Verify every provider.
Trust every claim.
Practo Assured verifies your empanelled and prospective providers on-site — physically, uniformly and with evidence — scored against the Practo Hospital Excellence Score.
Three risks that live inside an unverified network.
Infrastructure misrepresentation
Facilities empanelled on declarations they cannot substantiate — and claims arriving for capabilities that do not exist on the ground.
Ghost consultants
Practitioners on the panel who are not genuinely present — procedures billed under names that never attend the facility.
Sub-standard clinical quality
Poor sterility, safety and staffing driving complications, readmissions and member complaints on your cashless network.
Each of these leaks value after the claim. Physical verification removes them before empanelment.
Problems closed before a claim is ever filed.
- Empanel on evidence, not declarations — a cashless network you can defend to members, regulators and reinsurers.
- Cut capability-linked leakage — claims for procedures a facility cannot perform become detectable upstream, at network entry.
- Tier the network objectively — preferred and standard bands by score; steer volumes toward verified quality.
- Resolve disputes with photographs & serials — not affidavits — and keep the data current with annual re-verification.
An operational verification engine — not a build.
Practo already conducts on-site hospital audits at scale through the Hospital Excellence Score, led by qualified biomedical engineers. Your network gains a running programme, applied uniformly from day one — not a capability that takes years to stand up. Providers already on Practo's audited base seed your network wherever they overlap.
Premises, data and equipment — in a single visit.
Physical infrastructure
Facade & entrance, OPD, waiting & lobby, IPD wards, OT complex & labour room, pathology labs, radiology, CSSD, and emergency & critical care with central oxygen.
Your provider information sheet
Registration, GST & ownership, bed-mix by category, certifications (NABH / JCI / NABL), diagnostics, clinical facilities and manpower — every field on your empanelment data sheet.
Confirmed & serial-recorded
Key devices confirmed present and operational, with serial numbers recorded — CT, MRI, cath lab, dialysis, ventilators.
Objective, geo-tagged and counter-signed.
- Geo-tagged photographs of every required area, location- and time-stamped.
- Walkthrough video of the premises as specified.
- Equipment serial numbers recorded for verification.
- Counter-signature from the hospital authority on the inspection form.
Actual field evidence from a completed Practo audit. Facility identity withheld; location detail masked.
Confirming the consultants, not only the premises.
Full-time vs visiting
Each specialty confirmed on-site, distinguishing full-time consultants from visiting consultants.
Consultant data verified
Associated consultant data collected and verified against the hospital's records.
24×7 staffing, incl. RMO
The emergency staffing model confirmed in person — the RMO on duty in casualty and on the wards, not a name on a submitted roster.
Directly addresses the "ghost consultant" risk — the people your members are promised are the people present.
One defined standard — three weighted pillars, applied uniformly.
Treatment Infrastructure
Can it diagnose and treat? Imaging, in-house labs, OT complex, ICU capacity and specialty equipment — each machine serial-verified, not claimed.
Hygiene & Safety
Is it safe and sterile? CSSD sterilisation records, biomedical-waste handling, zone-wise cleanliness, staffing ratios counted on the floor, 24×7 critical-care cover.
Patient Convenience
Can patients reach, stay and recover comfortably? Accessibility, back-up power, amenities, ambulance and cashless readiness.
12 specialty frameworks apply the relevant subset of 150+ checkpoints — and the weights — per specialty.
From item-level evidence to one comparable number.
150+ item-level checks
Each answered on-site with photo, serial and video evidence.
8 sub-categories
Diagnostics, medical infrastructure, specialty excellence, hygiene, safety, accessibility & more.
3 weighted pillars
50 / 30 / 20 — clinical capability first.
Composite score, 1–5
Per provider — every number drillable to a photograph.
The score is not an opinion — it is the weighted roll-up of evidenced facts, so any two providers compare on one number.
A 10,000-provider network, verified in about 8 months.
Month 1 mobilises the field team and audits a pilot cohort; full capacity of ~1,400 verifications a month runs from month 2. Every provider is mapped to state, city and pin code, and sequenced by your priority buckets — highest-value facilities first.
A trained field team, senior-led.
- Lead Auditor — Manager, Biomedical Engineering, Practo
- 14 years' experience across hospitals, healthcare organisations and medical devices
- B.Tech, Biomedical Engineering; certified ISO 13485:2016 Lead Auditor
- Prior experience in NABH- and JCI-accredited hospital environments
Field verification engineers
Biomedical / allied-health, trained on your data sheet and the evidence protocol.
Regional supervisors & QC
Second-level review of every submission before it is published.
Central data & portal team
Validation, reporting and analytics, with senior account management.
Nine steps, from first contact to delivered data.
First contact
Identify and reach the hospital SPOC.
Pitch & explain
Walk the SPOC through the audit and secure cooperation.
Plan the visit
Agree scope, departments and a visit date.
Pre-visit preparation
Map departments and online presence; sequence the day.
On-site audit
Conduct the inspection and capture geo-tagged evidence.
Evidence verification
Validate every photo, video and serial centrally.
Central scoring
Compute the provider's theme-wise & composite score.
Spot checks & QA
Independent sampling to audit the audit.
Data delivery
Published to you over API, web app and Excel.
The quotation, and what it includes.
| Item | Per provider | GST @ 18% | Total |
|---|---|---|---|
| Provider verification (one-time) | ₹15,000 | ₹2,700 | ₹17,700 |
| Annual maintenance — re-verification (per year) | ₹5,000 | ₹900 | ₹5,900 |
Payment terms: 10% of the project fee payable in advance to commence the exercise; the balance invoiced monthly, on delivery of completed verifications. Annual maintenance invoiced monthly on deliverables. Volume terms available at network scale.
- Physical on-site visit by a trained engineer
- Geo-tagged photographs & video, time-stamped
- Data sheet completed & counter-signed on-site
- Central verification with independent spot-check QA
- Objective theme-wise & composite scoring
- Annual re-verification (data refresh)
- Data over API, web app & Excel
- Weekly progress & closure reporting
- Standardised field-team training
- Senior Practo account management
The per-provider fee includes all of the above. All figures in INR; GST at 18% as applicable.
Start small. Set the bar. Then scale.
- Pilot — a paid cohort of ~500 providers to validate the protocol, evidence quality and portal.
- Set the threshold — review live audits and fix the qualifying score for your network.
- Scale — roll out by priority cohorts at ~1,400 verifications a month; a 10,000-provider network completes in about 8 months.
Thank you.
Let's build a network you can vouch for.
We would be glad to walk through any part of this proposal, scope an initial pilot cohort, or share further detail on request.
What the programme does not cover.
- Empanelment and pre-authorisation decisions — the insurer's prerogative; we provide data and scores.
- Authenticity checks on financial or bank credentials — financial fields collected as declared.
- Claims audit, medical-records audit or clinical-outcome assessment.
- Fraud investigation or legal action beyond documented findings.
- Statutory approvals or licences on the provider's behalf.
- Repeat visits due to provider non-cooperation beyond agreed attempts (chargeable).
Facility access and permission to photograph are arranged with the provider, within a counter-signed protocol.