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Reference vertical · Hospitals & Healthcare Providers

Agentic AI for hospital chains

Large corporate hospital chains have the volume to make discharge-summary and ICD-coding automation worth automating. The Vihaya Engine is designed to generate clinician-grade documentation, code it, and tie it back into the hospital’s RCM pipeline. ABDM integration in scope for Indian hospitals. Pre-revenue; the first design-partner engagements are open.

ICD-10 / 11
Coded discharge summaries
FHIR R4
ABDM HIE ingest
Bilingual
English + local-language clinical notes

Workflows in scope

Discharge-summary generation

Chart → structured summary in the hospital’s format. Clinician reviews and signs. Output is ICD-coded.

ICD-10 / ICD-11 coding assist

Generate code candidates from the documentation; coder reviews and accepts. Audit chain preserved for RCM dispute defence.

Pre-authorisation drafting

For insurance-funded admissions, draft the cashless pre-auth grounded in policy + clinical guideline. Surgeon reviews.

ABDM HIE longitudinal view

Pull the patient’s linked records via ABDM; synthesise a longitudinal summary for the admitting clinician.

Hospital FAQ

How does discharge-summary generation work?

The agent reads the patient’s chart (admission notes, daily progress, investigation reports, prescription history) and produces a structured discharge summary in the hospital’s format. The clinician reviews and edits in-place; the edits feed back into the eval set so the next iteration is closer to the clinician’s voice. Output is ICD-10 / ICD-11 coded for downstream RCM use.

What ABDM integration does Vihaya provide?

FHIR R4 ingest from the ABDM Health Information Exchange. The agent reads the patient’s linked records across hospitals (when consent is in place), producing a longitudinal view rather than re-asking for history. The audit trail records every record-access event for the patient’s data-fiduciary log.

Can this work for both corporate and government hospitals?

Yes. Corporate-chain engagements are designed to focus on RCM and discharge quality. Government / PMJAY-empanelled hospitals would focus on eligibility verification and scheme-package billing. Same engine, different corpora. No hospital engagement has been delivered yet.

How does Vihaya handle clinical documentation conventions specific to your hospital?

Clinical documentation varies by region and institution — bilingual notes, locally-specific abbreviations, and dosage notations that differ from generic baselines. The model adapts because we tune against the hospital’s actual notes during the pilot — not against a generic off-the-shelf baseline.

Next step

Want to see this in your environment?

30-minute discovery call. We follow up with a draft SOW shortly after.

Talk to us about a pilot