SehaTech

AI-powered health insurance administration platform for insurers and healthcare providers in MENA.

Claims Technology Startup Seed

Overview

SehaTech is a claims automation and health insurance administration platform for carriers and healthcare providers in Egypt and the broader MENA region. The company was founded in 2022 by a team of clinicians and technology consultants to address the manual, paper-based workflows that slow down health insurance operations across the region.

The platform automates pre-authorization adjudication, claims processing, and billing through a combination of AI and configurable rule-based logic. Delivered as a SaaS solution, it serves two primary user groups: insurers who need to reduce fraud and accelerate approvals, and healthcare providers who need faster pre-authorization and shorter revenue cycles.

SehaTech raised approximately USD 2M total across two rounds, including a USD 1.1M seed round in October 2025 led by Ingressive Capital with participation from Plus VC, A15, and Beltone Venture Capital. The company plans to expand its team and extend coverage across Egypt and additional MENA markets.

Products & Services

AI-Powered Claims Automation

An end-to-end claims processing module that automates the full lifecycle from pre-authorization through payment. The AI component detects inconsistencies and flags potential fraud, reducing manual review time and operational cost.

Key Features

Automated pre-authorization adjudication
AI-based fraud detection and anomaly flagging
Claims-to-payment routing and settlement

Target Users: Health insurers and TPAs

Rules-Based Adjudication Engine

A configurable policy rules engine that allows insurers and TPA clients to define approval workflows, benefit rules, and fraud criteria without code changes.

Key Features

Policy-specific approval workflow configuration
Benefit rules management
Fraud detection criteria setup

Target Users: Insurance carriers and self-funded schemes

Third-Party Administration (TPA) Services

Full-stack digital TPA capability covering policy administration, claims management, and provider network support for carriers or self-funded plans that outsource health insurance operations.

Key Features

Policy administration
Claims management
Provider network support

Target Users: Carriers, self-funded employers

Provider Portal

A web interface for healthcare providers to submit pre-authorization requests and track claims status, replacing manual back-and-forth with insurer desks.

Key Features

Digital pre-authorization submission
Claims status tracking
Reduced revenue cycle time

Target Users: Hospitals, clinics, and healthcare providers

Insurer Dashboard

A centralized dashboard giving carriers real-time visibility into claims, approvals, operational metrics, and fraud indicators.

Key Features

Real-time claims and approval monitoring
Operational metrics reporting
Fraud indicator alerts

Target Users: Insurance carriers

At a Glance

Founded: 2022
Headquarters: Cairo, Egypt
Employees: 11-50
Funding: Seed

Category & Focus

Category: Claims Technology
Subcategories: Claims Automation Pre-Authorization Fraud Detection TPA Platform
Insurance Verticals: Health
Target Customers: Carriers, TPAs