Health insurance has unique requirements — sum insured tracking, NCB carry-forward, cashless network mapping, claim CRN follow-ups. A generic CRM cannot handle these well. Agenex's health module is purpose-built.

Why Health Insurance Agents Need Specialised Software

Health policies have moving parts that motor and life don't — pre-existing disease waiting periods, room-rent caps, co-pay clauses, restoration benefits, super top-ups. Each has implications at renewal and claim time.

Health Insurance Portfolio Tracker Fields

  • Insurer, plan name and product variant
  • Sum insured + restoration / unlimited toggle
  • Family floater members (parents, children, in-laws)
  • Room rent cap (single/twin sharing/no cap)
  • Co-pay percentage and PED waiting period
  • Riders: critical illness, OPD, maternity, hospital cash
  • NCB / cumulative bonus tracker
  • Cashless hospital network linked to PIN code

Claim Management Without WhatsApp Chaos

Every claim has a CRN, a TPA (or in-house team), a hospital, dates and a settlement timeline. Agenex's health insurance management software stores all of these against the policy:

  • Pre-auth submitted/approved/cashless availed
  • Reimbursement filed with bills uploaded to vault
  • Settlement amount and deductions tracked
  • Claim aging report — see stuck claims at a glance

Built for Health Insurance Agents

Track every health policy, every claim, every renewal — Rs.999/year. Free trial included.

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Renewal Automation for Health

Health policies have a 30-day grace window. Lose it and PED waiting period resets — disastrous for the client. Agenex's automated WhatsApp + SMS cadence (30/15/7/1 day) ensures zero lapsed health policies.

Cross-Sell Triggers

The business reports flags clients who own one health policy but no top-up, no critical illness rider, or no OPD cover. Each is a Rs.500–Rs.2,000 commission opportunity sitting untapped.

FAQ

Yes — every family member is captured separately under one policy with name, DOB and relationship. Linked family records included.

Yes — link cashless hospitals to each policy. The Android app shows nearest cashless hospitals when a client calls in an emergency.

Each claim gets a CRN, status timeline and TPA contact. Stuck claims show in red on a daily aging report.

Yes — every rider (CI, OPD, maternity, hospital cash, PA) is a separate line item with its own sum insured.

Yes — one-click PDF export with policy summary, sum insured, riders, NCB and renewal premium.