🏥 For Hospitals

Cashless Claims & ABDM
for Every Hospital

Connect to every payer network, automate clinical documentation, and achieve ABDM compliance without changing your existing HMS or adding administrative headcount.

🔄 Multi-Payer Connected ✅ ABDM Compliant 🎙️ AI Clinical Docs NHCX Ready
Zealthix · Hospital Claim Flow
// IPD patient discharged claim submitted → zyncflo.submit("IPD-CLM-20341") hospital: Fortis, Gurugram payer: HDFC ERGO amount: ₹1,25,000   → zyncflo.validate() eligibility: verified ✓ docs_check: discharge summary ✓ rejection_risk: 0.04 low channel: NHCX gateway status: submitted ✓ 2.4s
50+Payer networks connected via single API
98.4%Cashless claim first-pass acceptance
ABDMFully certified ABHA & NHCX
T+3Average claim settlement cycle
What We Solve

Every payer, every standard,
one integration

🔄

Multi-Payer Cashless Claim Submission

ZyncFlo connects your hospital to every insurer, TPA, and government scheme via a single API integration. Claims routed, formatted, and submitted to the right payer channel automatically OPD and IPD.

🤖

AI Pre-Submission Validation

Every claim validated before submission eligibility, code accuracy, supporting document completeness, and rejection risk scoring. Errors caught and fixed before they reach the payer, not after rejection.

🎙️

AI Clinical Documentation

ZealRx transcribes OPD consultations into structured clinical records diagnoses, prescriptions, discharge notes automatically. Doctors spend consultation time with patients, not keyboards.

🏛️

ABDM & NHCX Compliance

ABHA-linked patient records, NHCX-connected claim flows, and FHIR R4-encoded clinical data full compliance with NHA's digital health mandates without custom development work on your HIS.

📊

Revenue Cycle Dashboard

Real-time visibility into pending claims, rejection rates by payer, outstanding receivables, and average settlement times. Your billing team gets the data they need to act, not just reports to read.

🔌

HMS Integration No Rip & Replace

Connects to your existing HMS via HL7 v2, FHIR, or direct API. Zealthix adds the AI and compliance layer without disrupting your clinical workflows or requiring HIS migration.

How It Works

From HMS to payer
automatically

Zealthix integrates with your HMS and handles everything from clinical documentation to claim submission to settlement without disrupting your existing workflows.

1
Connect Your HMS

Single integration connects your HIS/HMS to Zealthix. Patient data, clinical records, and billing information flow automatically no manual re-entry, no parallel systems.

2
Clinical Records Generated by AI

ZealRx transcribes OPD consultations. Discharge summaries, referral letters, and clinical notes generated automatically from doctor conversations ABHA-linked and FHIR-encoded.

3
Claims Submitted Automatically

ZyncFlo picks up billing records, validates them against payer rules, and submits via NHCX or direct insurer API. Multi-payer routing handled without your billing team touching each claim.

4
Settlement Tracked to Receipt

Real-time claim status updates. Payment advice matched against submitted claims. Outstanding receivables flagged automatically for follow-up. Revenue cycle fully visible.

Hospital claims automation and ABDM compliance
Impact

Fewer rejections, faster payments,
full compliance

98.4%
First-pass cashless claim acceptance industry average is 85%
60%
Reduction in claim rejection and re-submission cycles
T+3
Average claim settlement vs T+15 with manual submission processes

Connect your hospital to
every payer in 48 hours

Book a demo and we'll show you how ZyncFlo connects to your HMS and submits a live claim to your payer network in under 3 seconds.

Book a Demo →