Bridgetech China

Step 2 - Revenue Validation (Months 5-8): Convert 3 pilot hospitals to paying customers at 3% of recovered reimbursements (estimated $2K-5K per month per hospital based on 500-1000 patient visits monthly). Build lightweight Next.js dashboard for billing departments to review AI suggestions, approve/reject codes, and track reimbursement success rates. Integrate with top 3 Chinese HIS systems (Neusoft, Winning Health, one regional player) via HL7 or custom APIs. Hire 2 medical coding experts to continuously improve model with hospital feedback. Expand to 15 total hospitals across 3 provinces. Goal: Achieve $15K-25K MRR with 90%+ gross margins and prove 12-month payback period for hospitals (they recover 5-10x our fees in better reimbursements).

Step 3 - Scale and Specialization (Months 9-18): Expand to 100 tier-3 and tier-4 city hospitals using inside sales team and regional partnerships with hospital associations. Develop specialized models for high-value verticals: oncology (complex multi-code scenarios), surgery (procedure coding), and chronic disease management (ongoing treatment coding). Build self-service onboarding for smaller hospitals—they upload 1000 historical records, we fine-tune a custom model in 48 hours, they integrate via API in 1 week. Launch usage-based pricing tier for smaller clinics at $0.50 per coded visit. Achieve $200K+ MRR with 200+ customers. Begin collecting anonymized coding data across hospitals to improve base model (with proper consent and PIPL compliance). Goal: Prove horizontal scalability while maintaining 80%+ gross margins and under 6-month sales cycles.

Step 4 - Moat and Expansion (Months 19-36): Build defensible moat through three mechanisms: (1) Data network effects—with 100K+ coded records monthly across 200+ hospitals, our model becomes materially better than competitors; (2) Workflow lock-in—integrate deeper into hospital billing workflows with automated claim submission, denial management, and appeals; (3) Vertical expansion—add prior authorization automation, drug formulary checking, and patient eligibility verification as adjacent API products. Raise Series A ($10-15M) to expand to tier-2 cities and build enterprise sales team for top 100 hospitals. Partner with insurance companies to offer our coding accuracy as a service to reduce their claims review costs. Explore acquisition by Ping An, Tencent, or a large HIS vendor as exit. Goal: $5M+ ARR, 500+ hospital customers, and clear path to profitability with 70%+ gross margins and 30%+ net margins at scale.