Building a hospital revenue-integrity platform on top of the systems hospitals already run.
Where it started
Indian hospitals lose revenue to rejected claims, missed pre-auth steps and tariffs that don't match contracts — spread across an HIS, a claims pipe and paper. Replacing the HIS was never an option.
The build
- Ingest module importing bills, admissions, charges, claims and settlements from HIS exports
- 24-rule claim-rejection scoring with self-calibrating weights and a persistent worklist
- Pre-auth lifecycle, NHCX FHIR R4 claim bundles, EDI 837P/835 for US RCM work
- Payer intelligence: CGHS, ECHS, ESIC, PMJAY and NABH detection
- Doctor-facing React Native app with queue, today-view, prescriptions and clinic revenue
- Security audit closing hardcoded credentials, stored XSS, CORS and open-redirect issues before go-live
Where it is now
96-check verifier suite passing, backup chain fixed end to end
Marketing site with 89 help-centre articles and 22 case-study pages, geo-targeted across 14 markets
Positioned as the layer above Insta, KareXpert, Miracle and MocDoc rather than a replacement
What this drew on
Data Foundation
Systems that finally agree with each other.
Agentic AI Implementation
Agents that do the work, with a human gate on every action.
AI Governance & Security
Every decision with a rationale you can audit.
Digital Transformation
Modernise the revenue function, not just the software.
AI-Powered Software Delivery
Every spec ships with tests. AI builds, a human gates every release.
Vertical AI Solutions
Accelerators for healthcare revenue and B2B sales.
Want the same build for your company?
A short brief to sagar.m@xdqlabs.com gets a scope and a fixed price within two working days — or a straight answer that it isn't a fit.