Turn every claim into clean revenue.

Lamu checks every claim as care happens and fixes issues before the patient leaves — so claims go out clean and are paid in full, first time, fast.

VISIT #48211 · A. WANJIRU
Outpatient · Corporate scheme B
LIVE VISIT
  • Consultation — Dr. Achieng · A09KES 3,500
  • CT scan — abdomenKES 12,800
  • Rx — Amoxicillin 500mgKES 2,150
  • Invoice draftKES 3,500
  • Member eligibleverified
  • Balance covers visitKES 84,000
  • CT scan — pre-authrequested…
  • CT added to bill+ 12,800
  • Rx — no pre-auth neededadded · + 2,150
  • Amounts within tariffsall items ✓
  • Stamp & signaturesdoctor + patient
  • Claim formcomplete & valid
Live visitCheckedCleanSentSettled

Dirty claims cost 10–15% of a hospital's insured revenue.

+60–120 dayslonger to get paid when claims bounce back
5–10%rejected outright, rarely recovered
90%reworked before submission
30–40%reworked again after submission to the payer
Your HMIS was built for care. Not for claims.
  • 01Many teams touch the claim. None sees it whole. Charges silently drop off the bill.
  • 02Stamps, signatures and forms live on paper. No system can see them. Claims leave incomplete.
  • 03Eligibility and approvals sit outside the HMIS. When those rails stall, service slows. The claim breaks.
  • 04Reviewed days later. Member gone. Error locked in.
Payers are applying more rules, autonomously, with less tolerance for incomplete claims.

Thousands of rule combinations. Changed by email. Mid-month.

EligibilityLimitsExclusionsWaitingCo-payPre-authTariffsCodingDocs

Payer-grade validation before submission.

Late audit becomes live control.

Only exceptions reach a person — with the reason and the fix.

In 30 days
  • 70%fewer rejected claims
  • 83%less manual rework
  • +2%patient throughput
As it learns your hospital
  • 98%clean-claim rate
  • +5%patient throughput
  • −50%processing cost per claim
The platform pays for itself.
82%+of recovered revenue stays with the hospital
KES 0upfront cost
The product · Lamu

Real-time claims assurance for finance and credit control.

Lamu validates every claim live, as the patient moves through the hospital. Finance gets visibility and control while care is delivered.

Every payer rule, live

Contracts, tariffs, policy updates — ingested the moment they land.

Physical documents go live

Stamps, signatures and paper forms are captured, validated and corrected inside the live claim — where digital-only AI stops, Lamu keeps going.

Eligibility in seconds

Verified at the front desk, via data exchange partners.

Checks as care happens

Every rule, every service, in milliseconds — during the visit.

Flags with the fix

The issue, the owner, the next action. One prompt.

Finds missed revenue

Missed diagnoses, procedure detail, coding and documentation gaps — validated against clinical evidence and payer rules before submission.

Clinical teams won't notice it — except everything moves faster.

The HMIS stays. Clinicians work exactly as today. A prompt takes seconds — and deletes the recalls, rework and disputes that take weeks. Lamu doesn't slow operations. It speeds them up.

Why it's accurate

Built on your own data

Anchored to your contracts, tariffs and payer rules — so outcomes are deterministic. Same claim, same answer, every time.

Learns from your clinicians

Models learn from feedback across clinical and administrative workflows — accuracy that matches real clinical practice.

For your technology team

No rip-and-replace.

Read APIs beside your HMIS. The claim object is built as service happens. Your systems stay untouched.

Data in

Data exchange partners — eligibility & verification
Payer rails — ICD-10 · ICD-11
Biometrics · OTP
HMIS + LamuUnchanged · read APIs
Claims validated live

Payers back

Direct claim APIs
Policy & scheme updates
Pre-auth decisions
Remittances · statuses
Encrypted end to endStandards-based security, throughout
ISO 27001 · SOC 2 Type IIIndependently audited controls
GDPR-alignedAdapts to regional data-protection law
Human-in-the-loopYour team decides. Full audit trail.

Live in 3 weeks.

Week 1
Week 2
Week 3
Integrate + discovery
Configure + UAT
Go live on real claims

Clean claims become cash.

Once a claim is clean and approved, we finance it. Cash in days.

Ask about financing

See it on your claims.

Your data. Your payers.

hello@ginja.ai