Five flagship AI products at the core, plus specialized modules spanning clinical automation, payer operations, and health data infrastructure purpose-built for India's healthcare ecosystem.
The five pillars of the Zealthix platform each a complete agentic AI system solving a major pain point in India's healthcare ecosystem.
Complete AI-powered OPD plan management from autonomous configuration and provider network setup to cashless fulfillment, real-time adjudication, and settlement.
Single agentic engine connecting providers to every payer, TPA, and government scheme. Submits claims, resolves rejections intelligently, and tracks every rupee in real time.
Listens to doctor-patient consultations and instantly transcribes them into structured ABDM-compliant medical records, SOAP notes, prescriptions, and lab orders zero typing.
Standardized, interoperable health data lake. Ingests OPD and IPD data from across the network, encodes to LOINC/SNOMED/ICD, and makes it analytics and AI-ready instantly.
Full AI-powered adjudication engine for payers processes both OPD and IPD claims with policy compliance, fraud detection, DRG benchmarking, and automated approvals at scale.
Specialized modules for diagnostic labs and patient-provider discovery
AI-generated LOINC-encoded diagnostic reports with clinical narratives automatically, for every lab test, fully EHR-interoperable with anomaly-flagging before dispatch.
AI-optimized provider discovery and intelligent appointment scheduling across your network. Reduce no-shows, maximize clinical utilization, and give members instant cashless access.
End-to-end automated payment disbursement to hospitals and providers with real-time reconciliation, TDS deduction, GST compliance, and dispute-free settlement.
Contract lifecycle and compliance tooling for payers and providers
AI-powered contract lifecycle automation for payers and providers. Extract tariffs from PDFs, manage renewals automatically, track SLA compliance, and eliminate billing disputes at source.
Automate the underwriting of incoming claims with AI risk scoring, eligibility cross-check, and anomaly detection drastically reducing manual review queues and leakage.
AI surveillance engine that continuously monitors provider behaviour, billing patterns, and claim frequency to detect and prevent fraud, waste, and abuse across your payer network.
Integration and interoperability layer for LIS, EHR, HMIS, and government health stack
Connect any LIS, EHR, or HMIS to India's national health stack ABDM-compliant, NHCX-ready, and FHIR R4 compatible. No rearchitecting required, deploy in days not months.
Transform mountains of paper records, scanned documents, and siloed databases into structured, FHIR-compliant health data with AI OCR, entity extraction, and auto-coding.
A fully managed, ABDM-compliant health cloud that acts as a neutral exchange layer letting payers, providers, and government entities securely share, query, and act on health data via APIs.
Browse by customer type to see which Zealthix products best fit your use case and patient volume.
Need AI capabilities tailored to your specific workflows? Our engineering team builds custom integrations, AI agents, and data pipelines for unique healthcare use cases.
Bespoke agentic AI workflows for unique adjudication rules, approval chains, or clinical decision support specific to your organization.
Custom adapters and ETL pipelines to connect proprietary hospital, insurer, or government systems to the Zealthix platform.
Custom dashboards, risk stratification models, and BI pipelines built on your aggregated health data for actionable population insights.
License Zealthix's AI infrastructure under your own brand for TPAs, insurers, and health tech companies building digital health products.
Have a use case that doesn't fit a standard product? Let's talk.