Healthcare revenue intelligence

Caladrius Health AI Studio: Precision that elevates care

An AI-native revenue intelligence platform for revenue cycle management for hospitals in India, the Middle East, and the USA — AI-powered augmented intelligence capabilities, data-driven insights, Verifiable & Explainable AI with in-built evals and benchmarks.

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India · USA · Middle East
Built on national infrastructure
ABDM NHCX WASA HIPAA-aligned ISO 27001-aligned
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The problem

Revenue cycle leakage is the silent tax on Indian healthcare.

The RCM landscape in India costs the healthcare industry ₹45,000+ Crores annually. In FY24, ₹33,622 Cr went unpaid immediately to denials, delays and documentation issues.

₹1,17,000Cr
Total health claims filed · FY24

The figures below represent India-wide health insurance claim statistics for FY24, illustrating the scale of the revenue cycle challenges faced by healthcare providers across the country.

71.29% settled
₹83,493 Cr
Successfully processed and settled claims for healthcare services.
6.48% pending
₹7,585 Cr
Filed but unresolved: direct working-capital impact.
12.9% disallowed
₹15,100 Cr
Not approved due to policy terms or documentation issues.
9.34% repudiated
₹10,937 Cr
Rejected by insurers following detailed investigation.
22.3% combined denied
₹26,037 Cr
Combined impact of disallowed and repudiated claims on revenue.
28.7% total exposure
₹33,622 Cr at risk
Total not paid immediately. Includes ₹7,585 Cr (6.48%) pending and ₹26,037 Cr denied claims.
See how we solve it →

All figures represent India-wide health insurance claim statistics for FY24.

The platform

Four pillars. Every dimension of RCM, measurably better.

A single AI-native platform rebuilt around revenue, efficiency, quality and service. Benchmarked against the status quo at every step.

01
Revenue & Performance

Claims resolved before they cost you.

70% reduction in denial rate. 95%+ first-pass accuracy versus the 70–75% of traditional RCM means fewer rework cycles and faster settlement.

→ 70% reduction in denial rate
Traditional RCM
15–20% denial rate
90–120 day A/R cycle
70–75% first-pass accuracy
Days to process claims
Caladrius AI
3–5% denial rate
30–40 day A/R cycle
95%+ first-pass accuracy
Hours to process claims
02
Cost & Efficiency

95% automated. Unlimited scale.

Replace ₹12–18L/year in revenue leakage with near-zero. Cut operational costs by 60% while scaling to any volume. No workforce constraints, no bottlenecks.

→ 60% operational cost reduction
Traditional RCM
30% automation (70% manual)
₹12–18L leakage per year
High labour costs
Limited by workforce size
Caladrius AI
95% fully automated
Minimal leakage
60% lower operating cost
Scales without limits
03
Quality & Security

99%+ accuracy. Real-time. Certified.

AI validation catches errors before they happen. Not after. ABDM, NHCX, and WASA compliance milestones in progress. Every claim audited, every workflow impeccable.

→ ABDM · NHCX · WASA — in progress
Traditional RCM
70–75% coding accuracy
Manual review, delayed
Basic HIPAA compliance
Standard encryption only
Caladrius AI
99%+ with AI validation
Real-time detection & fix
ABDM, NHCX & WASA
Compliance milestones in progress
04
Customer Service

24/7 proactive. Not reactive.

We don't wait for problems. Real-time dashboards, instant insights, proactive alerts: before issues become denials. Every hour of every day, without exception.

→ 24/7/365 proactive monitoring
Traditional RCM
Business hours only (9–5)
Hours to days response
Weekly/monthly reports
Reactive support model
Caladrius AI
24/7/365 always available
Instant insights
Real-time dashboards
Proactive monitoring & alerts
Market opportunity

A once-in-a-decade inflection.

India's healthcare revenue cycle is being rebuilt around NHCX standardisation and ABDM integration, creating the conditions for a category-defining platform.

Market size · 2025 ₹40,320 Cr Industry high

Total RCM addressable market in India. Increasing adoption across hospitals, clinics and diagnostics networks.

Growth rate · 2025–2030 20.9% CAGR · surging demand

Aggressive growth as providers transition from manual to AI-powered digital RCM systems.

Long-term · 2025–2033 12.6% CAGR · strategic outlook

Sustained momentum driven by NHCX standardisation, ABDM integration and regulatory evolution.

Caladrius Pulse

Insights from the frontline.

View all articles →
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22 JUL 2026Read →
 Ecosystem

What Happens to Your Health Records When You Leave a Hospital?

ABHA is India's free digital health ID. Learn what it is, how to create one, and what happens to your medical records after a hospital visit.

06 JUL 2026Read →
 ABDM Series

How Clinical Data Actually Flows Under ABDM: A Guide for Health IT Teams

India's ABDM network has crossed 100 crore linked health records. But linking a record and moving it are two different things. This guide covers how clinical data...

19 JUN 2026Read →
FAQ

Questions about Caladrius

Frequently asked questions

What is Caladrius Health AI?

Caladrius Health AI (also known as Caladrius Health, Caladrius Healthcare, or Caladrius Health AI Studio) is an AI-first healthcare technology company. It builds Precision Revenue Intelligence for healthcare providers, transforming Revenue Cycle Management (RCM) across India, the USA, and the Middle East.

What does Caladrius Health AI Studio do?

Caladrius Health AI Studio delivers agentic AI solutions for healthcare revenue cycle management — automating eligibility verification, pre-authorisation, claim submission, denial management, and payment reconciliation. The platform reduces claim denials by up to 70% and automates 95% of RCM workflows.

Does Caladrius offer agentic AI solutions for healthcare?

Yes. Caladrius builds agentic AI that works the revenue cycle end to end — verifying eligibility, pre-resolving denials before they happen, and integrating directly with India’s NHCX (National Health Claims Exchange) and ABDM (Ayushman Bharat Digital Mission) rails.

Which regions does Caladrius Health serve?

Caladrius Health AI serves healthcare providers across India, the United States, and the Middle East.

Is Caladrius Health AI ABDM and NHCX certified?

Not yet — Caladrius is built for India’s NHCX and ABDM rails, with ABDM, NHCX, and WASA compliance milestones actively in progress. Every claim is audited and every workflow is traceable.

What does 'Precision that elevates care' mean?

Precision that Elevates Care is the Caladrius Health AI mission — using intelligent automation and data-driven precision to remove administrative burden from healthcare teams, so clinicians can focus on care rather than paperwork.

What is Caladrius RCM?

Caladrius RCM is Caladrius Health AI’s revenue cycle management platform — AI-powered automation for eligibility verification, pre-authorisation, claim submission, denial management, and payment reconciliation, built for hospitals in India, the USA, and the Middle East.

What is Caladrius NHCX integration?

Caladrius NHCX integration is how Caladrius Health AI connects a hospital’s revenue cycle directly to India’s National Health Claims Exchange (NHCX) — enabling real-time eligibility checks, claim submission, and status tracking, built for NHCX and ABDM rails.

Get in touch

Ready to optimise your revenue cycle?

Tell us about your operations. Our team responds within 24 hours with a tailored brief for your facility.

Email
connect@caladriushealth.ai
Locations
India · USA · Middle East
Serving healthcare providers globally.
Certifications In Progress
ABDMNHCXWASA
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Our promise

"Precision that elevates care" Led by healthcare industry veterans with deep expertise in mid revenue cycle management, we bring together specialists in medicine, hospital administration, and cutting-edge AI technology to solve the unique challenges faced by Indian healthcare providers.