@upshotFounder & CEO, Anuvyoma Innovations Pvt Ltd
Upshot: fixing outpatient healthcare payments in India
Building Upshot, an AI-powered healthcare payments platform solving a decades-old problem in the Indian healthcare ecosystem.
Outpatient healthcare remains largely out-of-pocket, with limited access to cashless coverage, patients delaying or abandoning treatment, providers facing delayed payments, and payers struggling with legacy systems, high administrative costs and fraud.
Upshot brings AI-powered claims adjudication and integrated payments together to enable affordable cashless OPD care, faster provider payments and more efficient, transparent claims processing for all three primary stakeholders: patients, healthcare providers and payers.
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Comments1
Welcome to Lounge, Vikaas. OPD claims are tricky because the ticket sizes are small, so adjudication cost per claim has to be tiny and fraud checks have to run in real time at the clinic. Which side are you starting with first, providers or payers?
1 comment
Welcome to Lounge, Vikaas. OPD claims are tricky because the ticket sizes are small, so adjudication cost per claim has to be tiny and fraud checks have to run in real time at the clinic. Which side are you starting with first, providers or payers?