The Oncology Operating System

One intelligent operating layer for the entire cancer journey.

ONCOSure connects oncology clinical pathways, Clinical AI, patient data, operational workflows, prior authorization, revenue intelligence and enterprise systems in one purpose-built platform.

ClinicalGuidelines, pathways & decision intelligence
AIClinical assistant & patient intelligence
OperationalOncology workflows & KPI intelligence
FinancialAuthorization, claims & leakage recovery
ONCOSure homepage hero graphic showing an oncologist consulting with a patient and clinical intelligence dashboards
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Platform1 of 6
The platform

Oncology-specific intelligence from diagnosis to treatment and beyond

Generic enterprise systems manage transactions. ONCOSure is designed around the oncology journey and the decisions, dependencies and economics that make cancer care different.

01 / CLINICAL

Clinical Guidelines Gold-Standard Pathways

Digitized oncology guideline intelligence designed to become part of clinical workflow rather than remain in static documents.

02 / AI

AI Based Clinical Assistant

Patient-specific decision support for risk factors, regimen selection and comparisons, clinical trials, services, patient materials and pharmacy considerations.

03 / PATIENT

Clinical Profile & Document Intelligence

Transform fragmented oncology documentation into a structured, longitudinal patient profile.

04 / ACCESS

PMJAY Prior Authorization

India National Health Insurance — Ayushman Bharat PM-JAY

Connect clinical documentation and authorization workflows to improve treatment access and payment readiness.

05 / PERFORMANCE

Oncology KPI Intelligence

Measure access, productivity, adherence, throughput, outcomes, referrals and financial performance.

06 / REVENUE

Leakage Recovery

Identify missed opportunities across referrals, authorizations, documentation, treatment and reimbursement.

PAYMENT INTELLIGENCE

From clinical decision to authorization, claims and payment

ONCOSure connects the oncology care journey to PMJAY operational workflows so hospitals can improve treatment access, authorization readiness, claim quality and payment performance.

01EligibilityVerify patient eligibility
02PackageMatch the appropriate package
03AuthorizationPrepare and track requests
04ClaimsValidate documentation
05PaymentMonitor reimbursement
ELIGIBILITY & PACKAGE

Start with the right pathway

Eligibility verification and PMJAY package matching help establish the appropriate authorization and treatment workflow before care progresses.

  • Eligibility verification
  • PMJAY package matching and selection
  • Authorization checklist support
DOCUMENTATION & AUTHORIZATION

Build complete authorization packages

ONCOSure organizes the clinical documentation needed for authorization, identifies missing information and supports submission and status tracking.

  • Clinical documentation validation
  • Missing-document alerts
  • Authorization request and supporting-document preparation
  • Approval / denial status tracking
CLAIMS & REIMBURSEMENT

Carry the workflow through payment

PMJAY intelligence extends beyond authorization to claims readiness, documentation quality, denials, appeals and reimbursement performance.

  • Claims management and claims-document support
  • Denial prevention and denial/appeals workflow
  • Package-utilization analytics
  • Payment and reimbursement performance visibility
REVENUE & PERFORMANCE

Measure access, leakage and recovery

ONCOSure links PMJAY activity to oncology revenue intelligence so leadership can see where authorization delays, documentation gaps and missed opportunities affect performance.

  • Authorization completion and approval rates
  • Approval turnaround and delayed-claim visibility
  • Missing-record denial and leakage indicators
  • Recovered-revenue and payment opportunity intelligence
AI document intelligence

Transform fragmented clinical documents into a coherent patient profile

ONCOSure can consume, interpret and digitize diagnostic, pathology, laboratory, imaging/radiology, biomarker/genomic and treatment-related documents from multiple sources.

Extract and structure clinically meaningful information from disparate documents.
Assemble the information into a comprehensive longitudinal patient profile.
Present the original document alongside the AI-translated structured view for transparency and review.
Connect diagnosis, pathology, biomarkers, imaging, laboratory findings, treatment decisions and subsequent clinical events.
AI reduces the burden of manually reviewing and reconciling oncology documentation; clinicians retain visibility and control over the underlying source information.
ORIGINAL DOCUMENT
Pathology Report

Diagnosis: …
Histology: …
Biomarkers: …
Specimen: …

Source document retained for review.
STRUCTURED AI VIEW
Patient Profile

Diagnosis …
Histology …
Biomarkers …
Clinical relevance …

Linked to longitudinal journey.
Nine AI insight domains

Additional clinical context beyond the primary treatment decision

ONCOSure can use AI and large-language-model capabilities to surface additional patient-care insights while keeping the core treatment recommendation anchored to the governed clinical decision framework.

01

Clinical Trials

Identify potentially relevant ongoing clinical-trial resources for the patient's clinical context.

02

Patient Education

Surface or create patient education frameworks and materials at an appropriate level for the treatment journey.

03

Drug Safety

Highlight drug contraindications and safety considerations relevant to the available patient context.

04

Treatment Insights

Provide additional treatment-related context that may help the clinical team evaluate the patient's options.

05

Patient Support

Surface practical support considerations that may affect engagement, adherence and the care journey.

06

Regimen Comparison

Organize available regimen alternatives side-by-side with supporting considerations for clinician review.

07

Service Decisions

Extend intelligence beyond medications to oncology services and operational decisions surrounding treatment.

08

Pricing & Efficacy

Bring clinical and economic context into treatment evaluation where the necessary information is available.

09

Formulary Intelligence

Bring relevant formulary considerations into the decision workflow when applicable information is available.

AI-generated and AI-assisted insights augment clinician understanding and workflow. They are not intended to replace clinical judgment or formal evidence-based guideline standards.
The ONCOSure AI operating model

One Continuous Intelligence Loop

Level 1Clinical Documents

AI Extraction & Structuring → Comprehensive Patient Profile → Patient-Specific Clinical Context

Level 2Clinical Guidelines & Clinical Decision Tree

→ Treatment Recommendation → Additional AI Clinical Insights

Level 3Treatment Management

→ Longitudinal Analytics → Performance & Operational Improvement

Evidence → Clinical Pathway → Patient-Specific Decision Support → AI Assist for Precision Oncology → Operations Workflow → Measurement → Authorization & Payment → KPI Benchmarking → Continuous Improvement
Why ONCOSure

ONCOSure manages oncology, generic EMR systems manage transactions

The platform is purpose-built around the clinical, operational and financial complexity of cancer care.

CLINICAL

Evidence into workflow

Guidelines and clinical intelligence become actionable rather than static.

OPERATIONAL

Measure the journey

See where patients, clinicians and services slow down or lose opportunity.

FINANCIAL

Protect oncology revenue

Connect authorization, documentation, claims and payment to the care journey.

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Agentic AI2 of 6
Clinical AI

AI that works inside the oncology decision

The ONCOSure AI Based Clinical Assistant is designed around the patient's clinical context and provides a structured workspace for oncology decision support.

Summarize patient risk factors and relevant clinical context.
Support regimen decision-making and compare available regimen options.
Bring pricing and efficacy considerations into the treatment conversation when data are available.
Support service decisions, clinical-trial discovery, patient materials and formulary workflows.
AI assists the clinician. Clinical outputs require professional review and verification.
ONCOSure AI Based Clinical Assistant demo
Product visual from the supplied ONCOSure/ONCOdoctor AI demo.
ONCOSure AI Based Clinical AssistantCLINICAL INTELLIGENCE
Regimen decision supportCompare regimen optionsRegimen pricing & efficacyService decision supportClinical trialsPatient materialFormulary
OPTIONSTATUSRATIONALE
Candidate regimen ACONDITIONAL · ARelevant alternative surfaced from the available clinical context for clinician review.
Candidate regimen BCONDITIONAL · AAlternative option with supporting clinical considerations organized for comparison.
Candidate regimen CCONDITIONAL · AAdditional treatment option presented with context for professional evaluation.
Agentic oncology intelligence

From an AI assistant to an agentic clinical operating layer

ONCOSure is designed as an agentic AI platform: specialized AI agents can interpret information, reason over the governed oncology context, orchestrate multi-step workflows, retrieve the right evidence, prepare actions and hand work back to the appropriate clinical or operational user.

01
PATIENT INTELLIGENCE AGENT

Understand the patient before the decision

Ingest and reconcile pathology, biomarkers, labs, imaging, diagnosis, stage, prior treatment and other clinical documents into a continuously organized oncology context.

02
CLINICAL DECISION AGENT

Navigate the governed pathway

Apply patient-specific evidence to structured clinical decision logic, surface relevant pathway branches and prepare treatment options for clinician review.

03
CARE ORCHESTRATION AGENT

Move from recommendation to execution

Coordinate downstream steps such as care plans, orders, treatment readiness, prior authorization, scheduling and follow-up across the oncology workflow.

04
EVIDENCE AGENT

Find and organize supporting evidence

Retrieve relevant guideline components, references, clinical-trial resources, formulary information and other supporting context without replacing the governed pathway.

05
OPERATIONS AGENT

Watch the oncology system

Identify workflow gaps, delays, missing prerequisites, authorization bottlenecks and performance signals across surgery, systemic therapy and radiation.

06
PATIENT ENGAGEMENT AGENT

Keep the patient journey moving

Support patient education, follow-up, treatment adherence and communication workflows using the longitudinal oncology context.

01ObserveDocuments, data, events
→
02ReasonClinical context + governed logic
→
03PlanNext best workflow steps
→
04ActPrepare or execute permitted work
→
05VerifyHuman review + system controls
AI across the oncology journey

More than a chatbot: a governed AI workflow from evidence to action

ONCOSure applies AI at multiple points in the oncology lifecycle while keeping authoritative clinical decision logic distinct from generative AI. The objective is to reduce information burden, organize clinical context and surface useful insights without asking a generative model to independently invent a cancer treatment recommendation.

01 / GUIDELINE TRANSFORMATION

Authoritative Content

Published Clinical Guidelines guideline and compendium content is transformed with AI assistance into structured clinical question-and-answer decision trees.

02 / CLINICAL GOVERNANCE

Test → Validate → Release

Structured clinical logic is subjected to automated testing and Clinical Guidelines scientist validation before controlled release into patient-specific decision support.

03 / PATIENT CONTEXT

Evidence-Linked Decisions

Pathology, biomarkers, laboratory results, imaging and other patient evidence are connected to the applicable clinical decision framework.

Authoritative Clinical Guidelines Content → AI-Assisted Transformation → Structured Clinical Logic → Automated Testing → Clinical Guidelines Scientist Validation → Controlled Release → Patient-Specific Decision Support
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Pathways3 of 6
Clinical intelligence

Transform oncology evidence into an operational pathway

ONCOSure connects clinical knowledge to patient-specific workflow, so teams can see what should happen, what has happened and where the journey is deviating.

GUIDELINES

Pathway intelligence

Operationalize oncology guidelines and make relevant pathway information available within the care workflow.

SMART Q&A

Guideline questions

Help clinicians navigate complex guideline information through an intelligent question-and-answer experience.

LONGITUDINAL

Patient journey

Track the oncology journey over time rather than treating every encounter as an isolated event.

Inside ONCOSure

Product architecture & workflow

The ONCOSure capabilities guide provides concrete product views and workflow diagrams that complement the platform story: the Suite architecture, Clinical Guidelines content model, treatment workflow, pathway maintenance and testing, the ONCOSure interface, patient journey and ONCODoctor care planning.

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Operations4 of 6
Connected oncology operations

Operate all three major oncology clinical pillars

ONCOSure brings surgery, systemic therapy and radiation into one performance and workflow framework.

SURGERY

Oncology Surgical Operations

Monitor referral, readiness, diagnosis-to-surgery progression, throughput and operational performance.

SYSTEMIC THERAPY

Chemotherapy & Medical Oncology

Connect regimen decisions, authorization, treatment delivery, documentation and adherence.

RADIATION

Radiation Oncology

Monitor referral, simulation, treatment initiation, completion, utilization and patient progression.

Oncology KPI intelligence

The operating dashboard for clinical and executive leadership

Connect patient flow, clinical quality, productivity and financial performance.

Revenue per PatientOncology revenue performance and mix.
Claim Denial RateIdentify avoidable financial leakage.
Prior Authorization TurnaroundMeasure access friction.
Patients per OncologistUnderstand capacity and productivity.
Tumor Board Prep TimeMeasure multidisciplinary efficiency.
Guideline AdherenceMonitor pathway execution.
Diagnosis → TreatmentFind delays in the cancer journey.
Treatment AdherenceIdentify patients at risk of falling out of care.
Documentation TimeMeasure administrative burden.
Referral ConversionRecover network growth opportunities.
Patient Journey PerformanceTrack longitudinal progression.
Operational BenchmarkingCompare performance over time.
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Integration5 of 6
Enterprise architecture

Can integrate with an EMR — not replace it

ONCOSure is the oncology-specific operating layer. The enterprise EMR remains the enterprise system of record while ONCOSure captures and orchestrates oncology-specific intelligence and workflows.

ENTERPRISE

Epic / EMR

Registration, scheduling, enterprise workflows and the broader longitudinal record.

ONCOLOGY OPERATING SYSTEM

ONCOSure

Clinical pathways, AI intelligence, patient profile, oncology workflows, KPIs, access and revenue intelligence.

ONCOLOGY MEDICATION

Beacon & Specialized Systems

Medication-management and oncology functions where those systems provide the underlying capability.

FHIR Integration Layer

Connect · Normalize · Orchestrate oncology information across the enterprise environment.

CLINICAL DATA

Pathology · Imaging · Labs

Structured and unstructured clinical information feeding the oncology profile.

FINANCIAL DATA

Authorization · Claims · Payment

Coverage and reimbursement information connected to the clinical journey.

OPERATIONAL DATA

Referrals · Capacity · Outcomes

Operational events transformed into measurable oncology performance.

One platform. Every stakeholder.

Built around the way oncology actually operates

Oncologists

Patient-aware clinical intelligence, pathways and decision support.

Tumor Boards

Structured longitudinal patient information for multidisciplinary decisions.

Oncology Administrators

Capacity, throughput, productivity and workflow performance.

Revenue Cycle

Authorization, documentation, denial and revenue-leakage intelligence.

Hospital Leadership

A unified view connecting clinical performance to oncology growth.

Patients & Families

A more connected journey with fewer avoidable delays and handoffs.

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Request a Demo6 of 6
See ONCOSure in action

Bring clinical intelligence, operations and oncology economics together

Request a demonstration of the ONCOSure Oncology Operating System, including the AI Based Clinical Assistant, pathways, patient intelligence, KPI dashboard, PMJAY workflows and enterprise integration.

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About Us

Our Clients & Our Story

Meet the organizations working with ONCOSure and learn more about the company behind the Oncology Operating System.

FHIREngine Inc. is a US based HealthCare IT company with a subsidiary in India which specializes in innovative solutions for payers and providers. FHIREngine's team has more than 100 years of combined experience in creating and successfully deploying technologies that have helped the payers and providers streamline their operations and reduced operational costs achieving significant savings. FHIREngine Inc. products use HL7-FHIR (Fast HealthCare Interoperability Resources), X12 EDI (Electronic Data Exchange 278/275 and 270/271) and SNOMED CT based platform that allow payers and providers to significantly reduce administrative burden.

Customer Testimonial

Hear directly from an ONCOSure customer

Hear directly from an ONCOSure customer in this short testimonial. The video is presented here as part of the core ONCOSure story—alongside the clinical intelligence, workflow and operating-system capabilities.

ONCOSure — The Oncology Operating System
Our Clients

Organizations we serve

OncoXpress logo

OncoXpress

Oncology-focused clinical organization and ONCOSure customer.

Mandade Hospital logo

Mandade Hospital

Hospital organization and ONCOSure customer.

Lifepoint Multispecialty Hospital logo

Lifepoint Multispecialty Hospital

Healthcare organization working with ONCOSure.

COC Crystal OncoCare logo

COC Crystal OncoCare

Healthcare organization working with ONCOSure.

Geetai Hospitals logo

Geetai Hospitals

Healthcare organization working with ONCOSure.

Kotetlawar Multispeciality Clinic logo

Kotetlawar Multispeciality Clinic

Healthcare organization working with ONCOSure.

Pi Cancer Care Centres logo

Pi Cancer Care Centres

Healthcare organization working with ONCOSure.

Our Partners

Organizations partnering with ONCOSure

American Joint Committee on Cancer logo

American Joint Committee on Cancer

Clinical Partner

National Comprehensive Cancer Network® logo

National Comprehensive Cancer Network®

Clinical Partner

American Medical Association logo

American Medical Association

Clinical Partner

Roch Foundation logo

Roch Foundation

Associate Partner

Amoeba Business Solutions logo

Amoeba Business Solutions

Channel Partner

Talk to Us

We are here to help & answer any questions you might have.

Head Offices

Boston, USA

One Boston Place,
Suite 2600 Boston,
MA 02108

Bengaluru, India

# 82, 3RD Floor, S T BED Layout, 4th Block,
Koramangala Bengaluru,
Karnataka, 560034

Office Locations

Hyderabad, India

Banjara Hills

Pune, India

Bhugaon

Mumbai, India

One BKC

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