Revenue Watch
DailyFinds money already earned but not billed.
Reports to: CFO
AI-native Hospital Operating System
Run your hospital with a digital workforce, not more software.
Ospia puts AI agents to work across admissions, billing, claims, pharmacy and inventory — working alongside your team, under your rules, on one record. You decide how much each one is allowed to do, and you can see exactly why it did it.
- Protect revenue — billing leakage and claim rejections caught before they cost you
- Move patients faster — admission and discharge stop waiting on paperwork
- Change without change requests — most requirements configured in hours, not quoted in weeks
- Never replace your core platform again — the system grows into new needs itself
45 minutes · your hospital configured · no patient data · no obligation
Illustration: Ospia's digital workforce. AI agents each carry a defined responsibility, a business impact, a schedule, and a named human they report to. Autonomy is a setting per task that the hospital configures.
Watch · 2 min 24 s
See a hospital run on Ospia
Trident is a simulated hospital running entirely on Ospia HOS. Watch a charge raise itself on the morning round, a held bed free itself by nine, and the ledger that shows exactly why — then decide whether you want to see it on your own numbers.
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Don't watch another HMS demo.
Revenue leakage watched continuously
Unbilled activity and ageing invoices chased during the month, not found at audit.
Claims checked before submission
Documentation and coding gaps flagged while they can still be fixed.
Discharge blockers surfaced automatically
Each blocker handed to the queue that clears it, before the bed goes cold.
Every AI action explainable and reversible
Why, evidence, confidence, alternatives — reconstructable months later.
§01 Where we are today
Ospia HOS is already running hospitals
We are not going to pad that out with borrowed logos, rounded-up numbers or testimonials nobody gave us. Hospitals appear here by name as each one agrees, with the methodology stated. Everything on this page, we can demonstrate on a call this week.
§02 What you actually buy
What changes when your hospital runs on Ospia
Three outcomes, with the mechanism named — so your team can check whether we can really do it.
Revenue
Stop losing money you already earned
Billing leakage, missed charges, stalled preauthorizations and aging invoices are watched continuously and escalated while they can still be recovered. Claim risk is surfaced before submission rather than discovered at remittance.
So what? Revenue gets protected during the month, instead of investigated after it.
Flow
Less waiting, in every queue
Admission, discharge, pharmacy and billing stop being serial paperwork. Charges assemble through the stay, discharge blockers are routed to whoever clears them, and bed pressure is seen before it becomes a refusal.
So what? Shorter stays, faster bed turnaround, and patients who felt looked after.
Workforce
Capacity you can add without hiring
Twenty-one digital employees with defined responsibilities, permissions and escalation rules — governed exactly the way you would govern a new hire, and never allowed past the autonomy level you set.
So what? Night shifts, festival rushes and month-end stop depending on who is on duty.
§03 The AI workforce
Six of your digital employees
Each has a job description, permissions, a schedule, escalation rules, an audit trail and a named human it reports to. The badge is how often it looks — not how much it is trusted to do. Autonomy is a separate setting you hold, per task.
Insurance Watch
Every 6hStops avoidable claim rejections before submission.
Reports to: CFO
Discharge Agent
Every 4hClears the blockers holding a bed.
Reports to: Chief Medical Officer
Front Office
Every 4hRemoves admission and registration delays.
Reports to: COO
Inventory Watch
Every 4hPrevents stockouts and expiry write-offs.
Reports to: COO
Chief Executive Digest
DailyTells leadership what is happening today.
Reports to: CEO
Meet all twenty-one digital employees → — with the autonomy ladder, the governance model and what each one escalates.
On duty
21
all healthy
Actions today
248
+34 vs avg
Awaiting approval
7
2 over SLA
Auto-executed
91
within policy
Revenue Watch — reconciling 34 admissions
L4 · autonomous
Insurance Watch — 12 preauths chased, 3 escalated
L3 · approval
Inventory Watch — 4 reorder levels revised
L4 · autonomous
Discharge Agent — 2 blockers escalated, 1 bed lined up
L2 · recommends
Diagnostics Watch — 1 TAT breach surfaced
L2 · recommends
Interface preview. Ospia's clinical core is live in hospitals today — see the phase plan for what each phase shipped.
One console, whole workforce
You can see what every agent did, and why
Each agent reports what it handled, what it escalated and what is waiting on a human — with its autonomy level visible on every row. Nothing runs in the background that you cannot inspect, pause or roll back.
Open any row and you get the full reasoning: the recommendation, the evidence, the confidence, the alternatives considered and the policy it applied.
§04 A patient journey in 90 seconds
Where the hours and the money actually go
One admission, end to end, as it runs in most hospitals today and as it runs on Ospia.
Admission
TodayRegistration, insurance check, bed hunt and deposit handled at three counters, each waiting on the one before.
On OspiaOne task. Eligibility, bed allocation policy and deposit rules resolve together; the ward knows before the patient arrives.
Clinical
TodayContext lives across tabs, and the doctor reassembles it from memory at every visit.
On OspiaOpening a patient assembles the relevant history, prior medications and comparable cases automatically — and every clinical event publishes a fact the rest of the hospital can hear.
Pharmacy
TodayExpiry write-offs and stockouts discovered at the counter, by the patient standing at it.
On OspiaDispensing patterns drive replenishment; short-dated stock surfaces early enough to be used, and every issue reaches the bill as it happens.
Billing & claims
TodayConsumables and procedures get delivered but never charged. Rejections arrive weeks later for reasons that were visible at submission.
On OspiaWhat was delivered and what was charged are reconciled continuously. Documentation and coding gaps are flagged before submission; Insurance Watch chases what is stalled without being asked.
Discharge
TodayThe bill waits on the summary, the summary waits on the consultant, and the bed stays blocked all afternoon.
On OspiaCharges are already assembled; the summary is drafted for sign-off. Discharge stops being a queue and becomes an approval.
§05 How Ospia compares
How Ospia differs from an HMS
Written to help you evaluate, not to attack anyone. Every category contains good products — the question is which set of trade-offs you want to live with for the next decade.
When you…
Conventional HMS platforms
Ospia
Change a business rule
Change request, quotation, release cycle — your hospital gradually becomes a custom build.
Configuration you version and roll back. Most requirements in hours.
Question an AI suggestion
"The model suggested it." No evidence, no confidence, no alternatives.
Why, evidence, confidence, alternatives, policy refs, expected outcome — every time.
Control how far AI goes
Whatever the vendor shipped, on or off, decided by them.
Every task set L0–L4 by you, changed by an audited decision.
Plan for ten years out
Another migration, another vendor, another two years of disruption.
The system identifies new needs and extends itself. No second replacement.
If you are comparing us against a specific vendor, ask us — we will give you an honest, sourced assessment, including where the other product is genuinely stronger. See the comparisons →
§06 Implementation & migration
The fortnight around cutover is our engineering problem
Historical data moves with checksum verification at every stage. Both systems then process the same days, reconciled every morning until the delta is consistently zero — and until your finance and clinical leads have signed, the legacy system stays live and authoritative. Rollback is a first-class part of the plan, not an emergency measure. We will say plainly when a hospital is not ready, including when that is inconvenient for us.
§07 Security & compliance
Statute in the data model, not in the brochure
Indian regulation is not a localization layer here. It is configuration and rules the platform enforces at the moment of writing — and that the agents watch continuously.
ABDM · ABHA supported
FHIR R4 supported
HL7 v2 supported
DICOM / PACS supported
DPDP Act 2023 by design
NABH evidence by design
NMC rules enforced
GST · e-Invoice native
HIPAA readiness
ISO 27001 roadmap
Security architecture
Isolation you can verify
One physical database per hospital, row-level security, field-level encryption on personal data, and a hash-chained audit log that fails verification if anyone edits history.
Data ownership
Yours, and portable
Self-hosted or managed cloud, your choice. Everything exportable, an open FHIR R4 API, and the full event history belongs to you. Leaving should be as open as arriving.
Auditability
Every AI action reconstructable
Permanent event history, so you can replay any day as of any moment. Every recommendation carries why, the evidence, the confidence, the alternatives considered and the policy it applied.
Clinical input
Built with practising clinicians
Workflows are reviewed with the doctors, nurses and administrators who have to live in them. We are expanding our clinical advisory panel — if you would like a seat on it, tell us.
§09 Next step
Don't take our word for it. Put Ospia to work on your hospital.
Tell us your bed count, specialties and current HMS. We'll configure a synthetic version of your hospital and demonstrate Ospia against the workflows and problems your team deals with every day.
Book my live demonstration
Try the leakage calculator first
45 minutes · no patient data · no obligation
bring your CFO, COO and CIO