Dispute Management
Dispute queue
Sample data — fictional disputes for demo purposes only.
| Dispute | Claim | Member | Amount | Reason | Status | Owner | Priority | |
|---|---|---|---|---|---|---|---|---|
| DSP-2005 | DEMO-CLM-1014 | Rahul Verma | ₹4,10,000 | Member disputes delay in claim processing beyond the promised SLA of 7 days. | — | |||
| DSP-2002 | DEMO-CLM-1006 | Vikram Rao | ₹98,000 | Member contests rejection, claims the procedure was medically necessary and not cosmetic. | — | |||
| DSP-2003 | DEMO-CLM-1008 | Karan Malhotra | ₹6,30,000 | Dispute over deducted co-pay amount on a high-value knee replacement claim. | Medium | |||
| DSP-2001 | DEMO-CLM-1002 | Arjun Mehta | ₹2,12,000 | Member disputes partial approval — says pre-authorization covered the full angioplasty cost. | High | |||
| DSP-2004 | DEMO-CLM-1013 | Divya Menon | ₹3,200 | Member says dental cleaning should be covered under the wellness rider, not excluded. | Low | |||
| DSP-2006 | DEMO-CLM-1016 | Nikhil Chawla | ₹1,89,000 | Member disputes hospital's itemized bill, says room rent category was overcharged. | Low |