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Healthcare revenue intelligence

Precision that elevates care.

Transforming healthcare revenue cycle management through intelligent automation, data-driven insights, and seamless workflow integration. So your teams can focus on care, not paperwork.

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India · USA · Middle East
Built on national infrastructure
ABDM NHCX WASA HIPAA-aligned ISO 27001-aligned
Live
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
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 →
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 and NHCX certified. WASA security compliance. Every claim audited, every workflow impeccable.

→ ABDM · NHCX · WASA certified
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
WASA certified
ABDM and NHCX certified
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
Deep Dive

Understand the full Indian Health Claims Ecosystem

Explore a comprehensive, interactive process map of every stakeholder — hospitals, insurers, TPAs, NHCX, and government bodies — and see exactly where Caladrius AI intervenes.

Explore the Ecosystem Map →
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.

Our team

Led by healthcare veterans.

Led by healthcare industry veterans with deep expertise in mid revenue cycle management, our team brings together specialists in medicine, hospital administration, and cutting-edge AI technology. With decades of combined experience in healthcare operations and revenue cycle optimisation, we understand the unique challenges faced by Indian healthcare providers.

Giridhar Mudbidri (Giri)
Giridhar Mudbidri (Giri)
Co-Founder & CEO
Manish Sharma
Manish Sharma
Co-Founder & CPTO
Caladrius Pulse

Insights from the frontline.

View all articles →
NHCX Series

From Friction to Flow - How NHCX Will Rebuild India's Insurance Plumbing

How NHCX is redesigning India's health insurance claims workflow end-to-end — from digital identity verification to standardized submissions and settlement notifications.

24 APR 2026Read →
 NHCX Series

India's Digital Health Tipping Point: Why NHCX Matters Now

For healthtech teams thinking about where to build, the health claims space presents a well-defined set of problems and an evolving infrastructure to address them.

03 APR 2026Read →
 NHCX Series

Navigating NHCX Integration: A Practical Guide for Health-Tech Leaders

A practical guide for health-tech leaders on integrating with India's NHCX gateway and what it means for your operations.

13 MAR 2026Read →
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
ABDMNHCXWASA
NO SPAM · AVERAGE RESPONSE < 24 HRS
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.