Complete Notes
Written from the doctor-patient conversation, capturing the findings coders and auditors need.
Abu Dhabi Clinical Documentation
Reduce DocumentationGaps in Abu DhabiClaims
With ADOC scheduled from 1 January 2027, complete clinical notes matter. HealthOrbit AI checks notes, codes and claims before submission.
Built around DoH and Shafafiya workflows, with ADOC preparations underway.How we help you
Documentation First, Then Coding and Claims
We help doctors document fully and code accurately, so claims hold up under coding audits and Abu Dhabi outpatient requirements.
Audit-Ready Coding
Every code checked against the notes and DoH coding rules.
Fewer Resubmission Cycles
Claims checked before submission, and rejections tracked for quick follow-up.
Preparing for ADOC
Structured notes and coding support preparation for outpatient classification and reimbursement changes.
How the workflow fits
From Registration to Payment
Six steps from registration to payment. Start with documentation and coding, or use the full connected workflow.
Eligibility Check
Automates insurance eligibility checks to cut patient waiting time and rejections.
Explore Eligibility VerificationAI Medical Scribe
Writes clinical notes automatically from consultations in multiple languages, removing typing and improving doctor-patient interaction.
Explore AI Medical ScribeMedical Coding Engine
Suggests ICD-10 and CPT codes from the notes for coders to review.
Explore Medical Coding EngineClaim Validator
Checks ICD-10 and CPT codes against documentation, medical necessity, and payer rules.
Explore Claim ValidatorClaim Scrubber
Scans claim XML files, flags rejection risks and shows your team what to fix.
Explore Claim ScrubberReconciliation
Shows claimed, received, rejected and pending amounts, outstanding balances and insurance ageing reports.
Explore Claims ReconciliationCheck your ADOC readinessBook a Demo
Built for Abu Dhabi
Set Up for DoH, Shafafiya, ADOC and Abu Dhabi Payers
ADOC
Documentation and coding workflows to support preparation for the 1 January 2027 outpatient reimbursement transition. ADOC-specific tools are planned.
DoH and Shafafiya Rules
Codes checked against DoH rules and applicable Shafafiya modifier limits.
Insurer and TPA Rules
Claims checked against the receiving insurer’s and TPA’s requirements.
Coding Audit Trail
Coding checks kept on record for review during quality audits.
COMPLIANCE & TRUST
UAE-Specific Healthcare and Payer Rules
HealthOrbit AI applies the medical coding and billing rules used by UAE health authorities and insurers.
Dubai Health Authority
Claim checks aligned with DHA coding, documentation and XML submission requirements.
Department of Health Abu Dhabi
CPT modifiers validated against DOH Shafafiya rules, including the three-modifier limit where it applies.
Ministry of Health and Prevention
ICD-10 and CPT coding validation for Northern Emirates facilities under MOHAP.
Sharjah Health Authority
Review eligibility, clinical documentation and payer requirements for claims handled within Sharjah’s healthcare and insurance workflows.
FAQ
Abu Dhabi Claims Questions, Answered
What is ADOC?+
ADOC stands for Abu Dhabi Outpatient Classification. The DoH plans to make it the primary reimbursement mechanism for outpatient care from 1 January 2027.
What is ADOC shadow billing?+
A mandatory phase that began on 1 July 2026 for most outpatient providers, insurers and claims-management organisations, with ADOC data submitted through Shafafiya alongside current processes.
How does ADOC affect documentation?+
Outpatient classification relies on accurate encounter information. Incomplete notes may affect how a visit is classified and reimbursed.
Is HealthOrbit AI ready for ADOC?+
HealthOrbit’s existing scribe, coding and claim-checking workflow can support preparation. ADOC-specific classification and pricing tools are planned; ask our UAE team for the current release status.
What is a Tasneef audit?+
A clinical coding quality audit associated with Abu Dhabi’s health-sector oversight. Ask the UAE team how your current coding review and audit trail fit this process.
Can claims be resubmitted in Abu Dhabi?+
Yes, subject to Shafafiya rules and the payer response. Each additional cycle can delay settlement.
Does HealthOrbit AI support Shafafiya rules?+
The Claim Scrubber checks applicable Shafafiya requirements, including CPT modifier rules.
Does HealthOrbit AI replace our coders?+
No. Your coders review and confirm suggested codes.
HealthOrbit UAE
Get Ready for ADOC Before 1 January 2027
Walk through your documentation workflow with our UAE team and find where gaps start before ADOC goes live.
For Abu Dhabi hospitals, clinics and RCM teams.