On 30 May 2026 the National Health Authority announced that the Ayushman Bharat Digital Mission had crossed 90 crore ABHA accounts. Whatever you think of the pace or the plumbing, that number settles one argument: ABDM is no longer a pilot you can wait out. Nine hundred million health IDs exist, and a rising share of the people walking into your OPD are carrying one.
Which makes the pricing behaviour of the clinic software market genuinely odd. ABDM integration is routinely sold as an add-on module — an uplift of roughly 20–30% on the base licence, in the quotes doing the rounds — for the privilege of connecting to a free, government-run public registry. You are being charged a percentage to be plugged into infrastructure that was built with tax money and costs the vendor nothing per patient.
First, the three letters that keep getting confused
Half the confusion around ABDM is that three different registries get referred to interchangeably. They are not the same thing and they do different jobs:
- ABHA — Ayushman Bharat Health Account. The patient's health ID. It is what lets a patient's records follow them from your clinic to a hospital across town, with their consent.
- HFR — Health Facility Registry. Your clinic or hospital as an entity. This is the one you register, and it is what makes you discoverable and interoperable in the ecosystem.
- HPR — Healthcare Professionals Registry. Your doctors as individuals, with their verified qualifications and registration.
- Consent — the piece everyone forgets. Nothing moves without the patient's consent through the Health Information Exchange and Consent Manager. ABDM is not a data grab; it is a consent-mediated exchange, and your software has to honour that properly or not at all.
Registering on HFR and HPR is not a heavy lift. Linking ABHA at the front desk is a small workflow change. Neither is the kind of engineering that justifies a permanent percentage on your licence fee.
An honest word about the EMR-first products
Practo, HealthPlix and Eka.care are good at the thing they set out to be good at: the consultation. Practo has genuine reach and a discovery engine no one else has. HealthPlix built a fast prescription flow that doctors actually use, which is harder than it sounds. Eka.care is doing thoughtful work on ABHA and on the patient's own record. If your problem is "my consultation notes are on paper and my prescriptions are illegible", these are real answers.
But look at where they all begin. They begin at the doctor's screen. The consult is the centre of the product, and everything else — billing, pharmacy stock, the insurance claim, the ward — is either a bolt-on or somebody else's problem.
That is precisely inverted from where a small clinic or nursing home actually loses money.
Nobody's clinic went under because the prescriptions were untidy. They go under because the pharmacy stock, the TPA claim and the OPD cash never reconciled.
The back office nobody's EMR wants
Sit in the accounts room of a twenty-bed nursing home for a day and you will see the real system, and it is not the EMR. It is a pharmacy that dispenses against a chit, an IPD bill assembled at discharge from three registers, a TPA pre-authorisation chased on WhatsApp, a set of procedure charges that depend on which consultant did them, and a cash drawer that is reconciled by memory.
Every one of those is a leak, and every one of them is invisible to a product that stops at the prescription.
What we built, and how we price it
BizRevolt's clinic and hospital workspace starts from the back office, because that is the part nobody else wanted. OPD and IPD billing that agree with each other. Pharmacy and inventory that reconcile against what was actually dispensed. Insurance and TPA tracked from pre-authorisation through to settlement, so you know which claims are ageing and by how much. Ward and bed occupancy on a board rather than in someone's head. An audit trail underneath all of it.
ABDM — ABHA linking, HFR, HPR, consent-mediated exchange — is included. Not an add-on, not a percentage, not a module. It is public infrastructure, and charging a permanent uplift to connect to it is, to my mind, indefensible. So we don't.
₹799 per doctor per month, ₹1,399 per doctor for the fuller tier, and ₹150 per bed for inpatient. Published, no implementation fee, no annual lock-in.
We will not out-EMR the EMR companies and we are not going to claim we can. Several clinics run us alongside a consult tool they already like, and that is a perfectly sensible arrangement. If that is your setup and something doesn't fit, tell me — my number is +91 91 0657 4865, on the phone or on WhatsApp, and you'll usually hear back within about fifteen minutes.