Ayu Health offers an AI‑driven claims management platform that automates eligibility checks, data extraction, and adjudication for hospital finance teams. Integrated via HL7/FHIR APIs, the solution provides real‑time claim dashboards and an embedded financing engine for upfront cash advances, reducing manual processing and speeding up reimbursements.
Funding
$21M raised to dateRaised to date based on public sources. This may differ from the amount the company actually raised and is based only on what is publicly available on the internet.
FFounders
Product
Problem
Hospitals often experience delayed reimbursements and working‑capital strain because health‑insurance claims are processed manually, involve fragmented data entry, and lack real‑time visibility. These inefficiencies lead to revenue loss, higher administrative overhead, and a suboptimal patient experience during cashless or post‑treatment billing.
Solution
Ayu Health delivers an AI‑enabled claims management platform that automates eligibility verification, data extraction, and adjudication across multiple insurers. The system connects to hospital information systems via standard APIs, allowing claims to be submitted and tracked through a single web portal. Machine‑learning models flag incomplete or non‑compliant submissions before they reach the insurer, reducing rework and accelerating approval cycles. Real‑time status dashboards give finance teams visibility into pending, approved, and paid claims, while integrated financing options provide upfront payments to offset the typical 60‑plus‑day settlement window. Continuous 24/7 support through WhatsApp, email, and dedicated account managers ensures issues are resolved without interrupting hospital operations. The platform also generates audit‑ready logs and analytics to help hospitals monitor cash flow and compliance.
Target Audience
The primary customers are revenue‑cycle and finance departments of medium to large hospitals and health‑system networks that process high volumes of health‑insurance claims.
Features
- AI‑driven eligibility checks and rule‑based claim validation that reduce manual review by up to 70%
- Robotic Process Automation (RPA) with OCR for automatic extraction of data from paper and electronic claim forms
- HL7/FHIR‑compliant API suite for seamless integration with hospital PMS, ERP, and insurer back‑ends
- Real‑time web dashboard with granular claim status, exception alerts, and KPI visualizations
- Embedded financing engine that offers upfront cash advances against approved claims, improving working capital
- End‑to‑end encryption, role‑based access control, and immutable audit trails to meet HIPAA and local regulatory standards
- Multi‑channel 24/7 support (WhatsApp, email, dedicated KAMs) with SLA‑tracked ticketing and knowledge‑base integration