Care.Fi provides a fintech platform that utilizes AI-driven analytics and automation for end-to-end revenue cycle management in healthcare, specifically targeting the complexities of insurance claims processing. The platform addresses inefficiencies in claim filing and settlement, enabling hospitals to improve cash flow and reduce administrative burdens through real-time tracking and financing solutions.
Funding
$6.6M 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.
Founders
Product
Problem
Hospitals in India face challenges in managing the complexities of insurance claims processing, leading to delayed settlements, increased administrative costs, and working capital constraints. The current patient care pathway is often slow and manual, resulting in shortfalls and rejections of claims.
Solution
Care.Fi offers a fintech platform, RevNow, that streamlines end-to-end revenue cycle management (RCM) for hospitals, specifically addressing the intricacies of insurance claims. The AI-enabled platform automates claim processing, adjudication, settlement, and reconciliation, reducing manual effort and improving efficiency. By providing real-time tracking and analytics, Care.Fi enables hospitals to optimize revenue outcomes, reduce claim rejections, and improve cash flow. Additionally, Care.Fi provides access to working capital solutions through its CareCred platform, offering insurance receivables financing and supply chain financing.
Target Audience
Care.Fi primarily targets hospitals and healthcare providers in India seeking to optimize their revenue cycle management, improve claim settlement ratios, and alleviate working capital constraints.
Features
- AI-powered claim management tool tailored to the complexities of Indian insurance claims
- Government claims management module to reduce shortfalls and rejections for ESI/CGHS/State insurers
- Express Discharge feature enabling patient discharge within 30 minutes of final bill generation
- End-to-end cashless claim management portal for pre-authorization to post-authorization processes
- Real-time query notification and automated response system
- Integrated mailing service for efficient pre-auth and post-auth management
- Real-time reconciliation providing visibility into cash flows at the entity, unit, and claim level
- Insurance receivables financing through CareCred, offering customized supply chain financing and invoice discounting solutions