Business Category: Healthcare
Startup Stage: Revenue Generation
Support Required: Funding Mentoring Others
Fund requirement (): 68500000
Structure of the Company: PVT Ltd.
Website: www.vnusoftware.com
Executive Summary: VNU Software Pvt Ltd is EDI platform which facilitates Data Exchange between the insurance / TPA Companies , Hospitals and Patients
Market need: PROVIDERS (HOSPITALS) PAIN POINTS 1. Long claim approval cycle 2. Reduces customer satisfaction, elongates payment cycle 3. Complex dealing with 24 Insurance Company and 30 TPA portals 4. Quick response back from Payer for insurance dispute impossible PAYERS (INSURERS) PAIN POINTS 1. Erroneous billing with non-digital claims data 2. Problematic matching with rate card 3. Problematic categorization of billing line items 4. Continual likelihood of fraudulent transactions PATIENTS PAIN POINTS 1. At the mercy of provider and payer 2. Often ends up paying large amounts 3. Often cashless moves to reimbursement 4. Inordinate amount of paperwork
Product/Service description: 1. Document Management System in Digital form 2. Electronic Data Interchange between Payer and Provider 3. Automation to integrate with Insurance Company system 4. Integration with Hospital 5. Customer care team to handle claim processing 6. 70% reductions in paper-use 7. 80% Reduction in Manual effort. 8. Reduction in overall TAT for Claim Processing 9. Identification of Fraudulent Claims across Industry 10. Automation of Settlement process at Hospital End
Customers/Users: Our end users are 8000+ Insurance network providers (Hospitals), 18 Insurance companies and all IPD Patients.
Revenue Model: Our revenue model is based Per Claim Monthly Subscription
Current traction: 1. ~ 50 Million Rupee Business done through our Portal 2. Close to 1000+ patients Served 3. Running Live across 4 Major Hospitals in Pune, 1 in Delhi 4. 1 Insurer in Pilot phase