Revenue cycle management (RCM) software

Billing and claims platforms 9 companies

These platforms check a patient's insurance cover, send claims to insurers, track each payment and read medical records for insurers' programmes.

InovalonInovalon, with engineers in Delhi and Hyderabad, sells cloud software for the billing of hospitals, clinics and insurers.Delhi NCR · HyderabadHiring now

Smart Data SolutionsSmart Data Solutions, with engineers in Chennai, turns the paper claims and letters that still reach insurers into digital data.Chennai

AvailityAvaility, with engineers in Bengaluru, runs the network through which American providers check patients' cover and send claims to many insurers.BengaluruHired recently

ReveleerReveleer reads medical records for insurers' payment and quality programmes.Chennai

FinThriveFinThrive, with engineers in Delhi, sells hospitals a billing platform that covers every step.

GHXGHX handles hospitals' purchasing of supplies, from the order to the payment.HyderabadHiring nowSee alsoSupply chain planning software

MDI NetworXMDI NetworX processes claims for health plans.PuneSee alsoHealth plan claims and care management

LyricLyric sells the claim-checking rules that insurers run before paying.HyderabadSee alsoHealth plan claims and care management

Care.fiCare.fi runs the billing of Indian hospitals and lends to them against their unpaid insurance claims.Delhi NCRHired recentlySee alsoSME and business lending

The tech, explainedRevenue cycle management (RCM)Healthcare clearinghouse

AI billing agents 6 companies

AI agents now do much of the billing work: coding the visit, sending the claim, getting the insurer's approval and chasing payment.

Element5Element5, with engineers in Chennai, automates billing for home-care providers and care after a hospital stay.Chennai

CombineHealthCombineHealth, with engineers in Bengaluru, sells AI agents that code the visit, send the bill and fight the insurer's refusal.

ArrowArrow, with engineers in Mumbai, sells an AI workspace for billing work.

VoiceCare AIVoiceCare AI, with engineers in Bengaluru, sells a voice agent that calls insurers to check cover and chase unpaid claims.

MantysMantys automates insurers' approvals, cover checks and the matching of payments to claims.

RisaRisa automates insurers' approvals for cancer care.

The tech, explainedAI medical billing Prior authorisation

How it all worksMedical billing and claimsOne bill, from the clinic's code to the plan's payment.

See how it works →

What's changing

The billing is run by AI agents.

Much billing work is calling insurers, filling forms and chasing refusals. AI agents can now do these steps end to end, while billing staff review the hard cases.