Healthcare Claims.
Simplified. Accelerated.
An enterprise operations layer for hospitals — from admission to settlement, every claim flows through one transparent, audited workflow.
Patient Journey
From Registration to Settlement
Patient Registration
Generate Claim ID and complete eligibility verification with the payer.
Pre-Authorization Submission
Audit documents before payer submission. Missing items trigger an internal query — preventing payer rejection.
Approval Tracking
Track approval, query and rejection responses until the final sanction is received.
Enhancement Management
Monitor length of stay and treatment extensions. Raise enhancement requests as per payer norms.
Pre-Discharge Audit
Review the final bill and supporting documents before the patient leaves the facility.
Discharge Submission
Audit discharge documents. Raise an internal query if anything is missing.
Claim Submission
Audit the complete claim packet. Raise an internal query if anything is missing.
Follow-Up Tracker
Track ageing and outstanding cases. Perform structured follow-up with the payer.
Settlement
Claim settled. Amount reconciled against ledger. Case closed.
The Shift
From friction to flow
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Operational Chaos
- Manual tracking on spreadsheets
- Documents scattered across inboxes
- Delayed pre-auth approvals
- Avoidable claim rejections
- Unseen revenue leakage
Operational Clarity
- Structured, single-screen workflow
- Internal audits at every stage
- Faster pre-auth turnaround
- Lower rejection rate
- Predictable settlement cycle
Schemes & Services
Every payer. Every claim motion.
Specialised workflows for India's most common government schemes, private insurers and TPAs.
CGHS
Central Government Health Scheme
Empanelled hospital workflows with strict packet compliance for central government beneficiaries.
ECHS
Ex-Servicemen Contributory Health Scheme
Defence-grade documentation and audit trails for ex-servicemen and dependents.
RGHS
Rajasthan Government Health Scheme
State-specific package handling and bill validation for Rajasthan government beneficiaries.
Ayushman Bharat
PM-JAY · Pradhan Mantri Jan Arogya Yojana
PMJAY claim management — STG compliance, package selection and SHA coordination.
TPA / Insurance
Cashless and reimbursement across all major TPAs and private insurers in India.
CAPF
Central Armed Police Forces
Empanelment workflow with payer-specific protocols for CAPF beneficiaries.
Online Cashless
End-to-end portal-driven workflows for payers with digital pre-auth and claim systems.
Offline Cashless
Email, fax and physical packet submissions tracked centrally with audit logs.
Reimbursement Claims
Post-discharge claim assembly, submission and follow-up until payment realisation.
Platform Preview
One operating layer for every claim
A clickable workspace with sample patients, complete claim journeys and live-style dashboards.
Founder's Note
Srishti RCM
Building the Future of Healthcare Operations
Healthcare should move at the speed of care, not paperwork.
When I started Srishti RCM, I saw a problem that existed in almost every hospital: talented teams spending countless hours tracking claims, following up through calls and emails, and managing critical processes across disconnected systems. While healthcare technology advanced rapidly in clinical care, operational workflows remained fragmented and inefficient.
I believed hospitals deserved better.
Srishti RCM was created with a simple vision: to build the operating system for modern healthcare revenue management. A platform where transparency replaces uncertainty, automation replaces repetitive work, and every stakeholder can see exactly what is happening in real time.
Our mission is not just to process claims faster. It is to give healthcare organizations the operational clarity they need to focus on what truly matters — delivering exceptional patient care.
As a new generation of healthcare leaders, we have the opportunity to rethink systems that have remained unchanged for decades. We are building technology that simplifies complexity, improves accountability, and creates trust between hospitals, insurers, TPAs, and patients.
This is only the beginning.
Our goal is to build a world-class healthcare operations platform from India that serves hospitals globally — combining innovation, transparency, and execution at a scale never seen before in healthcare revenue cycle management.
Thank you for being part of this journey.
Srishti RCMFuture Vision
Building the future of healthcare operations
Claims Management
End-to-end claim lifecycle in one workspace.
Workflow Automation
Rules engine for repeating ops patterns.
Predictive Analytics
Forecast denials, TAT and cash flow.
Document Intelligence
Auto-extract, classify and validate every document.
AI Assisted Operations
Co-pilots for coders, case managers and auditors.
Thank you for visiting Srishti RCM
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