What does it take to fix the most broken system in America — from the outside?
Ajay and Aniket, co-founders of Coral AI, had zero healthcare experience when they started. What they had was a burning problem, a one-way plane ticket to the US, and a relentless drive to understand healthcare from the ground up — visiting 17 cities in 30 days, becoming interns, and reading thousands of faxes doctors still send in 2026.
In this episode of Z47 Moments, Ashwin and Vikram sit down with the founders to unpack how Coral is using AI to eliminate the administrative chaos of patient referrals — cutting weeks of back-and-forth down to minutes — and how they're building one of the most AI-native companies in healthcare.
What we cover:
1. Why 40% of primary care visits result in a referral — and how that process is broken
2. How fax machines still run US healthcare in 2026
3. The technology behind going from 80% to 99.1% accuracy on medical documents
4. Why Epic and OpenAI can't solve this problem — but Coral can
5. Winning head-to-head against a competitor that raised $100M+
6. The "forward deployed engineer" model and why it's not services
7. Building a lean, 10x team of future founders
Coral just raised $12.5M led by Z47 and Lightspeed. This is their story.




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