The Problem We Were Brought In To Solve
34-hospital chain: 1,800 monthly Ayushman Bharat claims, 3-day pre-auth wait, 22% rejection rate, ₹2.1Cr annual fraud from inflated submissions.
How Revino Delivered
AI PM-JAY platform: NHA eligibility verification, treatment code validation, duplicate claim detection, pre-auth document generation integrated with NHA portal.
Measurable Business Impact
✓Pre-authorisation: 3 days→2 hours
✓Rejection rate: 22%→8% (-64%)
✓Fraud recovery: ₹8.4Cr in Year 1
✓Claims admin staff time: -68%
✓NHA review compliance: 100%
PythonNHA APIAWSFastAPIPostgreSQL
KEY METRICS
2 hrs
Pre-auth time
-64%
Rejection rate
₹8.4Cr
Fraud recovered
100%
NHA compliance
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