We're modernizing healthcare insurance claim auditing.
ClaimClean was founded by Shorya Shriwastav and Chirag Patil to help U.S. healthcare payers, TPAs, and cost-containment firms reduce manual review burden, improve audit consistency, and protect sensitive patient data.
Audit software that assists auditors — and never overrides them.
ClaimClean is developing a healthcare claim audit platform for the U.S. insurance market. The software is designed to support professional auditors by reducing manual review burden, applying configurable policy and guideline checks, protecting sensitive patient information, and generating clear reports that help teams make faster, better-supported adjudication decisions.
ClaimClean is not designed to replace auditors. It is built to assist them with triage, evidence discovery, medical-record review, and explainable reporting — so qualified human reviewers keep every final determination.
Built by a founding team focused on payer-side audit work.
ClaimClean is founder-led. The people who build the product are the people who answer pilot, security, and workflow questions.
Shorya Shriwastav
Shorya co-founded ClaimClean to build claim audit software around the way payer-side review teams actually work — evidence first, auditor in control.
Chirag Patil
Chirag co-founded ClaimClean to bring configurable policy checks and protected data handling into payer, TPA, and cost-containment audit workflows.
Why we chose this problem
Claim auditing sits at the intersection of rising volume, shifting policy, and sensitive data. It deserves purpose-built software.
Volume outpaces manual review
Claim volume keeps growing while review capacity stays flat. Manual workflows can take weeks per case and are hard to scale without losing quality.
Policy complexity keeps growing
Centers for Medicare & Medicaid Services (CMS) guidance and payer policies evolve constantly. Applying them consistently across every review is difficult by hand.
PHI raises the stakes
Medical records carry sensitive patient information. Pasting them into consumer AI tools creates real exposure risk — audit workflows need PHI minimization built in.
Where we are today
We are early-stage and say so plainly. Here is the current state of the company, stated without embellishment.
| Fact | Detail |
|---|---|
| Stage | Early-stage InsurTech startup |
| Founders | Shorya Shriwastav and Chirag Patil |
| Focus | U.S. healthcare insurance claim audit workflows |
| Product status | MVP developed; seeking payer, TPA, and BPO pilot partners |
| Community | Engaged with the U.S. InsurTech community, including InsurTech NY |
Help us shape the platform.
We are actively seeking practitioners who know this work firsthand. If claim review is your day job — or protecting the data behind it is — we want your input on what we build next.
Build the audit workflow of record with us.
Whether you run an audit team, advise on compliance, or want to pilot the platform, the founders read every message.