Industries/Healthcare

Healthcare software & AI agents for hospitals and clinics.

Revenue integrity, HIS/EMR integrations and AI agents, from the team that builds and runs Drapto.

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NHCX-ready claimsHL7 · FHIRABDM integrationsDPDP-aligned data handlingHuman-gated AI
End-to-end healthcare engineering

Four things we build for healthcare

Revenue cycle & claims
Pre-submit checks, rejection scoring, TPA follow-up.
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HIS / EMR integrations
HL7, FHIR, NHCX and ABDM, typed and logged.
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AI agents for healthcare
Claim pre-check, pre-auth follow-up, patient enquiry.
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Doctor & patient apps
React Native apps for OPD, queues and prescriptions.
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Interoperability

One bridge between your hospital and every payer

Your HIS stays the system of record. The bridge normalises data, checks every claim before it leaves, and logs each step.

Your hospital
HIS
EMR
LIS · Lab
Pharmacy
Billing desk
XDQ AgentOS bridge
SECURE
Map & normalise (FHIR)
Pre-submit claim checks
Human gate on exceptions
Audit trail on every claim
Payers & networks
NHCX
TPAs
Insurers
ABDM
Diagnostic labs
AI agents we can build for healthcare

Six agents, each with a human gate and an audit trail.

AGENT 01

Claim pre-check agent

Scores every claim against rejection rules before submission and drafts the fix.

AGENT 02

Pre-auth follow-up agent

Tracks each pre-auth through its lifecycle and chases the payer or TPA on schedule.

AGENT 03

Patient enquiry agent

Answers appointment, cost and document questions on WhatsApp within seconds; books the slot.

AGENT 04

Tariff monitoring

Ingests contract PDFs into structured tariffs and flags bills that undercharge.

AGENT 05

Denial appeal drafting

Assembles the appeal with the clinical and contractual evidence, for a human to sign.

AGENT 06

Doctor mobile app

Queue, today's list, prescriptions and clinic revenue in a React Native app, already built for Drapto.

Playbooks

Fixes for healthcare teams

All 19 posts →
Doctor WorkingHealthcare
Pre-Authorisation Delays: How Hospitals Lose Admissions and Revenue
5 min readRead →
FAQ

Questions healthcare teams ask

Related searches
hospital revenue cycle software India · claim rejection prevention · NHCX integration · pre-authorisation automation · healthcare AI agents · TPA claims software · clinic management app development · revenue integrity platform

Is this clinical decision support?

No. We build checklist-grade and revenue features only, and keep regulated clinical decisions with clinicians.

Do we have to replace our HIS?

No. Drapto and the agents sit on top of Insta, KareXpert, Miracle, MocDoc and similar systems via exports and APIs.

Which payers and schemes are covered?

CGHS, ECHS, ESIC, PMJAY and private TPAs, with payer intelligence built into the product.

Questions buyers ask

Healthcare Software and Hospital Revenue Cycle: Frequently Asked Questions

How can hospitals reduce insurance claim rejections?

Hospitals reduce rejections by checking each claim against payer rules, documentation requirements and tariffs before it is submitted. A claim pre-check agent scores every claim for rejection risk, lists what is missing and drafts the fix for the billing desk to approve. This is the approach behind Drapto, our hospital revenue integrity product. A pilot on one payer group typically goes live in three to four weeks.

What does NHCX integration involve for a hospital?

NHCX integration means exchanging claims and pre-authorisation data with payers in the standard FHIR format through the national exchange. In practice we map your HIS data into FHIR bundles, validate them before sending, handle responses and log every exchange for audit. Your HIS remains the system of record. A typical integration, including testing with live payers, takes four to eight weeks depending on your current data quality.

Can pre-authorisation follow-ups be automated?

Yes, a pre-auth follow-up agent tracks each request through its lifecycle and chases the payer or TPA on a schedule, so approvals are not lost while the patient waits. It alerts the desk when a query arrives, assembles the requested documents and records every contact. Staff approve anything sent externally. This agent is usually delivered alongside claim pre-checks, adding two to three weeks to the pilot.

How do you integrate with hospital HIS and EMR systems using HL7 and FHIR?

We integrate through HL7 messages, FHIR APIs or scheduled exports, depending on what your HIS or EMR supports. A bridge on XDQ AgentOS maps and normalises the data, checks it before it moves on and logs each step. Your clinical systems stay unchanged. Lab, pharmacy and billing feeds can be added one at a time. A first integration typically takes four to six weeks.

How much does hospital software development cost?

A focused healthcare agent pilot, such as claim pre-checks or patient enquiry handling, usually falls in the USD 5,000 to 20,000 band. Multi-module revenue cycle builds with HIS integration and payer workflows typically sit between 20,000 and 50,000, and hospital-group platforms can reach the 50,000 to 200,000 band. We quote a fixed price after a brief, with data handling aligned to the DPDP Act.

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