Features & Modules
Comprehensive suite of AI-powered modules designed for end-to-end healthcare management.
1. AI-Powered FWA Management
- Rule Library: 310 million+ rulesāclaims, prescriptions, provider behavior, subsidy disbursements
- Real-Time Analytics: Stream anomaly scoring to flag suspicious patterns instantly
- Adaptive Learning: Models self-tune as new fraud schemes emerge
2. Automated Claims Processing
- Smart Intake: OCR / ICR pre-validation with <1% error rate
- AI Adjudication: Context-aware claim routingāescalate only high-risk or complex cases
- Payment Orchestration: Integrate with treasury, banking APIs, e-wallets
3. Friction-Free Enrolment
- Digital Identity: Biometric face match + national ID verification
- One-Click Onboarding: Pre-populated forms via existing government databases
- Coverage Mapping: GIS-based eligibility checks for remote populations
4. Fraud-Resistant Empanelment
- Provider Profiling: AI-driven reputation scores, quality KPIs
- Dynamic Contracting: Auto-renewals or terminations triggered by performance thresholds
- Geo-Access Control: Ensure rural/urban provider distribution meets policy goals
5. Citizen App & Digital Services
- AI-Guided Self-Care: Symptom checker + personalized wellness plans
- Telemedicine: Video/audio consults with license-verified clinicians
- Wallet & Subsidy Hub: Track monthly benefits, co-pay calculators, fast payouts
- Secure EHR Access: Blockchain-backed medical record vault with patient-controlled permissions
6. Analytics & Reporting
- Executive Dashboards: KPIs on spend, population coverage, provider performance
- Deep-Dive Reports: Cohort analysis, regional trends, predictive utilization forecasts
- Regulatory Reports: Pre-formatted exports for WHO, local health authorities
Ready to Transform Healthcare?
Let's discuss how can revolutionize your healthcare system with powerful features.