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AI Revenue Cycle

Submit clean.
Get paid fast.

Care.Fi checks claims before submission and predicts rejection risk. When claims stay pending, gap financing helps keep revenue moving.

The Revenue Cycle Problem

Indian hospitals are losing revenue on claims that should have been paid

Between 25 and 35 percent of claims submitted to Indian insurers and TPAs are rejected on the first pass. Each denial adds rework and weeks to settlement, leaving hospitals funding operations against receivables they cannot access.

~30%

Of claims rejected on first submission across Indian payers and TPAs

90-120days

Average time from initial submission to insurer payment

3.2%

Of hospital revenue written off after repeated denials

How Care.Fi Works

From claim to cash, covered

01

AI Pre-Submission Check

Care.Fi reviews discharge summaries and claim details before submission, then flags likely rejection risks for your team to fix.

02

Gap Financing on Hold

For claims pending >14 days, Care.Fi can advance up to 80% of face value, typically within one business day. Repayment happens automatically when the insurer settles.

03

Automatic Reconciliation

When the insurer settles, Care.Fi reconciles the advance automatically, so your team can track the claim and repayment in one place.

Built for Hospitals

A clearer path from claim to cash

Pre-Submission Intelligence

Catch claim risks

Care.Fi reads discharge summaries, checks ICD-10 coding, and flags submission risks before claims reach Star Health, HDFC Ergo, ICICI Lombard, National Insurance, United India, or a TPA.

Revenue Bridge Financing

Keep operations funded

Held claims lock up capital for weeks. Care.Fi advances up to 80% of face value on qualifying claims pending >14 days, typically within one business day. Repayment happens automatically at insurer settlement.

Impact

Results across the hospitals we work with

82%

Of flagged high-risk claims corrected before submission in early access

48hrs

Average time from qualifying held claim to revenue advance

3

Hospital partners in the current early-access program

We were running at a 31% first-pass rejection rate before Care.Fi. Within three months that dropped to 8%. The pre-check flags caught ICD-10 mismatches and missing prior auth references we would not have caught before submission.

Accounts Manager

Surgepath Multi-Specialty Hospital, Hyderabad, early-access participant

Ready to close the gap between care and cash?

Join early-access hospitals building a faster, more accurate revenue cycle with Care.Fi.