💊 For Care Plan Companies

AI Platform for
Care Plan Benefit Administration

Configure disease management benefit plans, capture structured clinical data at every touchpoint, and track patient outcomes all automated by AI so your care coordinators focus on patients, not paperwork.

Request Demo → See How It Works
💊 Care Benefit Config ✅ Clinical Data Capture 📊 Outcome Tracking
Zealthix · Care Plan Operations
// Diabetes care plan patient enrolled → zive.enroll("patient: DM-CARE-4820") condition: Type 2 Diabetes plan: Diabetes 360° 12M benefit_set: 12 consultations + labs   // OPD visit AI records conversation → zealrx.transcribe("session: OPD-DM-9921") hba1c_trend: 7.2 → 6.8 improving adherence: 87% medication compliance record_synced: ABHA linked ✓   → zlake.risk_flag() high_risk_cohort: 34 patients flagged
AutomatedCare benefit adjudication
360°Clinical data at every touchpoint
Real-timeHigh-risk patient identification
ABDMCompliant data & ABHA linked
What We Solve

The AI backbone for
disease management at scale

💊

Care Benefit Plan Configuration

Configure disease-specific benefit packages consultation bundles, diagnostic entitlements, medication coverage, and care pathway milestones using Zive's AI plan engine. Each condition, each plan tier, managed separately.

🎙️

Clinical Data Capture at Every Visit

ZealRx transcribes every patient consultation into structured clinical records diagnoses, vitals, medication changes, and care notes captured automatically. No manual EMR entry for your care coordinators.

📊

Patient Outcome Tracking

Zlake builds a longitudinal clinical data lake per patient HbA1c trends, blood pressure curves, medication adherence, and complication risk scores updated after every touchpoint and queryable in real time.

🚨

High-Risk Patient Identification

ML models identify patients trending toward complications before events occur poor adherence, worsening biomarkers, missed appointments. Care coordinators get an actionable priority queue, not a raw data dump.

🤖

Automated Benefit Adjudication

Care-related claims consultations, diagnostics, pharmacy adjudicated automatically against the enrolled patient's plan entitlements. Benefit balance tracked in real time. 95% of transactions processed without intervention.

🏛️

ABHA-linked & FHIR R4 Encoded

Every clinical record linked to the patient's ABHA health ID. Longitudinal data encoded in FHIR R4 portable, interoperable, and ready for payer reporting, government programme submission, and population analytics.

How It Works

From enrolment
to outcome fully automated

Zealthix manages the full care plan lifecycle plan configuration, patient enrolment, clinical data capture, and outcome tracking without manual data work.

1
Configure Care Plans

Define disease-specific benefit packages consultation entitlements, diagnostic bundles, medication coverage. Zive configures each plan variant with AI in minutes.

2
Patient Enrolment & ABHA Linking

Patients enrolled and matched to the appropriate care plan. ABHA-linked records pull existing health history. Benefit entitlements activated immediately.

3
Clinical Data Captured Automatically

ZealRx transcribes every consultation into structured clinical records. Lab results, vitals, and pharmacy data ingested and encoded to FHIR. No manual data entry at any touchpoint.

4
Outcomes Tracked & Risk Surfaced

Zlake builds longitudinal patient records. AI flags high-risk patients and deteriorating trends proactively. Your care team acts on intelligence, not raw records.

Disease management platform dashboard
Impact

Better outcomes, lower costs,
zero data work

95%
Care plan benefit claims processed automatically without coordinator effort
360°
Patient clinical record built automatically from every care touchpoint
Early
High-risk patients identified before complications not after

Build your care management
platform on Zealthix AI

Book a demo and we'll show you care plan configuration, automated clinical data capture, and real-time patient risk profiling.

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