Claims integration
Registration, coding and billing connected to each payer platform, with rejections routed back to the right team.
Industry focus
Revenue cycle operations
We reduce rework between the front desk, coders and payers.
Revenue cycle work turns clinical activity into claims that payers accept on first submission. We connect registration, coding and billing to the payer platforms, automate pre-authorisation and check coding before submission.
In the UAE, claims go through Shafafiya for DOH in Abu Dhabi and eClaimLink for DHA in Dubai; in Saudi Arabia, through NPHIES under the Council of Health Insurance.
What the work involves
Pre-authorisation
Requests sent and tracked electronically, with their status visible to front-desk and clinical teams.
Coding integrity
Claim edits and reviews that catch coding and documentation gaps before a claim is submitted.
Signs you are ready to start
Clinical governance and privacy officers review every change, so it helps to settle these points first.
- Rejection reasons for recent months are available.
- Payer contracts and their rules are collected.
- Coding and billing leads are named.
Talk to us about revenue cycle operations
Share where you are today and the dates that matter. We will propose a first phase with clear scope, owners and costs.