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Healthcare Payment Infrastructure

The infrastructure layer between claims and payment.

Clodus validates, structures, and risk-scores healthcare claims to reduce payment uncertainty and unlock provider liquidity.

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Claims Requiring Action
Claim ID Patient Status AI Confidence Action
CLM-2024-001 Wanjiku Kamau Missing Docs
78%
CLM-2024-024 Hassan Ibrahim Flagged
65%
CLM-2024-045 Grace Muthoni Eligible
92%
CLM-2024-067 Peter Omondi Pending
85%
CLM-2024-082 Sarah Njoki Missing Docs
71%
CLM-2024-095 Daniel Kipchoge Eligible
88%
CLM-2024-103 Amina Farah Flagged
58%
CLM-2024-118 John Mutua Pending
81%
The Problem

The real healthcare financing crisis is administrative.

Across African healthcare markets, hospitals, labs and pharmacies deliver care today, then wait months for payment. Liquidity is trapped in friction.

"The issue is not demand for healthcare. The issue is payment unpredictability."
60–120+ days Average reimbursement cycles stretch well beyond operational sustainability.
High rejection Claims rejection and rework erode provider margins and trap working capital.
Fragmented Validation standards, fee schedules, and preauthorization rules are inconsistent across payers.
What We Do

Three layers of claims intelligence.

From validation to structured liquidity — Clodus covers every stage between claim submission and settlement.

Claims Validation Engine

Real-time multi-rule validation against payer standards.

  • Member eligibility logic
  • Policy coverage rules
  • Duplicate detection
  • Fee schedule compliance

Payment Predictability

Convert administrative uncertainty into measurable payment likelihood.

  • Risk-scored claims
  • Reimbursement probability
  • Dispute likelihood flags
  • Lifecycle stage tracking

Receivables Structuring

Organize validated claims into structured financial visibility.

  • Predictability bands
  • Cash forecasting
  • Risk-weighted pools
  • Settlement tracking
How It Works

Five steps to payment certainty.

From claim submission to structured receivables — a clear, audit-ready pipeline.

1
Submit
Claims submitted via API or structured templates aligned to payer standards.
2
Validate
Multi-rule validation runs in real time against payer logic.
3
Score
Categorized by integrity score and payment probability.
4
Structure
Audit-ready structuring with compliance traceability.
5
Track
Structured forecasting and settlement tracking.
Solutions

Built for every stakeholder in the chain.

From providers to payers to capital partners — Clodus strengthens the system between all stakeholders.

Healthcare Providers

  • Lower rejection rates
  • Improved cashflow predictability
  • Receivables transparency

Payers & Underwriters

  • Cleaner inbound claims
  • Reduced administrative rework
  • Lower duplication and fraud risk

Capital Partners

  • Structured receivables intelligence
  • Risk-scored payment pipelines
  • Scalable, asset-light infrastructure
Our Position

Infrastructure, not intermediation.

Clodus operates exclusively in the infrastructure layer between claim submission and payment.

  • ✕ We do not replace payers.
  • ✕ We do not insure medical risk.
  • ✕ We do not hold public funds.
  • ✕ We do not lend to patients.
Our Focus

Administrative Intelligence

Multi-rule validation and claims integrity analysis.

Receivables Structuring

Risk-weighted pools and settlement tracking.

Payment Predictability

Converting uncertainty into measurable likelihood.

Liquidity Efficiency

Structured pathways without financial intermediation.

Get Started

Ready to unlock healthcare liquidity?

Explore how Clodus can reduce claims friction and improve payment predictability for your organization.

Request Early Access › Contact Sales ›