Vidal Health Solutions Suite

Technology Solutions
for Payers.

A connected portfolio of 12 purpose-built products spanning every dimension of insurance operations — pricing, policy administration, claims, fraud detection, network management and member experience. One data layer. Built for Payers.

Trusted by leading Payers like Insurers, TPAs, Government enterprises, across the globe

12 products · one connected platform
Product Pricing
Sales & Growth
Process Claims
Detect Fraud & Risk
Manage the Network
Customer Experience
150M+Lives Covered
12Products
10M+Claims / Year
150M+
Lives Covered
12
Products
10M+
Claims / Year
99.9%
Uptime SLA
20+
Years Domain
Insurance Lifecycle

The complete Payer lifecycle, explored.

01 · Product Pricing
Price every risk correctly. Win profitable business.

Actuarial models and risk-based underwriting rules that generate accurate quotes — for individuals, groups and government schemes — in seconds, not days.

PriceIQActuarial & Underwriting

Data-driven actuarial modelling and risk-based underwriting rules that replace spreadsheets with a systematic pricing engine — accurate for individual plans, large groups and government schemes.

Actuarial model builderGroup & individual ratingReal-time quote engine
10× · Faster Quotes
Explore
Risk profiles flow into Sales
02 · Sales & Growth
Close faster. Build a distribution engine that scales.

Unified CRM, broker management and real-time commission tracking — from first lead to bound policy, with full pipeline visibility.

Sales PlatformCRM & Distribution

A purpose-built CRM for health insurance distribution — managing leads, brokers, corporate accounts and agent commissions in one system with live pipeline visibility.

Flexible product creation for Broker and AgentsHierarchy wise underwriting approval to sales teamCorporate account pipeline
· Conversion Rate
Policy data flows into Operations
03 · Process Claims
The engine behind claims — from submission to settlement.

VINGS is the core platform orchestrating the entire claims lifecycle — automated pre-auth, AI adjudication, document intelligence and workflow orchestration at scale.

VINGS PlatformCore Claims Engine

The unified claims administration and workflow orchestration platform — automated pre-auth, AI adjudication, appeals management and payment processing at scale.

85% · Auto-adjudication
Explore
Pharmacy BenefitsPharmacy

Formulary management, drug utilisation review and prior-auth automation integrated directly into the claims rail to reduce pharmacy spend.

25% · Cost Reduction
Every claim screened for fraud
04 · Detect Fraud & Risk
Stop Fraud & Abuse, before claims payout.

Clinical AI and 10,000+ fraud indicators screen every claim pre-payment — catching waste, abuse and phantom billing in real time.

ClaimShield AIRisk Intelligence

Cognitive AI with 10,000+ clinical fraud indicators detecting anomalous billing patterns before any payment is released.

94% · Detection Rate
Explore
ENIGMADocument AI

Extracts and validates structured data from any document format, feeding verified intelligence directly into fraud detection and compliance workflows.

92% · Auto-extraction
Explore
Clean claims matched to network
05 · Manage the Network
Build the provider ecosystem your members count on.

End-to-end network operations — credentialing, contract management, cashless eligibility and global care coordination across 1.5L+ partners.

India NetworkGlobal Care Access

12,500+ cashless hospitals with end-to-end care coordination, cross-border claim processing and international member support.

Up to 30% · Cost Advantage
Explore
Network ModuleNetwork Operations

Manage your Network through a scalable platform including Tariff flexibility, provider audit, and dynamic network segmentation.

Scalable · Network Management
Network data enriches member experience
06 · Customer Experience
Turn every member touchpoint into a seamless experience.

White-label apps, wellness tools and AI-powered service automation that resolve queries, process endorsements and drive member retention — automatically.

Mobile AppWhite-Label App

Full white-label iOS and Android app — digital claims, cashless eligibility, policy access and wellness in one place under your brand.

4.8★ · App Rating
WellSureWellness Platform

Platform to engage your customers with Wellness programs, Activity based challenges and long term member outcomes.

Up to 60% · Engagement Rate
Explore
Service AutomationAI Customer Service

AI powered Voice and Non Voice customer service automation — resolving member queries, endorsements and complaints without manual intervention.

60% · Resolution Rate
Platform Integration

One ecosystem. Zero silos.

Every Vidal Health product shares a unified data layer. Risk profiles built in pricing feed claims adjudication. Fraud signals from ENIGMA block payments in real time. Network eligibility powers the mobile app. No integration project required — it is built in.

Product Pricing
Sales & Growth
Process Claims
Detect Fraud & Risk
Manage the Network
Customer Experience

Unified Claims Rail

Pricing risk data flows into claims adjudication automatically — no re-keying, no data loss between stages.

Real-time Fraud Signals

ENIGMA document intelligence feeds fraud models that screen every claim before any payment is released.

Single Member Identity

One member record across policy, claims, network and mobile app — every product stays in sync automatically.

Intelligence Reuse

Actuarial models built in pricing are reused in claims scoring and fraud detection — no duplicate effort.

Start your transformation

Not sure where to start?

Our solutions team will map your biggest pain points to the right products — and build a business case you can take to leadership.