The Decision Layer
Hospitals file. Insurers trust. Verdyx decides.
From weeks to minutesEvery claim decided instantly
Validated at submission. Not discovered at settlement.
- Claims in minutes, not weeks
- Reduce operational cost
- Real-time checks & routing
Submission to settlement - in five steps
From submission to settlement - every step automated, every decision explainable.
- 01
Connect
Plug into the rails your hospitals and insurers already run on. (ABDM)
- 02
Enrich
Pull patient identity, provider credentials, & policy context automatically.
- 03
Validate
AI runs fraud checks, document verification, and various other checks in real time.
- 04
Review
Exceptions flagged with full context. Humans step in only where real judgment is needed.
- 05
Settle
Clean claims routed through NHCX automatically faster settlements, zero manual handoffs.
What happens inside the decision layer.
One layer for insurers, TPAs, and hospitals — from intake to resolution.
Claims Orchestration
Intake, normalize, and route every claim -built for both hospital and payer workflows.
Risk & Consistency Checks
Catch fraud, abuse, and document gaps at submission - not months after the payout.
Provider & Facility Context
Every provider verified against national registries before a claim is accepted.
Real-time Decisioning
Instant verdicts at claim velocity - one layer between hospital and insurer.
Workflow Routing
Smart exception routing with full context - fewer queues, faster resolution.
Explainable Outputs
Every decision comes with reasons your teams can audit, defend, and act on.
Before Verdyx. After Verdyx.
Less chasing. More deciding. Every claim handled at machine speed.
Before
Manual friction
- 1
Hours lost manually sorting and chasing claim queues
High - 2
Back-and-forth with hospitals to collect missing documents
High - 3
Some of the frauds discovered after the damage is done.
High
With Verdyx
Machine-speed claims
- 1
Every claim triaged, scored, and routed in seconds
- 2
Documents verified and gaps flagged before submission ever happens
- 3
Fraud flagged before a single rupee moves
Built on India’s health stack.
Verdyx doesn’t connect to ABDM — it’s built on it.
ABDM
Ayushman Bharat Digital Mission
India's digital health backbone — the foundation every compliant claim runs on.
ABHA
“Every patient's verified health identity — linked, trusted, and ready for claims.”
HFR
“Every hospital and clinic officially registered — providers verified before a claim is ever filed.”
HPR
“Every doctor verified at source — credentials tied to every procedure and claim they touch.”
NHCX
“India's official claims highway — where hospitals submit and insurers receive, standardized and trackable.”
Ready to validate at submission?
Share your stack. We'll show you exactly where Verdyx plugs in.