Caladrius Health AI Studio

Revenue Intelligence for Hospitals. Built for National Digital Health Rails.

An AI-native revenue intelligence application for hospitals in India, the Middle East and the USA: working the revenue cycle end to end, directly on ABDM and NHCX.

ABDM NHCX FHIR R5 SNOMED CT ICD-10 DPDPA 2023
What it is

Not a dashboard over a manual process. Designed together.

Not a dashboard over a manual process, and not a copilot bolted onto a legacy RCM suite: the workflow, the clinical data model and the AI were designed together. It works the revenue cycle end to end: directly on ABDM and NHCX, the national digital health infrastructure Indian providers are already adopting.

Hospital network
TPA portal
Insurer portal
Email / fax
Phone follow-up
NHCX (live)
Apollo
Primary
Select
Legacy payers
Always
Piloting
Fortis
Primary
Select
Regular
Always
Piloting
Manipal
Primary
Some
Regular
Always
Not yet
Narayana
Primary
Some
Regular
Always
Piloting
Max
Primary
Select
Legacy payers
Always
Piloting
Submission channel fragmentationIllustrative composite view of channels used across hospital networks today
Caladrius runs itas one cycle.
01Eligibility
02Pre-authorisation
03Claim submission
04Denial management
05Reconciliation
Four pillars

Every dimension of revenue intelligence, measurably better.

Benchmarked against the status quo rather than against last quarter, the targets the platform is built and measured against.

Quality & security
Validated in real time. Not at adjudication.

Errors are caught while the claim is being assembled, before it reaches a payer and becomes a denial.

ABDM · NHCX · WASA: in progress
Revenue & performance
Claims resolved before they cost you.

Against 70–75% first-pass accuracy in traditional RCM: fewer rework cycles, faster settlement.

70% lower denial rate
Cost & efficiency
Automated end to end. Unlimited scale.

₹12–18L a year of revenue leakage driven toward zero, at any volume, without adding headcount.

60% lower operating cost
Customer service
Proactive, not reactive.

Live dashboards, instant insight and alerts that fire while a problem is still fixable, not in next month's report.

24/7/365 monitoring
One AI-native platform: revenue, efficiency, quality and service, in one workspace.
The platform

Inside the application.

Identity, records, claims and money in one workspace, and the proprietary components underneath it.

01
Caladrius Health AI Studio
What the platform does today: identity, records, claims and money in one workspace.
05
Caladrius Design System
The constraint that lets an agentic build produce one coherent product.
The Caladrius harness

Six of the seven components are yours to build. One makes the press release.

The model layer is now a commodity: capable, cheap and interchangeable. Everything above it is the actual system.

165
Semantic tokens
93
Components
58
Healthcare
99
Application evals
07 Application evals Built
06 Interface + user experience Differentiator
05 Workflow orchestration Built
04 Clinical data model Built
03 Design system Built
02 Prompt & context layer Built
Everything above it is ours
01 The model Available to buy
Standards & deployment

Standards are the substrate, not an export format.

Built on
ABDM M1/M2/M3 NHCX FHIR R5 SNOMED CT ICD-10 NRCeS BHTS DPDPA 2023 WASA: in progress HIPAA-aligned ISO 27001-aligned
Cloud-agnostic
On-premise
Your perimeter
Private cloud
Deliverable
Public cloud
Deliverable
Go deeper

The whole thing, in detail.

Every claim on this page, with the architecture underneath it: the Scorecard’s scoring model, the Vault’s de-identification engine, the seven-layer harness, and the certification status of each standard.

13
Sections
22
Min read
3
Proprietary systems
Read the product brief →
Caladrius Health AI Studio · Product brief
The harness · seven layers
Caladrius Health Vault™
Claims Scorecard™ · three altitudes

See it run against a real claim.

A working session, not a slide walkthrough: we take an encounter end to end, record pull, bundle assembly, pre-authorisation, payer response, and you interrogate every step. Roughly 45 minutes.