Clinically correct claims still get rejected. Frequency violations, bundling errors, and wrong diagnosis positioning pass through internal systems undetected — and only surface after the payer rejects them.
Catch claim errors before they reach the payer.
Fewer rejections. Less rework. Faster reimbursement.
Clinically correct claims still get rejected. Frequency violations, bundling errors, and wrong diagnosis positioning pass through internal systems undetected — and only surface after the payer rejects them.
Diagnosis and procedure codes that conflict get rejected automatically by UAE payers.
Abu Dhabi DOH Shafafiya has strict modifier rules. One wrong modifier flags the entire claim.
If the clinical note does not support the code, the claim fails medical necessity review.
Maximum-per-day violations and excessive units caught before submission.
Secondary codes incorrectly placed as primary diagnoses flagged automatically.
Unbundled panels, procedure conflicts, and redundant codes identified before payer review.
Full claim files validated for DHA eClaimLink and DOH Shafafiya submission.
Claims validated against DHA submission rules before upload.
Modifier rules, code limits, and bundling checks enforced at batch level.
UAE TPA-specific requirements applied per payer.
Cleaner claims. Fewer first-pass rejections. Less rework.
Every error explained in plain language before submission.
Full validation log on every claim file. Ready for DHA and TPA audits.
Batch XML validation. Integrates into existing workflows.
A 30-minute demo with the HealthOrbit UAE team. Real claim files, real output, no commitment.