Most Salesforce partners focus on configuration. We focus on Architecture. Founded by Salesforce specialists with deep roots in 2nd Generation Packaging (2GP) and complex ecosystem integrations, we do not just set up your CRM. We engineer it for scale.
We bridge the gap between business requirements and technical excellence. Whether you are a US healthcare provider navigating RCM complexities or an Indian enterprise seeking a localized, high-performance portal, we bring the same rigorous standards to every project.
The complete US healthcare revenue cyclemanagement solution for Salesforce.
Running a healthcare organization in the US means navigating HIPAA rules, complex billing, delayed prior authorizations, and claim denials. Our native Salesforce RCM solution brings patient intake, insurance authorization, charge entry, AI compliance, and claims processing into one unified system, from first patient touch to final payout.
AI you can trust with sensitive patient data
AI offers real speed for healthcare billing, but only when patient privacy stays protected.
Automatic Patient Privacy Guard
Before data touches an AI model, sensitive PHI such as names and Social Security numbers is masked and tokenized.
HIPAA-Compliant AI Gateway
Every AI request passes through a secure proxy designed around HIPAA security guidelines.
Real-Time Security Audit Console
Track data in transit with a live admin dashboard that gives compliance teams clear visibility.
Custom Compliance Controls
Toggle which fields, records, and staff interactions get logged for internal or external audits.
AI-powered revenue engine: stop denials earlier
Getting paid by insurance should not feel like a guessing game.
Predictive Claim Simulator
Estimate whether a claim is likely to be paid or denied before it is submitted, using historical models to fix flaws proactively.
Pre-Claim Compliance Auditor
Automatically check claims against payer rules and billing logic so cleaner claims go out on the first attempt.
Automated Denial Appeals
When a denial occurs, AI helps decode CO/PR codes and draft appeal letters tailored to payer requirements.
One-Click Appeal PDFs
Convert AI-generated appeal letters into payer-ready PDF documents for submission.
Seamless EHR and system integration
Break down data silos between Electronic Health Records and financial workflows.
Standardized FHIR Patient & Insurance APIs
Sync patient records, insurance coverage, and clinical visit history with external systems using HL7 FHIR standards.
EHR Health Dashboard
Monitor live connections to external health systems and alert the team when a data feed has issues.
Built-In Testing Sandbox
Test new connections and data pipelines with simulated medical records without risking real patient data.
Instant prior authorizations and insurance eligibility
Reduce care delays and unpaid procedures caused by missed authorization requirements.
Prior Auth Agent Gateway
Automate communication between clinical staff and payers to fast-track authorization requests.
Real-Time Authorization Dashboard
Track pending approvals in one view and highlight urgent cases so care is not delayed.
Automated EDI 278 Formatting
Build and format standard electronic prior authorization files without manual data entry.
Smarter medical code search and clear patient estimates
Speed up charge entry while supporting No Surprises Act estimate workflows.
Intuitive CPT & ICD-10 Code Search
Search medical codes using everyday language and common medical synonyms.
No Surprises Act Estimates (GFE)
Calculate expected patient out-of-pocket responsibility and generate Good Faith Estimates.
Automated Patient Alerts
Notify patients by SMS or email when their financial estimate is ready for review.
Electronic Claim Generation (837P & 837I)
Gather clinical data and generate standardized electronic claim files for professional and institutional billing.
Frictionless patient intake and specialist routing
Make data collection easier for patients and work distribution clearer for billing staff.
Mobile Digital Patient Registration
Let patients complete intake and health history forms on their phones before arriving at the clinic.
Real-Time Auto-Save
Background auto-saving helps prevent data loss during lengthy charge entries or registration sessions.
Advanced Inline Data Management
View, edit, and bulk-update child records like charges, claims, or verification files from one screen.
Smart Claim Triage
Route complex or high-value claims to billing specialists based on payer type, difficulty, or account rules.
Why choose our Salesforce RCM platform?
Legacy healthcare systems
Our native Salesforce RCM
Legacy healthcare systems
Siloed data: billing, clinical notes, and prior auths live in separate systems.
Our native Salesforce RCM
Single source of truth: workflows live natively in Salesforce.
Legacy healthcare systems
High denial rates: errors get fixed after the payer rejects the claim.
Our native Salesforce RCM
Predictive AI: fix issues before claims leave your door.
Legacy healthcare systems
Manual authorizations: hours spent on phone calls and fax machines.
Our native Salesforce RCM
Automated EDI workflows: faster, structured approval requests.
Legacy healthcare systems
Risky AI: generative tools that can expose sensitive PHI.
Our native Salesforce RCM
Trust layer guard: built-in tokenization and HIPAA-minded auditing.
Ready to modernize your revenue cycle?
Eliminate manual paperwork, cut claim denials, and protect patient privacy with a native Salesforce platform designed for US healthcare.
Salesforce MedBill-IN
Complete Indian hospital RCM and billingplatform in Salesforce.
Managing revenue in an Indian hospital means handling TPA cashless pre-authorizations, government scheme rate cards (CGHS, PM-JAY), split payments, and tight regulatory compliance. MedBill-IN simplifies the hospital revenue cycle into one system, from digital patient registration with ABHA to real-time UPI collection and AI-driven TPA query resolution.
Register patients once, with the identifiers and consent your Indian revenue workflows need.
ABDM & ABHA Ready
Register patients with ABHA IDs, Aadhaar, and PM-JAY IDs while maintaining consent records for national health network integration.
Corporate & TPA Linkage
Link patients to corporate policies, BPL status cards, or insurance plans during registration to reduce billing errors downstream.
Provider, doctor, and accreditation management
Keep credentials and tariffs aligned so billing rules stay consistent across departments.
Empanelment Tracking
Centralize provider credentials for NABH, NABL, CGHS, PM-JAY, ECHS, and ESI.
Master Tariff Rules
Apply consultation and procedure fees based on doctor profiles, HFR, NMC registrations, and GSTIN rules.
Patient encounter and ward operations
Track encounters and admissions without losing the cashless authorization context.
Multi-Department Support
Track OPD, IPD, Emergency, and Day Care encounters from a single interface.
Ward & Bed Allocations
Manage bed categories, room charges, MLC documentation, and cashless pre-authorizations at admission.
Transparent hospital billing and service line engine
Move from estimates to final bills with clear patient and TPA liability.
Estimates to Final Bills
Generate advance billing estimates, apply hospital discount rules, and calculate TPA liability versus patient out-of-pocket shares.
Standardized Rate Cards
Calculate quantity and rate line items with CGHS package rates, applicable GST, and dynamic TPA deduction logic.
Automated Indian GST compliance
Keep healthcare GST slabs and HSN/SAC codes consistent across service lines.
Configurable Rate Master
Apply healthcare GST slabs (0%, 5%, 12%, 18%) and HSN/SAC codes across service lines.
Aggregate GST Calculation
Built for Indian hospital accounting rules to support cleaner financial audit readiness.
Seamless insurance, TPA, and government schemes
Support private TPA workflows and national scheme pipelines in one package.
Government Scheme Support
Data models for PM-JAY, CGHS, ECHS, and ESI cashless workflows.
Unified NHCX Pipeline
Streamline pre-authorizations and claim lifecycles across private TPAs and national digital health pipelines.
Location-Based CGHS Tariffs
Rate cards by city tier (X, Y, Z) and hospital accreditation status (NABH vs non-NABH).
Modern Indian payment collections
Collect co-pays quickly while keeping insurer liability clear.
Instant Split-Pay UI
Collect partial co-payments via native UPI QR codes while routing the balance to the TPA insurance ledger.
Payment Gateway Ready
Integrates with Razorpay, PhonePe, and Paytm for digital collections at the billing counter.
AI-powered claim settlement and RCM
Reduce rejections with prediction, drafting, and faster query response.
Denial Prediction & Heatmaps
Identify high-risk claims and likely TPA queries before submission.
AI Appeal & Query Generator
Draft context-aware responses to TPA queries and support discharge summaries with AI OCR text extraction.
Operations and escalation monitoring
Keep pre-auth and claim turnaround visible so discharge is not stalled.
Pre-Auth TAT Tracking
Automated monitoring to track turnaround time for pending pre-authorizations and claims.
Smart Escalation Alerts
Flag delayed approvals to administrative teams so patient discharge is not blocked.
Why choose MedBill-IN for Salesforce?
Legacy hospital software (HIS)
Salesforce MedBill-IN
Legacy hospital software (HIS)
Manual TPA tracking: endless follow-up emails and physical faxes for claims.
Salesforce MedBill-IN
Automated claim operations: digital NHCX/TPA workflows with AI query drafting.
Legacy hospital software (HIS)
Rigid price cards: hard to update CGHS/NABH rates across departments.
Salesforce MedBill-IN
Dynamic rate engine: automatic rate selection by city tier and accreditation.
Legacy hospital software (HIS)
Billing bottlenecks: long discharge queues for split payments and insurance checks.
Salesforce MedBill-IN
Native split-pay and UPI: instant QR payments with clear patient vs insurer liability.
Transform your hospital billing counter today
Cut discharge delays, reduce claim rejections, and give patients a faster, more transparent billing experience.
Health Cloud Case Study
Streamlining the Care Journey: A 360-Degree Healthcare Transformation
“A growing healthcare provider was struggling with fragmented patient data across multiple legacy systems. Patient intake was manual, care coordination was handled via spreadsheets, and billing transparency was non-existent.”
Our Solution
Patient 360:Centralized medical history, insurance verification, and care plans.
Experience Cloud Portal:Secure, HIPAA-compliant portal for patient scheduling and results.
Automation:Agentic AI integration reducing manual data entry by 65%.