Prudential Claims Ops · Control Tower

Operations Dashboard

All of today's pre-auth volume, decisioning SLAs, auto-approval performance, and escalations — at a glance. The data you see here is the same data your claims adjusters are acting on.

Real-time
Open cases
7
−8% vs yesterday
Avg TAT
37m
Target 45m · SLA 95%
Auto-approval
64%
AI-cleared, no human review
Escalations
9
L2 medical desk
Today's volume
418
Pre-auths received today
Fraud flags
3
Under investigation
Volume trend
Pre-auths received · last 14 days
+6% WoW
418
Today
384
14d avg
TAT distribution
Pre-auth turnaround · today
SLA 45m
< 15 min162 · 38%
15-30 min138 · 32%
30-60 min78 · 18%
1-4 hrs35 · 8%
> 4 hrs15 · 4%
Category mix
Where claims come from
  • Surgery — planned34%
  • Emergency IP26%
  • Day-care18%
  • Maternity12%
  • Oncology7%
  • Others3%
Recent pre-auths
Fresh from hospital TPA desks · sorted by activity
Full queue
CasePatientHospitalEstimateStatusUpdatedAction
PRU-PA-2026-001140
Sunita Kapoor
61 · F · Cataract surgery with IOL — right eye
Artemis Hospital
Sector 51, Gurugram
₹58.0KSubmitted8m agoOpen detail
PRU-PA-2026-001136
Ramesh Bhatt
67 · M · Total Knee Replacement — right
Paras Hospital
Sector 43, Gurugram
₹2.85LUnder Review20m agoOpen detail
PRU-PA-2026-001141
Kabir Singh
42 · M · Conservative IP management
Apollo Hospitals
Sector 26, Noida
₹4.12LEnhancement Requested30m agoOpen detail
PRU-PA-2026-001143
Vihaan Reddy
6 · M · Paediatric IP management
Columbia Asia Hospital
Palam Vihar, Gurugram
₹94.0KSubmitted30m agoOpen detail
PRU-PA-2026-001142
Vinod Sharma
67 · M · Phacoemulsification with monofocal IOL — right eye
Fortis Memorial Research Institute
Sector 44, Gurugram
₹60.0KDraft40m agoOpen detail
PRU-PA-2026-001138
Meera Iyer
54 · F · Coronary angioplasty with stent
Medanta — The Medicity
Sector 38, Gurugram
₹3.25LQuery Raised1h agoOpen detail
AI Assist · model health
prudential-adjudicator-v2.3
Deployed 14 days ago · canary 15%
Healthy
Precision
94.2%
Recall
91.6%
Avg latency
1.3s
Override rate
6.8%
Hero case is live

Vinod Sharma · Phacoemulsification with monofocal IOL — right eye · Fortis Memorial Research Institute

Open case
Integrations
NHCX cashless protocolOperational
Hospital EMR ingestOperational
IRDAI regulatory hookOperational
Bank (ICICI) payout railDegraded
Aadhaar eKYCOperational