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
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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 →
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 →
 ABDM Series

HFR and HPR: The Unsung Registries That Make Every ABDM Transaction Possible

Every ABDM claim, DHIS incentive, and PM-JAY empanelment depends on HFR and HPR. Here is what registration actually involves.

18 JUN 2026Read →
 NHCX Series

What Is NHCX? The National Health Claims Exchange Explained

The National Health Claims Exchange (NHCX) is the standardized digital gateway that routes health-insurance claims between hospitals, insurers, TPAs, and governme...

14 JUN 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 In Progress
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.