About
Built for the side
that doesn’t have a claims team.
ClaimRejected reads your rejection letter and policy papers, checks them against IRDAI’s current rules, and tells you plainly whether the insurer’s reason holds up and what to do next.
Who it’s for
Policyholders and families
Find out in a minute whether a rejection or a cut is worth fighting, before spending money on it.
Insurance advisors and agents
Give clients a clear, rule-backed answer and a ready complaint route when a claim goes wrong.
Hospital billing and TPA desks
Explain deductions and denials to patients with the rules in hand.
Lawyers and consumer activists
Triage cases fast: the facts, the rules and the gaps on one page.
Where the rules come from
We read the primary documents directly, not summaries. Repealed rules are kept only as history and never applied to a current claim.
Moratorium, waiting periods, cashless timelines, claim settlement
Repudiation rules, document collection, grievance deadlines
60-month moratorium, PED definition, waiting-period caps
Who can complain, the 1-year limit, the ₹50 lakh award limit
Complaint procedure and annual reports
Escalation route and timelines
How we test it
Every version of the checker is scored against real decided disputes from consumer commissions, the National Commission, High Courts and the Insurance Ombudsman. For each case we rebuild only the papers the policyholder had before the dispute, run the checker, and compare its call with how the case actually ended.
- Hundreds of real decided disputes in the test set, and growing
- Scored on both sides: cases the insurer won and cases the policyholder won
- A locked test half that is never used for tuning
- Every fact in a report is checked word for word against your documents
We’re on your side
of the claim.
Insurers have claim teams. Now you have the rules, the facts and the next step, in about a minute.