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Frequently Asked Questions

Find answers to common questions about our services for patients and hospitals.

For Patients (Reimbursement Services)

Payton handles the entire medical reimbursement process on your behalf — from collecting documents and filling claim forms to submitting them and following up with your insurance company until the claim is settled.

Yes. Reimbursement claims apply for any hospital (network or non-network). Payton works independently to represent you and ensure your claim is filed and settled properly.

No. Everything can be done remotely and digitally. After the form is filled, our team will contact you and will manage the rest on your behalf.

We'll respond to the insurer's queries and rejections with legitimate responses and re-submission considering proper explanations and supporting proofs — all done on your behalf.

Typically, 15-30 working days, depending on your insurance provider. Since we continuously follow up, we help you get faster settlements.

Yes. We assist patients with legitimate appeal and re-submission processes for rejected claims. Our team carefully reviews the insurer's rejection reason, identifies any genuine documentation or communication gaps, and helps prepare a compliant and accurate re-submission. We do not modify or create false information — our role is to ensure your genuine claim gets the fair review it deserves.

All your documents and medical information are stored securely and confidentially. We never share your data without consent.

Yes. We handle primary and secondary claim filing on your behalf, ensuring maximum claim benefit.

For Hospitals (Cashless Claim Services)

Payton provides end-to-end Cashless Claim Management Services — ensuring smooth coordination between hospitals, insurance TPAs, and patients. We help your billing and insurance teams reduce delays, rejections, and manual workload.

We handle:
  • Pre-authorization requests and documentation verification
  • Coordination with TPAs/insurers for approvals
  • Real-time follow-ups to speed up authorization
  • Monitoring discharge approvals and final settlements
  • Handling shortfall queries and justifications
All of this is done on the hospital's behalf.

  • Faster pre-auth and discharge approvals
  • Fewer cashless claim rejections or deductions
  • Reduced administrative burden on your staff
  • Better patient experience with real-time claim status updates
  • Dedicated cashless coordination team representing your hospital professionally

Yes. We coordinate with all major TPAs and insurance companies in India, ensuring seamless cashless processing regardless of the insurer.

Absolutely. We assist your billing or insurance desk in getting final approval from the insurer, preventing discharge delays.

Payton primarily partners directly with hospitals to provide backend cashless claim management services, and no cost is passed on to the patient. However, when a patient independently avails reimbursement services, the service fee is borne by the patient based on the scope of support required.

Yes. We can set up an on-site Payton claim desk or offer remote claim coordination support, depending on your hospital's volume and preference.

All submissions follow relevant TPA guidelines. We maintain an audit-ready process with transparent documentation and time-stamped communication.

Hospitals & Patients

Yes. Payton is an independent healthcare support organization that coordinates with all major insurers and TPAs across India.

No. Payton is not an insurer or TPA — we are your service and coordination partner, ensuring smooth claim communication and faster settlements.

We provide professional claim management, proper documentation, and transparent communication — not just submission. Every process is handled on your behalf, with regular updates and full accountability.

Yes. For partner hospitals, we provide daily, weekly and monthly claim status dashboards. For patients, we offer regular claim progress updates via email.