What You Should Have Been Paid (ft. Xinan Rahman)
DGTL Voices with Ed Marx
October 8, 2026
Xinan Rahman founded a company that matches incoming payments against payer contracts, catching underpayments as they happen rather than months later. His father named him with an X instead of the usual Z, because his kids were going to be different. He did the same with Xinan's sister.
Speakers Ed Marx, Xinan Rahman
TopicsTechnology
Ed Marx (0:00)
You know, the average profit margin of health systems is just slightly over 0%.
Xinan Rahman (0:06)
With regards to underpayments and contracts specifically, health systems lose 1 to 3% annually on underpayments specifically. What I found from talking to folks, it's not that staff aren't competent. Staff in revenue cycle, they're extremely competent. Really, the challenge is the volume of underpayments that happen. The gap really is having technology that allows you to catch that underpayment. We're able to identify, hey, like, was this the right amount according to the contract that should have been paid?
SPEAKER_3 (0:43)
Welcome to DGTL Voices, where health care and life science leaders explore the real work behind transformation. This podcast is about people, leadership, and the conversations that move health care forward. Now, your host, Ed Marx.
Ed Marx (0:58)
Welcome to another edition of DGTL Voices. Thank you for tuning in and listening and watching.
We are at our three millionth download. Super excited. I know that you have a lot of choices in what you watch, listen to, and you've chosen DGTL Voices, and we will make it worth your while. So today, I have my friend, Xinan Rahman. She's the CEO Founder of Sezara Health. Xinan, welcome to DGTL Voices. Yeah.
Xinan Rahman (1:25)
Thank you for having me. It's great to be here.
Ed Marx (1:28)
No, it's really great because I love founders' stories, people who are really trying to make a difference. And it's always interesting to hear about your journeys because other people inside of health care, they may have the same sort of desire to do what you've done and do something transformative. And they're always like, wow, I wonder how that person did it, I wonder what they're like and, you know, is that something that I can do? You first came to me, your name, because I heard from other people some of the great work that you're doing. And I'm like, I got to meet this person and hear more about it. So we connected and had some lengthy conversations.
But the most important thing that we probably talk about in our podcast is what's on your playlist? What songs do you like to listen to?
Xinan Rahman (2:06)
Yeah, no, that's a great question. So for me, it's a variety, honestly. I think I have a very diverse taste. And nowadays, generally, I'm listening to a lot of nostalgic music. So for me, nostalgic, you know, like any anything from 90s or 80s rock to, you know, I actually watched the Greatest Showman recently for the first time a few months ago. And that playlist has been on repeat for me. So songs like Million Dreams and then Tightrope by Michelle Williams. I also just really admire Hugh Jackman as a vocalist as well as an actor. So yeah, that's one playlist that's been on repeat for me.
Ed Marx (3:02)
Yeah, that's very cool. I like that. What about life message and mantra? Are there words that you live by, some words or phrases that kind of guide your life?
Xinan Rahman (3:10)
Just keep going and have fun. One thing I've learned throughout the experiences I've had is that, you know, like everyone says that life is just ups and downs, and you just have to keep going. So that's something I personally, being honest with yourself especially about what you want, because I think for a lot of people, if you're really ambitious about what you want to achieve and you have a high bar for yourself, sometimes you can sort of forget about what you personally are honestly feeling like and how that relates to what you want to achieve. So yeah, I think honesty with yourself most importantly, and then just keep going and have fun.
Ed Marx (4:00)
Yeah, no, I like that. Those are good words to live by.
So you got the coolest name of anyone ever on the podcast before. And it's spelled, for those who don't know, it's spelled X-I-N-A-N.
That is so cool. It's like, I wish I had a name like that. So tell us your story, like where are you from and how did you get to where you are today?
Xinan Rahman (4:18)
Well, I'll start with the story of my name. So I'm originally from Bangladesh and I grew up in Bangladesh. And my dad, you know, he's the type of person and I get a little bit of this from him. He likes doing things that he perceives as other people thinking to be unique. So that came with how he named me and my sister. So Xinan is an Arabic, it's an Arabic name. And technically, like phonetically, it should be spelled with a Z. But my dad, he was like, my kids, they're going to be special, unique, whatever. So that's where he decided, okay, I'm going to just spell it with an X. And here we are. My sister's name is Zara, actually, and her name is also spelled with an X.
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