Smarter Health
- Company typePrivate
- Founded2020
- HeadquartersSingapore, Singapore
- Headcount11–50
- GTM typeB2B
- OfferingSoftware
Smarter Health firmographics
Firmographics- Name
- Smarter Health
- Legal name
- Smarter Health Pte. Ltd.
- Website
- https://smarterhealth.sg
- Company type
- Private
- Founded year
- 2020
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Ownership category
- akta.pro rank
Smarter Health industry classification
Industry- Product category
- Healthcare Data Exchange and Interoperability Software
- NAICS
- Software Publishers (5132), Software Publishers (513210), Computer Systems Design Services (541512)
- SIC
- Services-Computer Programming, Data Processing, Etc. (7370), Services-Prepackaged Software (7372), Services-Health Services (8000)
- akta.pro primary industry
- Care Navigation, Referral & Digital Front Door Platforms (HLALABAH)
- akta.pro secondary industries
- Patient Intake, Digital Registration & eForms (HLACAEAF), EHR Extensions, APIs, App Marketplaces & SMART-on-FHIR Apps (HLACAAAN), Data Aggregation, Interoperability & APIs for RPM (FHIR/IoMT Gateways) (HLACAFAO)
Keywords
Where Smarter Health is headquartered
LocationHeadquarters
- HQ city
- Singapore
- HQ country
- Singapore
- HQ region
- Asia
Offices1 record
Markets served
Smarter Health business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Technology or R&D, Personnel, Marketing or Sales, Operations, Infrastructure
Revenue model
- SaaS/Platform Subscription: B2B SaaS platform providing digital healthcare solutions to payors, providers, and specialists on subscription basis. Revenue derived from licensing the platform to insurers (payors), hospitals (providers), and specialist doctors.
- Transaction/Claims Processing Fees: Fees for claims adjudication, pre-authorisation processing, and claims submissions and payouts tracking.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Enterprise B2B pricing - custom quote-based |
Go-to-market motion3 records
Distribution channels4 records
Marketing channels4 records
Smarter Health product offering
Product offeringCore offering
Smarter Health provides an AI-backed multi-sided healthcare data exchange platform that connects payors (insurers and TPAs), providers (hospitals), and specialists on a single interoperable infrastructure. The platform digitises and automates pre-authorisation, claims adjudication, case management, patient concierge, admission, and queue optimisation workflows across Southeast Asia. It is sold to enterprise healthcare buyers as a SaaS solution, with embedded distribution through insurance apps such as Prudential's Pulse.
Product overview
Smarter Health operates as a unified multi-sided healthcare platform with modular solutions connecting payors (insurers), providers (hospitals), and specialists (doctors). The platform includes Patient Concierge for policyholder care journey management, Digital Pre-Authorisation for AI-powered claims assessment with embedded diagnostic codes, Case Management for clinical progress tracking and care pathway deviation monitoring, and Final Bill and Claims Adjudication for automating claims processing. Additional modules cover Patient Channel Management for specialist recommendations and appointment scheduling, Queue & Flow Optimisation System for patient flow management, Admission Digitisation for form processing, and Claims Submission tracking for payout management. The 'SIMPLIFY, STANDARDISE and SYSTEMISE' approach enables efficient healthcare delivery and payment across Southeast Asia.
Differentiator
Problem solved
Functional benefit
Products and services
- Digital Pre-Authorisation AI-backed digital pre-authorisation platform with smart forms embedding international diagnosis codes and localised procedure codes. Enables real-time benchmarking of length of stay, cost breakdowns, and other key data points; uses AI to assess appropriateness of care and costs and recommend cases for approval or rejection. Sold to insurers, TPAs, and hospitals.
- Final Bill and Claims Adjudication Automates exclusion and pre-existing conditions checks, deviation detection from pre-authorisation, and appropriateness-of-care review via the decision-support AI brain. Tracks all claims submissions and payouts to different providers, handles queries and supporting documents requested by claims assessors, and expedites claims adjudication and payouts. Sold to insurers and TPAs.
- Case Management Provides daily updates from providers and specialists on clinical progress and bill size throughout a patient's admission. Monitors care pathways and detects deviations from expected care workflows through audit functionalities. Sold to insurers, TPAs, and hospitals.
- Patient Concierge Guides policyholders through their care journey using specialist recommendation, appointment scheduling, and patient registration. Tracks population health metrics including demographic profiles, disease trends, claims amounts, and top hospitals, doctors, and specialties selected. Sold to insurers and TPAs.
- Patient Channel Management Self-service solution that allows patients to discover doctors and understand areas of specialty. Enables appointment scheduling and patient registration, while tracking source channel performance, demographic profiles, disease trends, and top doctors and specialties requested. Sold to hospitals and specialist practices.
- Queue & Flow Optimisation System Dynamic load-levelling solution that charts patient pathways and cues patients to service stations to minimise waiting times and enhance patient satisfaction. Provides an interface for management to track productivity and service turnaround times in key departments. Sold to hospitals.
- Admission Digitisation Digitises, consolidates, and processes both hospital admissions and pre-authorisation forms in a single interface. Enables management of claims submissions and payouts from different payors in one workflow, improving productivity for doctors and hospital staff. Sold to hospitals.
Companies that use Smarter Health
Customer profileNamed customers5 records
Segments3 records
Ideal customer profiles3 records
Smarter Health technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration1 record
AI capability5 records
Feature8 records
Smarter Health partnerships and signals
Strategic signalPartnerships
Four partnerships are on record, tiered core.
- FWD Hong KongcoreLaunched pioneering digital pre-authorisation platform in Hong Kong. Shortens pre-authorisation from several weeks to 1-4 working days. Enables simple, fast, paperless, and cashless claim settlement at CUHK Medical Centre. Partnership is fronted by FWD Group's health & technology division.
- Prudential Corporation AsiacorePartnership integrating Smarter Health services into Pulse by Prudential app. Users can access specialist doctor directory, health screening services, and book appointments online. Services available to employees of Prudential's corporate customers in Singapore and Philippines through Business@Pulse.
- Health CatalystcoreStrategic partnership to transform payor market in Southeast Asia. Health Catalyst's Data Operating System (DOS) and professional services integrate with Smarter Health's payor-provider solutions. Enables Smarter Health clients to assess appropriateness of care and cost using best-in-class healthcare data analytics.
- CUHK Medical CentrecoreNon-profit private teaching hospital wholly owned by Chinese University of Hong Kong. First Hong Kong hospital to implement Smarter Health's digital pre-authorisation platform in partnership with FWD Hong Kong. Aligns with their mission of offering quality healthcare at affordable, transparent package fees.
Scale indicators5 records
Recent moves8 records
Expansion highlights6 records
Smarter Health competitors and assessment
Company assessmentDirect peers
- Health Catalyst: US-listed healthcare data and analytics company whose Data Operating System is integrated with Smarter Health. Directly comparable on payor and provider analytics, benchmarking, and appropriateness-of-care decision support; their deeper US footprint makes them both partner and aspirational comparable.
- Innovaccer: Healthcare data activation platform serving payors, providers, and life sciences with unified patient records, analytics, and value-based care workflows. Closely comparable to Smarter Health's payor-provider interoperability and AI-driven decision support thesis.
- Qventus: AI-based hospital operations platform that automates patient flow, discharge, and capacity decisions. Overlaps directly with Smarter Health's Queue & Flow Optimisation and Case Management modules for hospitals.
- CXA Group: Singapore-headquartered health tech and insurtech platform connecting insurers, employers, and providers across Asia. Closest Southeast Asian analogue to Smarter Health's payor-provider-employee triangle and pre-authorisation automation.
- DocDoc: Singapore-based multi-sided healthcare platform matching patients with specialists and processing payor pre-authorisations across Southeast Asia. Direct competitor in Patient Concierge, specialist directory, and pre-authorisation workflows.
- HealthEdge: US payor technology vendor providing core administrative processing, care management, and analytics for health plans. Comparable architecture to Smarter Health's claims adjudication and case management stack at a more mature scale.
- Miya Precision (InterSystems): Healthcare interoperability and clinician workflow platform from InterSystems, deployed in hospitals globally. Comparable to Smarter Health's care pathway deviation detection and provider-side digital tooling.
Broad incumbents
- Optum (UnitedHealth Group): Vertically integrated healthcare data, analytics, and care management arm of UnitedHealth Group. A scaled global incumbent in the same payor-provider-data space where Smarter Health competes; represents the long-run benchmark and primary competitive threat as Optum expands in Asia.
- IQVIA: Global clinical and commercial healthcare data, analytics, and technology vendor serving life sciences and providers. Comparable on the analytics and benchmarking layers underlying Smarter Health's pre-authorisation and claims decisions.
Regional players
- Doctor Anywhere: Singapore-headquartered telehealth and integrated health services platform operating across Southeast Asia. Adjacent regional competitor with payor partnerships and provider connectivity, though anchored on teleconsultation rather than pre-authorisation automation.
Market position
Strengths5 records
Weaknesses3 records
Competitive moat6 records
Key risks3 records
Key highlights7 records
Customer concentration
Smarter Health social profiles
Digital presenceSmarter Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
Smarter Health leadership team
Management profileNumber of profiles
Profiles7 records
Smarter Health funding detail
Funding detailFunding overview
Funding rounds1 record
Investors7 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Smarter Health M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Smarter Health
What does Smarter Health do?
Smarter Health provides an AI-backed multi-sided healthcare data exchange platform that connects payors (insurers and TPAs), providers (hospitals), and specialists on a single interoperable infrastructure. The platform digitises and automates pre-authorisation, claims adjudication, case management, patient concierge, admission, and queue optimisation workflows across Southeast Asia. It is sold to enterprise healthcare buyers as a SaaS solution, with embedded distribution through insurance apps such as Prudential's Pulse.
Is Smarter Health a public or private company?
Smarter Health is a private company. It is classified as venture growth investor backed and is currently operating.
When was Smarter Health founded?
Smarter Health was founded in 2020. It employs 11 to 50 people.
Where is Smarter Health based?
Smarter Health is headquartered in Singapore, Singapore, in the Asia region.
How does Smarter Health make money?
Two revenue lines are on record. SaaS/Platform Subscription is the primary driver. The others are transaction/Claims Processing Fees.
Who are Smarter Health's main competitors?
Direct peers on record are Health Catalyst, Innovaccer, Qventus, CXA Group, DocDoc, HealthEdge and Miya Precision (InterSystems). Broad incumbents are Optum (UnitedHealth Group) and IQVIA. Doctor Anywhere is listed as a regional player.
Does Smarter Health have an API?
No public API is recorded for Smarter Health.
What industry is Smarter Health in?
Smarter Health's product category is Healthcare Data Exchange and Interoperability Software. Its primary akta.pro industry code is HLALABAH, Care Navigation, Referral & Digital Front Door Platforms, with a secondary code of HLACAEAF, Patient Intake, Digital Registration & eForms. Its NAICS code is 5132 and its SIC code is 7370.