Fastest Growing Insurance Consulting Group

India's Trusted Partner in
Health Insurance Fraud Management

Medical fraud management and audit consulting services for public and private health insurance companies and TPAs — powered by a Pan-India network of experts.

Access Portal → Our Services

Saturn Associates team reviewing insurance claims

Who We Are

Saturn Associates Private Limited

Incorporated in April 2025, we were founded by experienced health insurance professionals to address the growing challenge of health insurance fraud.

Partnered with major general insurance companies — reviewed 10,000+ claims over the past 5 years.

Employs 15 full-time and 70 part-time professionals — doctors, insurance experts, and investigators.

Maintains a Pan-India network covering most major cities and towns.

Continuously adopts advanced technology to deliver significant cost savings for insurers and TPAs.

What We Do

Our Consultancy Areas

End-to-end fraud management and audit consulting across all claim types.

Cashless / Intimation Investigation

Real-time verification of cashless claims — confirming genuineness of hospitalization, room category, member identity, and pre-authorization before approval.

Claims Audit

Comprehensive post-claim audits to identify inflated bills, upcoding, and inconsistencies between medical records and submitted claims.

Death Claim Investigation

Thorough verification of death claims including cause of death, hospitalization history, and potential fraudulent circumstances.

Personal Accident

Investigation of accidental claims including MLC records, alcohol history verification, and relative statements to determine claim validity.

Reimbursement Claim Investigation

Field investigation of reimbursement claims — verifying hospital visits, treatment records, and supporting documents for accuracy.

Cashless Investigation

What We Verify

Every cashless claim is evaluated against a rigorous checklist to prevent fraud at the point of hospitalization.

Genuinely of Hospitalization

Check for Room Category

Verify the Member Identity

Line of Treatment as per Diagnosis

Pre-authorization Request Validation

History of Illness — Hypertension, Diabetes, etc.

History of Habits — e.g. Alcoholism

Record of First Detection of Illness / Ailment

Accidental Case — H/O Alcohol, MLC Record, Relatives Statement

Industry Context

Health Insurance Industry Today

Saturn Associates has been working in fraud management for 5+ years, addressing one of India's fastest-growing industry challenges.

Fastest Growing Sector

Health insurance is one of the fastest growing industries in India, with rapidly increasing policy adoption across urban and rural populations.

Rising Fraudulent Claims

With increased awareness, grievances and fraudulent claims have also increased, posing significant challenges for insurers and TPAs.

₹45,000 Crore+ Problem

Total fraudulent market size is estimated at more than ₹45,000 crores (Industry Source), representing a massive drain on the insurance ecosystem.

Our Reach

Pan-India Network

Reimbursement investigation coverage across major states and hundreds of cities and towns.

NCR

Delhi
Gurugram
Faridabad
Sonipat
Panipat
Ghaziabad
Noida / Greater Noida
Rewari
Palwal
Bhadurgarh
Ballabgarh

Uttar Pradesh

Agra, Firozabad, Mathura
Auraiya, Etwah, Farrukhabad
Kannauj, Kanpur, Unnao
Meerut, Lucknow
Gorakhpur, Prayagraj
Mujaffarnagar, Varanasi
Jhansi

Madhya Pradesh

Bhopal, Indore, Jabalpur
Gwalior, Ujjain, Rewa
Sagar, Satna, Dewas
Khandwa, Khargone
Morena, Singrauli
Ratlam, Mandsaur
+ 25 more districts

Chhattisgarh

Raipur
Kondagaon
Durg
Bilaspur
Rajnandgaon

Rajasthan

Jaipur
Udaipur
Kota
Dholpur

Get In Touch

Contact Us

Dr. Shailendra

Director

+91-6262624845

saturn.associate@gmail.com

Miss. Payal