GuideEvery way an Indian payer reduces a hospital claim — room caps, pre-auth clocks, PM-JAY, NHCX.Read the guide →

Hospital revenue integrity and corporate health in West Bengal.

West Bengal. How claims are settled here — Swasthya Sathi, the central schemes and private payers — and where Drapto fits.

3cities in this region
2scheme layers to track
1place to see every deduction
New Delhi, DelhiGurugram, HaryanaNoida, Uttar PradeshFaridabad, HaryanaGhaziabad, Uttar PradeshMumbai, MaharashtraPune, MaharashtraNagpur, MaharashtraNashik, MaharashtraAurangabad, MaharashtraSolapur, MaharashtraKolhapur, MaharashtraAmravati, MaharashtraJalgaon, MaharashtraSangli, MaharashtraBengaluru, KarnatakaMysuru, KarnatakaMangaluru, KarnatakaHubballi, KarnatakaBelagavi, KarnatakaDavanagere, KarnatakaTumakuru, KarnatakaChennai, Tamil NaduCoimbatore, Tamil NaduMadurai, Tamil NaduTiruchirappalli, Tamil NaduSalem, Tamil NaduVellore, Tamil NaduErode, Tamil NaduTirunelveli, Tamil NaduThanjavur, Tamil NaduHyderabad, TelanganaWarangal, TelanganaVisakhapatnam, Andhra PradeshVijayawada, Andhra PradeshGuntur, Andhra PradeshNellore, Andhra PradeshKurnool, Andhra PradeshTirupati, Andhra PradeshKochi, KeralaThiruvananthapuram, KeralaKozhikode, KeralaThrissur, KeralaKollam, KeralaKannur, KeralaKolkata, West BengalSiliguri, West BengalDurgapur, West BengalAhmedabad, GujaratSurat, GujaratVadodara, GujaratRajkot, GujaratBhavnagar, GujaratJamnagar, GujaratJunagadh, GujaratJaipur, RajasthanJodhpur, RajasthanUdaipur, RajasthanKota, RajasthanAjmer, RajasthanBikaner, RajasthanAlwar, RajasthanLucknow, Uttar PradeshKanpur, Uttar PradeshVaranasi, Uttar PradeshPrayagraj, Uttar PradeshAgra, Uttar PradeshMeerut, Uttar PradeshBareilly, Uttar PradeshAligarh, Uttar PradeshMoradabad, Uttar PradeshGorakhpur, Uttar PradeshChandigarh, ChandigarhLudhiana, PunjabAmritsar, PunjabJalandhar, PunjabIndore, Madhya PradeshBhopal, Madhya PradeshJabalpur, Madhya PradeshGwalior, Madhya PradeshUjjain, Madhya PradeshSagar, Madhya PradeshBhubaneswar, OdishaCuttack, OdishaRourkela, OdishaSambalpur, OdishaPatna, BiharMuzaffarpur, BiharRanchi, JharkhandJamshedpur, JharkhandDhanbad, JharkhandBokaro Steel City, JharkhandRaipur, ChhattisgarhBhilai, ChhattisgarhBilaspur, ChhattisgarhKorba, ChhattisgarhDehradun, UttarakhandHaldwani, UttarakhandShimla, Himachal PradeshGuwahati, AssamShillong, MeghalayaImphal, ManipurSiliguriDurgapurKolkata
How payers work here

The schemes your billing desk deals with in West Bengal.

Alongside private insurers and their TPAs, these decide what a claim settles at. Each has its own rules, rates and clock.

Swasthya Sathi

The state's own scheme, run by the state rather than an insurer

CGHS, ECHS & ESIC

Central schemes across Kolkata and the larger towns

Where care concentrates

Kolkata as eastern India's referral centre; Siliguri for the north and the North-East corridor

Employers to connect

Kolkata's Salt Lake Sector V and New Town, Durgapur–Asansol industry

Languages at the desk

Bengali, Hindi, English

What Drapto does here

Four jobs, for every hospital in the region.

01

Room caps at admission

Proportionate deduction modelled before the patient reaches the ward, per payer.

Room rent calculator →
02

Scheme and TPA rules

Pre-auth clocks and payer rules tracked claim by claim, government schemes included.

Empanelment & TPAs →
03

Settlement read for you

Every short-paid claim read line by line, with the reason and a letter to argue it.

Claims Decoder →
04

Employers, connected

Companies near you see eligibility, usage and billing in one panel.

Corporate panel →
Cities

Where we work in West Bengal.

KolkataWest Bengal
SiliguriWest Bengal
DurgapurWest Bengal

Your city not listed? Drapto works anywhere in India — talk to us.

West Bengal: questions

Does Drapto work for hospitals in West Bengal?

Yes. Drapto runs on top of your existing HIS and claims pipe, in the cloud or on your own server, for hospitals and clinics anywhere in West Bengal. A free demo walks through your own payers and claims.

Can Drapto handle Swasthya Sathi claims?

Drapto tracks government-scheme claims — PM-JAY, CGHS, ECHS and ESIC — alongside private insurers and TPAs. Tell us which schemes you are empanelled with in West Bengal and we will show you how they are handled, on your own data.

Can companies in West Bengal use Drapto's corporate panel?

Yes. Employers — Kolkata's Salt Lake Sector V and New Town and others — can connect to nearby hospitals and clinics through Drapto's corporate panel for eligibility, usage and billing.

How is Drapto priced?

By proposal, sized to your beds, branches and modules, billed annually. Book a demo and we send a written proposal after the walkthrough.

See Drapto on your own claims.

A 30-minute walkthrough sized to your beds, branches and payer mix — then a written proposal.

Scheme names checked October 2026 — confirm current rules with the State Health Agency. City coordinates: GeoNames (CC BY 4.0).