Zealthix: Provider of digital health infrastructure enabling interoperable, cashless OPD healthcare across India.

We are excited to announce our investment in Zealthix, a provider of digital health infrastructure enabling interoperable, cashless OPD healthcare across India.

Company Overview

Zealthix is a health-tech SaaS platform headquartered in Gurgaon, designed to digitize and standardize outpatient department (OPD) services for insurers, corporates, and healthcare providers. Founded by industry veterans with experience at BeatO and BookMyCab, the company addresses fundamental gaps in India’s $45-billion OPD market—fragmentation, poor digital infrastructure, and high out-of-pocket expenses. Through its cloud-based middleware, Zealthix empowers payers to configure customized OPD plans (wallets, copays, credits, family floaters) with seamless, real-time integration into clinics, labs, EHRs, and national health data standards such as ABDM and ONDC. The platform's AI-powered analytics enable better underwriting, reduce fraud, and ensure rapid fulfillment and claims processing.

The Digital Health Infrastructure Sector: Momentum and Need

India's OPD sector—65% of the national healthcare spend—remains largely uninsured and paper-driven, with 400 crore consultations and 150 crore diagnostic tests annually. 90% of OPD expenses are still paid out-of-pocket, limiting access and stalling preventive care. Policy-driven digitization through ABDM and ONDC, demand for flexible OPD insurance by corporations, and chronic disease prevalence are converging to drive sectoral transformation. Zealthix is positioned as a critical enabler, bringing insurers, doctors, pharmacies, and diagnostics onto a single standard, and translating policy into scalable, real-world healthcare delivery.

Significant Traction Across Payers and Providers

Zealthix has built a national network covering 17,500 doctors, 2,000 labs, and over 5,000 pin codes. The company is rapidly onboarding insurers, brokers, corporates, and launching B2C OPD plans aimed at India’s growing middle class and chronic care segment. By providing direct API integration, Zealthix allows payers to launch, enforce, and seamlessly fulfill cashless OPD benefits, while also enabling small and mid-size providers to achieve digital compliance and capture new revenue sources. Key pilots with SUD Life, HDFC Ergo, and ICICI Lombard have helped establish category leadership and demonstrate operational scalability.

Key Growth Drivers

Frictionless Experience:

The Zealthix platform ensures end-to-end digital journeys—plan design, discovery, booking, billing, and claims—without compromising user experience for patients, providers, or payers. Flexibility in configuring plan limits, copays, frequency controls, and SKUs empowers insurers to create consumer-centric products without the administrative burden.

Compliant and Future-Proof:

Deep integration with ABDM, ONDC, and the Digital Personal Data Protection (DPDP) Act keeps all stakeholders aligned to regulatory standards, while advanced encryption and strict access controls address growing data security needs.

AI-Driven Automation:

The middleware automates data standardization, billing reconciliation, clinical analytics (ICD-11, LOINC), and fraud detection, unlocking operational savings and trust across the value chain. Smart underwriting tools improve insurer profitability and enhance preventive care management.

Scalable SaaS Economics:

Zealthix's B2B2C subscription, fulfillment, and value-added service revenues, coupled with its “plug and play” onboarding, de-risk scaling and deliver recurring, asset-light growth as healthcare digitization accelerates.

Welcome to Unicorn India's Portfolio, Zealthix

By laying the healthcare sector’s digital rails, Zealthix is positioned to become the backbone of India’s next wave in health insurance and OPD care—a catalyst for interoperable, accessible, and reliable outpatient services nationwide