Claimx by Caresoft

Commercials

Priced per hospital, not per headache.

Subscription by bed band, with implementation and payer onboarding quoted separately. Government incentive for digital claims can offset a meaningful share of it.

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In short

Caresoft Claim Manager is licensed as an annual subscription banded by hospital bed count, with separate one-time implementation and payer onboarding charges. Hospitals processing claims digitally through NHCX may be eligible for incentives under the Digital Health Incentive Scheme.

Verified

The numbers, with their sources.

June 2024

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

₹500 / claim

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

FHIR R4

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

1,000+ hospitals

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

Questions

What hospitals ask us first.

What does implementation involve?

Data setup for your payer masters and tariffs, connecting your hospital system, configuring document checklists per payer, and training the TPA desk. Payer onboarding is quoted separately because the effort differs enormously between an exchange-connected insurer and a TPA that still works over a portal.

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.

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