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Policy exposure & settlement analytics

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Total Policy Exposure

₹84.7 Cr

Across 48 active policies

FY 2025–26

Settled Today

₹1.84 Cr

2,847 transactions

+18.4% vs yesterday

Policy Utilization

21.7%

Avg across all corporates

+3.2% vs last month

Settlement Velocity

38s

Avg end-to-end time

SLA: <60s ✓

Loss Ratio

68.4%

Target: <72%

−2.1% vs Q3

Exception Rate

2.7%

76 pending TPA review

Alert: +0.3% vs target

Approval Volume & Settlements

Daily transaction count and settled amounts — Apr 2026

ApprovalsExceptionsSettled (₹)

Risk Distribution

AI risk scoring across all transactions

Low Risk (0–0.3)
78.4%
Medium Risk (0.3–0.6)
14.2%
High Risk (0.6–0.8)
5.1%
Flagged (>0.8)
2.3%

Policy Utilization

Real-time utilization across all corporate policies

Corporate
Policy No.
Members
Sum Insured
Utilized
Utilization %
Transactions
Loss Ratio
Status

Mphasis

HDFC-GRP-2024-0053,400₹6.8 Cr₹142.0L
20.9%
412
78.4%
Critical

Capgemini

HDFC-GRP-2024-0081,900₹3.8 Cr₹98.0L
25.8%
198
74.1%
Watch

Wipro

HDFC-GRP-2024-0037,200₹14.4 Cr₹284.0L
19.7%
894
71.2%
Watch

Cognizant

HDFC-GRP-2024-0075,200₹10.4 Cr₹221.0L
21.3%
641
66.9%
Healthy

TCS Ltd

HDFC-GRP-2024-00112,400₹25.0 Cr₹421.0L
16.8%
1,847
62.4%
Healthy

Infosys

HDFC-GRP-2024-0029,800₹19.6 Cr₹318.0L
16.2%
1,241
58.7%
Healthy

HCL Tech

HDFC-GRP-2024-0046,100₹12.2 Cr₹197.0L
16.1%
724
54.8%
Healthy

L&T Infotech

HDFC-GRP-2024-0062,800₹5.6 Cr₹89.0L
15.9%
287
48.2%
Healthy
Showing 8 of 8 policies · Total exposure: ₹84.7 CrLast refreshed: just now

Spend by Category

Total settled amount per OPD category

Co-Pay Rules

HDFC ERGO Master
General Consultation
10%cap ₹200
Specialist Visit
15%cap ₹500
Diagnostics
20%cap ₹1000
Physiotherapy
15%cap ₹400
Dental
25%cap ₹800