Industries
AI-led internal audit and controls testing for healthcare and pharma
IRA, IRAME's AI auditor, tests billing, spend and data access controls on every record for hospitals and pharma. Each exception goes to an owner.
IRAME tests each of these on every transaction. Here is what a failure looks like.
Patient billing
Payer claims
Payments to physicians
Samples and free goods
Expiry returns
Drug and supply purchasing
Access to patient data
What each failure looks like
- Patient billing
- A patient is billed above the rate agreed with the payer.
- Payer claims
- A payer short-pays a claim and nobody follows up the gap.
- Payments to physicians
- A physician is paid a fee with no signed agreement on file.
- Samples and free goods
- Free samples are issued above the limit set by policy.
- Expiry returns
- A distributor gets credit for expired stock that was never returned.
- Drug and supply purchasing
- A drug is bought above the contract price.
- Access to patient data
- A user who has left can still open patient records.
Each one runs on the same control library. Each exception goes to an owner in Action Hub.
We have not published a customer story for healthcare and pharma yet.
Write to sales@irame.ai to ask for a reference.
Each line is a plain summary. It is not legal advice.
| Region | Rule | What it asks |
|---|---|---|
| US | SOX 404 | US-listed companies assess internal control over financial reporting (ICFR) every year. |
| HIPAA | Sets rules for who may see patient health information. | |
| FDA 21 CFR Part 11 | Covers electronic records and signatures. | |
| Open Payments | Payments from drug and device makers to physicians are published. | |
| GCC | UAE and Saudi PDPL | Both countries have personal data laws that give health data extra protection. |
| India | CARO 2020 | The statutory auditor reports on set matters, including inventory, fixed assets and loans. |
| UCPMP 2024 | Limits what pharma companies may give doctors. | |
| DPDP Act 2023 | Covers personal data, including patient data. |
More on each region: IRAME in the United States and IRAME in the GCC.
Can IRAME keep patient data inside our environment?
Yes. IRAME runs in your own cloud tenancy, or on-premise with on-premise AI models. Patient data stays in your environment and never trains a model. IRAME holds SOC 2 Type II and ISO/IEC 27001:2022, with independent VAPT.
Which healthcare controls can IRAME test?
IRA tests billing, claims, purchasing, payment and user access controls on every transaction. Each exception goes to an owner in Action Hub.
Can we speak to a customer in our industry?
Yes. IRAME can share a reference in your industry on request. Write to sales@irame.ai.
Stop sampling. Let IRA test everything.
Bring one process. In 30 minutes we show you the exceptions IRA finds and the evidence behind each one.