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Home / Product companies / VI · Healthtech and life sciences / Health insurance and billing
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Health insurance and billing Health insurance and billing is the software that moves money and data between the people who give care and the insurers who pay for it. In America, where most of these companies' customers are, a clinic is paid mostly by the patient's insurer, not the patient. Every visit has to be checked for cover, coded, billed and claimed, and on the other side the insurer has to decide whether to pay, and often approve a treatment before it happens. Around both sides sit the platforms that gather the scattered records of a patient's care and make them usable. This Industry Vertical holds the companies that build all of it.

India already does much of the human work of this industry, in the coding and billing centres of Chennai, Hyderabad, Bengaluru and Delhi NCR, and the software is built here too. Delhi NCR leads here, which is rare among product companies, through Inovalon and Innovaccer, which was founded by Indian engineers and builds its product in Noida. Bengaluru is level with it, through HealthEdge, Gainwell Technologies and Availity, and Hyderabad follows through Cohere Health and Health Catalyst. A new group of young companies is building AI agents for billing and claims, like CombineHealth and Mantys.

For an engineer, this is enterprise software under strict privacy rules, where experience counts for a great deal. Java and .NET engineers and healthtech software engineers lead the hiring, test engineers are in strong demand, and AI work is less common here than almost anywhere else among product companies.

Health insurance and billing is one of the Industry Verticals of Domain VI, Healthtech and life sciences. Every company named on this page has posted software engineering jobs in India.

The three Market Segments

The Market Segments follow a claim from the clinic that sends it, to the insurer that pays it, to the data the whole system leaves behind.

Revenue cycle management (RCM) software.

Checking cover, billing and claiming, and the AI agents now doing parts of that work, come from companies like Inovalon, Availity, FinThrive, CombineHealth and Mantys.

Health payer platforms and prior authorisation.

The core claims systems of health insurers and state programmes, and AI that approves treatments in advance, come from companies like HealthEdge, Gainwell Technologies, Cohere Health and IHX.

Healthcare data platforms and interoperability.

Gathering, cleaning and connecting a patient's records across providers and insurers is the work of companies like Innovaccer, Health Catalyst, Abacus Insights and HiLabs.

Who they hire

What health insurance and billing companies hire software engineers for, and which roles they hire, is on the Health insurance and billing hiring page.

That is Health insurance and billing, where a visit to the doctor becomes a paid claim and a usable record.
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