Where the money leaks
Find out what you are losing, line by line.
Most hospitals know their claims get deducted. Very few can say which line, which payer, which reason, and how much it added up to last quarter.
See your own numbersDeduction analytics in Caresoft Claim Manager records every payer disallowance at bill-line level with its reason code, then reports the totals by payer, reason category, department and period. Common deduction categories tracked include room rent proportionate deduction, non-payable consumables, tariff excess over agreed package rates, policy co-payment, disease sub-limits and documentation shortfalls.
Verified
The numbers, with their sources.
NHCX went live and processed its first claim in June 2024, built by the National Health Authority in consultation with IRDAI under ABDM.
Source: National Health Authority · as of Jun 2024
Under the Digital Health Incentive Scheme, hospitals can receive ₹500 per claim or 10% of the claim amount, whichever is lower, for claims processed through NHCX.
Source: National Health Authority, Digital Health Incentive Scheme · as of Jun 2024
NHCX uses the HL7 FHIR R4 standard for claim bundles, and routes messages without reading the encrypted clinical and financial payload.
Source: National Health Authority · as of Jun 2024
Caresoft Systems Private Limited serves over 1,000 hospitals across India and holds CMMI Level 5, ISO 27001 and PCI DSS certifications.
Source: Caresoft Systems · as of Jan 2026
See it against your own claims.
Send a bed count and two payer names. We will run the demo on a case that looks like yours.