The Operating System
for Health Insurance Ops.
Increase healthcare ops efficiency by up to 40%. Our suite handles highly accurate digitization, agentic document gathering, and medical necessity prediction.
Claim #C-2024-892
Diagnosis: Viral Pneumonia (J12.9)
Patient presents with dyspnea and hypoxia (SpO2 88%). Chest X-ray confirms lobar consolidation. Inpatient care criteria met according to standard protocols.
The RxPay Intelligence Suite
A modular suite of tools designed to optimize TPA and Insurance workflows, delivering up to 40% efficiency gains.
High-Accuracy Digitization
Transform manual scanned insurance documents into structured digital data with superior accuracy. We also predict the confidence score of approval for each case automatically.
AI Medical Coding
Automatically assign accurate ICD-10 and CPT codes from clinical notes and discharge summaries. Eliminate manual coding errors and dramatically cut claim rejection rates.
AI flagged Z87.891 as secondary — history of nicotine dependence supports higher reimbursement tier.
Clinical Decision Support
Empower your administrators to make approval/denial decisions without needing medical knowledge. We verify that claims filed by hospitals are medically necessary.
Appendicitis Surgery
ICD-10: K35.80 • Patient: Meera Sharma
Ultrasound confirms acute inflammation. WBC elevated at 14,200. Surgery indicated per MCG guidelines.
The RxPay Standard
We founded RxPay to transform the healthcare payment infrastructure in India. Operations shouldn't be a bottleneck for healthcare delivery.
We are building the intelligent layer that powers seamless claims adjudication. By automating digitization and verification, we enable a frictionless insurance ecosystem for TPAs and Payers.
Why TPAs Choose RxPay
40% Efficiency Boost
Drastically reduce manual processing time. Our unified platform handles the heavy lifting, allowing your team to focus on complex cases.
No Medical Ops Needed
Admins don't need medical degrees. Our Clinical Decision Support enables anyone to make accurate approval/denial decisions based on guidelines.
Autonomous Collection
Stop chasing hospitals for missing pages. Our agentic system handles document completeness checks and retrieval automatically.
Common Questions
What is the Cashless Access Benefit?
Historically, cashless facilities were limited by manual processing. RxPay bridges this gap, enabling TPAs to offer instant cashless adjudication by handling the necessary documentation and verification protocols autonomously.
Is my data secure with RxPay?
Absolutely. We adhere to the strictest data compliance and security standards. All patient and adjudication data is encrypted and handled with the utmost confidentiality.
How fast is the integration process?
Our web portal allows for immediate onboarding. Once registered, your team can begin uploading claims within 24 hours. We provide full training and support.
Scale Your Adjudication Throughput
Join the TPAs using RxPay to automate verification and eliminate processing bottlenecks.
Request Received!
Thank you for your interest. Our team will reach out to you within 24 hours to schedule your discovery call.