Portal hopping
One login per payer and TPA.
Eligibility Verification
Automated Insurance Eligibility Verification for UAE Healthcare Providers
Verify coverage at registration and catch eligibility issues before they turn into claim rejections.
- Real-time eligibility checks in under 30 seconds
- 98%+ accuracy
- Works inside your HIS
For hospitals, clinics, and healthcare groups in the UAE.
Eligibility Verification
HO-AE-1042Your HIS systemOutpatient › Registration
Search patient, MRN or Emirates ID
RCReception · Counter 3New patient registration
Emirates ID reader · readyPatient details
Insurance & billing
Visit
THE PROBLEM
A Wrong Eligibility Check Becomes a Rejected Claim
Manual verification delays registration and increases the risk of claim rejections.
Peak-hour queues
Slower registration, longer patient waiting times.
Late discoveries
Coverage issues surface only after treatment.
Full rejections
One registration error rejects the claim.
Check coverage automatically, before treatment, and give your front desk its time back.
HOW IT WORKS
From Registration to Coverage Result in Seconds
Eligibility verification that runs inside your registration workflow.
Patient registers
Staff enter or scan patient details.
Coverage checked
HealthOrbit queries the payer or TPA.
Results appear
Coverage status shows on registration screen.
Issues flagged
Fixed at the desk, before treatment.
See a live eligibility check
Book a DemoUAE INTEGRATIONS
Built for How UAE Providers Verify Insurance
Connected to the payers and TPAs your team already uses, across all emirates.
Payers & TPAs
Every major UAE payer, already connected.
UAE networks
eClaimLink, Shafafiya, and Riayati, all supported.
HIS integration
Results appear where staff already work.
Instant results
Coverage confirmed in seconds, every check.
What your team sees
- Policy status (active/inactive)
- Payer, TPA, and plan or network
- Co-pay and deductible
- Coverage and benefit limits
- Pre-authorisation requirements
OUTCOMES
Faster Registration. Up to 95% Fewer Eligibility Rejections.
Shorter queues
No portal logins, faster patient check-in.
Upfront checks
Coverage issues flagged right at reception.
Easier reception
Less manual work for front-desk staff.
Fewer rejections
Clean registration protects the entire claim.
ONE CONNECTED PLATFORM
Eligibility Is Step One of HealthOrbit's AI Revenue Cycle
Start with eligibility, or run the full workflow from registration to reconciliation on one platform.
- This page
Eligibility Verification
Confirms patient coverage right at registration.
Ambient AI Scribe
Writes consultation notes as doctors speak.
Medical Coding Engine
Generates accurate codes from clinical documentation.
Claim Validator
Runs a first-pass check on codes.
Claim Scrubber
Checks claims against eClaimLink and Shafafiya.
Reconciliation
Matches remittances to claims, tracks balances.
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
Eligibility Verification FAQs
What is insurance eligibility verification?
It confirms that a patient’s insurance is active and covers the planned service before treatment begins.
How does eligibility verification work in HealthOrbit?
At registration, HealthOrbit checks coverage with the payer or TPA automatically. Results appear in your HIS, with no portal logins.
How fast are the results?
Each check returns results in under 30 seconds, while the patient is still at the desk.
How accurate are the checks?
HealthOrbit verifies eligibility with 98%+ accuracy.
Which UAE payers and networks does HealthOrbit support?
Every major UAE payer and TPA, through eClaimLink in Dubai, Shafafiya in Abu Dhabi, and Riayati in the Northern Emirates.
Does HealthOrbit work with our existing HIS?
Yes. HealthOrbit works inside your HIS, so results appear on your registration screen.
What information does an eligibility check return?
Policy status, payer, TPA and plan, co-pay and deductible, benefit limits and pre-authorisation requirements.
Will eligibility verification stop all claim rejections?
No, but it cuts eligibility rejections by up to 95%. Coding errors are caught later by HealthOrbit’s Claim Validator and Claim Scrubber.
How is it priced?
Pricing depends on your facility size and patient volumes. Book a demo for a tailored quote.
BOOK A TAILORED WALKTHROUGH
Book a Demo See an Eligibility Check Run in Your Workflow
In a 30-minute demo, we’ll show a live check, the result screen, and how it connects to your HIS and payers.
Talk to us about payer connectivity, HIS integration and your current process.