What Mazecare does

Mazecare is a private Hong Kong-headquartered health technology company founded in 2020 by Ambroise Couissin that builds an AI-native healthcare operating system connecting patients, providers, and payers across Asia. The platform unifies clinical care, operations, billing, insurance, and patient engagement on a single system, with both modular standalone AI capabilities (clinical assistant, billing, scheduling, telehealth, pharmacy, triage, workflow builder, patient engagement) and full operating system replacements for clinics, hospitals, insurers, and third-party administrators. Its technical architecture is open-API with HL7 FHIR interoperability, model-agnostic across OpenAI, Google Gemini, Anthropic, DeepSeek, and locally hosted models, and natively integrated with Asian regulatory infrastructure including Hong Kong's eHRSS, Singapore's NEHR, and compliance frameworks such as PDPO, PDPA, HIPAA, ISO 27001, GDPR, and SOC 2. The company claims to be the only clinic and hospital OS with real-time claims adjudication embedded directly in the clinical workflow, supported by multilingual ambient clinical NLP (Cantonese, Mandarin, English, Thai, Bahasa) and structured auto-coding across ICD-10/11, CPT, HCPCS, SNOMED CT, and LOINC.

The product surface spans four purpose-built core operating systems (Clinic Management, Hospital Management, Payer & Insurance Platform, TPA Platform) and 13 AI modules addressing clinical documentation, patient engagement, telehealth, scheduling, revenue cycle, claims and pre-authorization, pharmacy and inventory, triage and queueing, and no-code workflow design. The platform supports deployment in days for standalone modules and 4–12 weeks for full OS replacement, with API integration to existing EHR/PMS/HIS systems in 2–4 weeks to lower switching friction.

Mazecare generates revenue primarily through subscription-based SaaS contracts (monthly billing for standalone modules, annual billing for full OS, multi-year contracts for enterprise insurer and TPA pilots), supplemented by implementation and professional services for data migration, configuration, training, and change management delivered by local teams in Hong Kong, Singapore, and Southeast Asia. The company employs a hybrid go-to-market combining enterprise field sales with segment-specific motions for providers, hospitals, payers, and TPAs, alongside a product-led and API-first distribution strategy that enables land-and-expand adoption. Reported operational footprint includes 50+ active clinic deployments across Hong Kong, Singapore, and Indonesia, and a team of 15+ professional engineers and healthcare professionals. Revenue figures, funding history, and ownership structure beyond the founder are not publicly disclosed.

Name

Mazecare

Legal name

Mazecare

Website

https://mazecare.com

Company type

Private

Founded year

2020

Operating status

Operating

Headcount range

11–50 employees

Short description

Mazecare is an AI-native healthcare operating system connecting patients, providers, and payers across Asia. It offers modular AI tools and full OS replacements for clinics, hospitals, insurers, and TPAs, with native regulatory compliance and real-time claims adjudication.

Ownership category

akta.pro rank

Product category

Healthcare Operating System

NAICS

Computer Systems Design and Related Services (54151)

SIC

Services-Prepackaged Software (7372)

akta.pro primary industry

EHR Extensions, APIs, App Marketplaces & SMART-on-FHIR Apps (HLACAAAN)

akta.pro secondary industry

AI Triage & Clinical Decision Support (CDS) Platforms (HLALAJAD)

Keywords

• Healthcare operating system
• AI clinical documentation
• Medical billing software
• Real-time claims adjudication
• Health insurance platform

Headquarters

HQ city

Singapore

HQ country

Singapore

HQ region

Asia

Offices2 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure

Revenue model

1. SaaS Platform Subscription: Subscription-based SaaS model for AI-native healthcare operating system and standalone AI modules. Organizations can start with standalone modules and scale to full OS. Pricing based on organization size, module count, and deployment scope.
2. Implementation & Professional Services: White-glove implementation services including data migration from legacy systems, core configuration, on-site training, and change management. Delivered by local teams in Hong Kong, Singapore, and Southeast Asia.
3. AI Module Licensing: Standalone AI modules available for integration with existing EHR/PMS systems via open API. Each module delivers independent ROI while connecting to full OS when organizations scale.

Pricing tiers

Go-to-market motion3 records

Distribution channels2 records

Marketing channels6 records

Core offering

Mazecare sells an AI-native healthcare operating system that unifies clinical care, operations, billing, insurance, and patient engagement on a single platform for clinics, hospitals, insurers, and third-party administrators. The product is delivered as four purpose-built core systems (Clinic OS, Hospital OS, Payer OS, TPA OS) plus 13 standalone AI modules that can be adopted independently via open API and scaled into the full operating system over time. The platform is built specifically for Asian markets with native payer connectivity, government health record integration, and multilingual clinical AI.

Product overview

Mazecare offers a modular AI-native healthcare operating system architecture consisting of four purpose-built core operating systems (Clinic Management System, Hospital Management System, Payor & Insurance Platform, TPA Platform) complemented by 13 AI-powered standalone modules. The platform follows a plug-and-play architecture where standalone AI modules can integrate with existing systems via open API or be adopted as part of the complete unified operating system. Core systems serve specific organization types (clinics/hospitals/insurers/TPAs) while AI modules cover clinical assistance, patient engagement, telehealth, scheduling, billing, claims processing, pharmacy, triage, and workflow automation. The platform is built for Asia with native payer connectivity, government health bridge integration (eHRSS, NEHR), and multilingual support.

Differentiator

Problem solved

Functional benefit

Products and services

• Clinic Management System AI-native clinic operating system with end-to-end practice management including intelligent scheduling, AI-assisted clinical documentation, automated billing, patient engagement, pharmacy management, and real-time payer connectivity for clinics in Hong Kong, Singapore, and Southeast Asia.
• Hospital Management System Enterprise-grade hospital operating system with AI across admissions, clinical workflows, pharmacy, lab, radiology, supply chain, and unified revenue cycle management for private hospitals and health systems in Asia.
• Payor & Insurance Platform AI-powered payer platform with real-time claims adjudication, FWA prevention, AI plan digitization, provider network management, and member experience for health insurance companies in Hong Kong, Singapore, and Southeast Asia.
• TPA Platform AI-powered third-party administrator platform with multi-insurer plan hosting, AI plan digitization, real-time benefit tracking, proactive FWA prevention, and provider network management for TPAs in Asia.
• AI Clinical Assistant & EHR Ambient AI scribe that listens during consultations, auto-generates structured SOAP notes, surfaces diagnostic predictions, checks drug interactions, and auto-codes to ICD-10/11, CPT, and SNOMED CT. Integrates via API with any EHR or runs natively on the Mazecare OS.
• AI Patient Engagement AI-driven patient communication engine with automated appointment reminders, post-visit care instructions, health screening nudges, satisfaction surveys, and churn prediction with re-engagement workflows across WhatsApp, SMS, email, and patient portal.
• AI Telehealth & Remote Care Integrated video consultation platform with AI-powered pre-visit symptom collection, real-time clinical note generation, automated post-visit summaries, AI care routing between virtual and in-person visits, and remote monitoring integration.
• AI Booking & Front Office AI receptionist handling appointment scheduling, rescheduling, cancellations, waitlist management, and digital intake across web, WhatsApp, and voice with 24/7 availability, multilingual support, and no-show prediction.
• AI Medical Billing & Revenue Cycle AI revenue manager that auto-generates itemized bills from clinical encounters, detects split-billing errors, flags under-coding and revenue leakage, and learns from denial patterns to optimize billing cycles.
• AI Claims, Eligibility & Pre-Authorization AI coding agent that auto-codes encounters to ICD-10/11, SNOMED CT, CPT, HCPCS, validates claims against payer rules, verifies eligibility in real-time, and submits electronic pre-authorization with a 95%+ first-pass clean claim rate target.
• AI Pharmacy & Inventory AI-automated dispensing and clinical stock tracking with auto-dispense recommendations, real-time inventory with expiry alerts, demand forecasting for reordering, drug interaction safety checks, and controlled substance audit trails.
• AI Patient Flow, Triage & Queues AI triage agent for clinical assessment with acuity scoring (ESI, CTAS, MTS), smart routing, virtual queue management with real-time ETAs, dynamic load balancing across providers, and escalation alerts for deteriorating waiting patients.
• AI No-Code Workflow Builder Visual drag-and-drop workflow builder for designing, deploying, and tracking clinical and operational pathways without code, automating multi-station health check-ups, chronic care programs, and care pathway orchestration.
• AI Fraud, Waste & Abuse Prevention (Payers) Proactive FWA prevention module for payers with AI clinical coding validation, smart rule enforcement, live provider profiling, upcoding detection, unbundling detection, and formulary breach detection at point of care.
• AI Plan & Policy Digitizer AI-powered policy document digitization that converts complex PDF policies into executable rules in minutes, handling nested sub-limits, co-pay formulas, family deductibles, annual caps, waiting periods, and geographic restrictions.
• AI Real-Time Claims Adjudication Real-time claims adjudication engine for payers that processes claims against policy rules, benefit limits, and coverage logic instantly at the point of care, with 85% auto-adjudication rate and zero human intervention.
• AI Provider Network Management AI-powered provider network management with panel tiering, real-time provider performance profiling, network optimization analytics, and AI-driven network intelligence for health insurers.

Quantifiable outcome

• 40% reduction in administrative burden
• +9 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

AI capability19 records

Feature7 records

Partnerships

Four partnerships are on record, tiered core.

• Major Private Insurers in Hong KongcoreTechnology or IntegrationNative payer connectivity partnerships with major private insurers and corporate medical schemes in Hong Kong. Enables real-time eligibility verification, pre-authorization, and claims adjudication directly within the clinic and hospital workflow.
• Major Insurers in SingaporecoreTechnology or IntegrationDirect integration with Singapore's insurance ecosystem supporting MediSave, MediShield Life, Integrated Shield Plans, and corporate panel billing. Real-time eligibility checks and claims adjudication within clinical workflow.
• eHRSS (Electronic Health Record Sharing System)coreTechnology or IntegrationGovernment-mandated digital health bridge integration in Hong Kong. Platform connects seamlessly to eHRSS for compliant data exchange, meeting government digital health mandates without custom integrations.
• NEHR (National Electronic Health Record)coreTechnology or IntegrationGovernment-mandated digital health bridge integration in Singapore. Platform connects to NEHR using HL7 FHIR interoperability standards for compliant data exchange, meeting Singapore's digital health record sharing requirements.

Scale indicators14 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Doctor Anywhere: Singapore-headquartered digital health platform combining telemedicine, in-person clinics, and insurance/payer integration across Southeast Asia. Most directly comparable Asian peer building a provider-plus-payer stack with enterprise health plan and corporate customers.
• Halodoc: Indonesian digital health super-app offering teleconsultations, pharmacy delivery, and clinic/hospital partnerships. Overlaps with Mazecare's Indonesia footprint and Southeast Asia multi-payer primary care focus.
• Alodokter: Indonesia's largest digital health platform providing teleconsultation, content, and clinic network services. Comparable in serving multi-payer private clinics and corporate/insurance channels across Southeast Asia.

Regional players

• WeDoctor: China-headquartered integrated healthcare platform combining online consultations, offline clinic/hospital network, and insurance partnerships. Comparable Asian full-stack healthcare OS with payer-provider integration, though focused on mainland China rather than SEA.
• Ping An Healthcare and Technology: Hong Kong-listed subsidiary of Ping An Group that runs an integrated online-plus-offline healthcare platform with deep insurance (Ping An) integration. Comparable as a payer-aligned provider OS, though serving China rather than SEA.

Emerging players

• Practo: India-originated SaaS platform providing clinic management, telemedicine, and practice software to private practitioners, with SEA expansion. Comparable product surface (clinic OS plus patient engagement) though India-centric and without payer-native architecture.
• Suki AI: US AI clinical assistant and ambient scribe for physicians, with EHR integrations. Comparable in the AI Clinical Assistant & EHR module layer of Mazecare's offering, though Suki is point-solution vs. Mazecare's full OS-plus-modules approach.

Broad incumbents

• Epic Systems: US-headquartered market-leading EHR vendor serving large hospital systems globally. Indirect competitor in the broader hospital OS market; Mazecare positions against Epic on speed of deployment and Asia-native payer integration.
• Oracle Health (formerly Cerner): Oracle-owned global EHR and enterprise hospital IT vendor. Overlaps with Mazecare's Hospital Management System ambitions and represents the type of incumbent Mazecare competes with for large hospital group deals in Asia.
• athenahealth: US cloud-based EHR and practice management platform for ambulatory providers. Comparable modular/AI-augmented clinic OS positioning, though serving US private practices rather than Asia.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• GitHubgithub.com/mazecare
• LinkedInlinkedin.com/company/mazecare

Compliance6 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Mazecare