation end-to-end, reducing rejection rates and administrative overhead for healthcare staff.
Since inception, ClaimBuddy has served over 35,000 patients and processed claims totaling more than INR 500 crore (approximately USD 60M) across a network of 250+ hospital partnerships in India. The company raised USD 5M in a Series A round in April 2024 led by Bharat Innovation Fund and CAC Capital, bringing total funding to USD 8.24M. Annual revenue reached INR 14.6 crore as of March 2025.
Products & Services
Claim Assistance for Patients
Expert-assisted support for individual patients navigating the health insurance claims process. Advisors assist with document collection, insurance eligibility assessment, claim filing, and appeals for denied claims.
Key Features
- Document arrangement and filing support
- Insurance coverage and eligibility review
- Claim rejection appeal assistance
- WhatsApp-based case communication
Target Users: Individual health insurance policyholders
Hospital Partnership Program
End-to-end claims management for hospitals and surgical centers. ClaimBuddy places trained claims specialists at hospital locations to manage patient insurance claims onsite, reducing administrative burden on healthcare staff and lowering claim rejection rates.
Key Features
- On-site claims specialists at partner hospitals
- Integration with hospital administrative workflows
- Claim documentation and eligibility verification
- Performance tracking and rejection rate reporting
Target Users: Multi-specialty hospitals, surgical centers
Insurance Eligibility Assessment
Pre-claim assessment of patient insurance policy benefits and coverage terms to identify maximum claim recovery opportunities before filing.
Key Features
- Policy benefit review and coverage gap analysis
- Pre-authorization support
- Maximum benefit identification
Target Users: Hospitals, individual patients
At a Glance
- Founded
- 2020
- Headquarters
- Gurugram, Haryana, India
- Employees
- 51-200
- Funding
- Series A
Category & Focus
- Category
- Claims Technology
- Subcategories
- Claims Assistance Claims Management Health Claims Processing
- Insurance Verticals
- Health
- Target Customers
- Carriers, TPAs, Consumers
Customers
- CK Birla (orthopedic and surgical services)
- Glamyo (surgical care network)
- Medanta (multi-specialty hospital chain)
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Last updated: 2026-06-30