Case studies/001·Healthcare · revenue integrity · India
DRAPTO

Building a hospital revenue-integrity platform on top of the systems hospitals already run.

Node.js · PostgreSQL · React · React Native/Expo · FHIR R4 · EDI X12
The challenge

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.

What we built

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
Outcome

Where it is now

01

96-check verifier suite passing, backup chain fixed end to end

02

Marketing site with 89 help-centre articles and 22 case-study pages, geo-targeted across 14 markets

03

Positioned as the layer above Insta, KareXpert, Miracle and MocDoc rather than a replacement

Questions buyers ask

Drapto Case Study: Hospital Revenue Integrity FAQs

How does hospital revenue integrity software reduce claim rejections?

Hospital revenue integrity software reduces claim rejections by checking each claim against known rejection patterns before it is submitted. Drapto applies a rules-based score covering missing pre-auth steps, document gaps, tariff mismatches and payer-specific requirements, then places risky claims on a persistent worklist for the billing team. The weights calibrate over time from actual settlement outcomes. A typical Drapto deployment for an Indian hospital goes live in four to eight weeks, working from existing HIS exports.

Can Drapto work with our existing HIS without replacing it?

Yes, Drapto sits on top of your existing HIS and claims process, so nothing is replaced. Its ingest module imports bills, admissions, charges, claims and settlements from standard HIS exports, then reconciles them into one view per patient episode. Read-only access comes first, and nothing writes back until you approve the rules. This approach suits hospitals that have invested in an HIS and want revenue visibility without a migration project. Integration work usually takes two to four weeks.

Is Drapto ready for NHCX and FHIR R4 claim submission?

Yes, Drapto produces NHCX-ready claim bundles in FHIR R4 format and manages the pre-auth lifecycle from request to approval. It also detects payer schemes such as CGHS, ECHS, ESIC and PMJAY, and flags NABH-related requirements, so the billing team sees the right checklist for each case. For US revenue cycle work, the platform supports EDI 837P and 835 files. XDQ Labs configures payer rules and mappings during deployment and tests them against sample claims before go-live.

What does it cost to deploy hospital revenue cycle software in India?

Drapto is licensed per workspace or per bed, with a one-time setup fee for integrations and onboarding. Single hospitals and clinic groups usually start in the USD 1,000 to 5,000 band for setup, while multi-site groups with several HIS instances and custom payer rules move into the USD 5,000 to 20,000 band. You receive a fixed quote after a short brief covering bed count, HIS, payer mix and the reports your finance team needs.

Does Drapto include a mobile app for doctors?

Yes, Drapto includes a doctor-facing mobile app built in React Native, running on iOS and Android from one codebase. Doctors see their patient queue, a today view, prescriptions and clinic revenue in one place. The app is designed for checklist-grade workflows and does not provide regulated clinical decision support. Hospitals can roll it out alongside the web dashboard used by billing and finance. If your group needs its own branded clinical app, XDQ Labs can build one in six to ten weeks.

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