Rette AI is “Grammarly for medical claims”—real-time checks that cut denials and speed reimbursement. 40 clinics live; starting US pilots.
Current Status
in 4 months since launch in Central Asia(Proof of Concept):
40 clinics active, 170+ physicians onboarded
~15,000,000 records analyzed, ~2,600,000 defects flagged (pre-submission)
500+ inbound demo requests; 100+ clinics registered
Paid contracts live, MRR ≈ $5k
U.S. launch in progress: 6 pilots in discussion
Near-term goals (6–9 mo): 10+ U.S. pilots → 5 paid, MRR ≥ $15k.
Problem or Opportunity
$950B spent on U.S. healthcare administration (2019); 21% of that is financial transactions (billing, coding, claims).
Streamlining admin could save $265B/yr (~$1,300 per U.S. adult).
Billing & coding waste = $248B/yr; Medicare fraud = $60–$80B/yr.
Providers still face $19.7B/yr in unrecovered claims; up to 30% of charts have fixable documentation/coding defects → denials, 3–6 mo delays, rework, and write-offs.
Solution (product or service)
Defect AI is a pre-submission RCM copilot that prevents denials before claims go out.
Ingests charts via upload or light EHR overlay (start in
Business model
Success fee (primary): 5–8% of approved/paid amounts on submitted claims where we’re engaged (standard in U.S. pilots; can be exclusive or carve-out by payer/service line).
Inpatient add-on: per-document audit $1–$10 (discharge summaries, inpatient histories).
Pilot → Annual: paid 6–8 week pilot with clear ROI target → convert to 12-month success-fee agreement.
Integrations: light start (files/overlay) included; enterprise HL7/FHIR/API as paid add-ons.
Minimums & floors: monthly minimum fee or per-site floor to cover ops; volume tiers reduce fee % at scale.
Channels & expansion: reseller
