CONTACT OUR UAE TEAM

Let’s make claims work better.

Tell us where your team needs help. We’ll find the right workflow together.

Contact the UAE team
SolutionsAI workflows for UAE healthcare teams
Eligibility VerificationCheck cover during registration. Ambient AI ScribeStructured clinical notes for UAE healthcare. Medical Coding EngineAutomated ICD-10 and CPT coding. Claim ValidatorDHA, DOH and payer-rule validation. Claim ScrubberFind claim errors before UAE payers do. Claims ReconciliationMatch payer payments and track outstanding claims.
MarketsBuilt around local healthcare requirements
DubaiDHA-aligned workflows and Dubai payer rules. Abu DhabiDOH-aligned RCM for Abu Dhabi providers. SharjahClean claims for Sharjah’s insurance market.
Knowledge & governance

Everything you need to evaluate HealthOrbit AI.

View all resources
ResourcesPolicies, reports and official HealthOrbit documents. Trust CenterSecurity controls, compliance and healthcare documentation. Company NewsThe latest company, partnership and product updates. BlogHealthcare AI insights and practical guides.
Medical Coding Engine

AI Medical Coding Built for UAE Revenue Cycle Teams

Automated ICD-10 and CPT coding from clinical notes. Built for UAE healthcare billing rules. Accurate codes. Full audit trail. No guesswork.

Book a Demo See how it works
DHA compliantDOH ShafafiyaMOHAP alignedICD-10-CMCPT 2021

Medical Coding Engine

HO-AE-1042

New coding session

Imported from AI ScribeApproved note · 8 sections · no copy and paste
TRANSCRIPT IDHO-AE-1042
General practice
Dr. Demo Clinician
23-10-2026
30-10-2026

Chief complaint: Fever and dry cough for three days. History: Intermittent fever up to 38.6 °C, dry cough, mild sore throat, body aches. No shortness of breath. Examination: Temp 38.4 °C, SpO₂ 98%, throat mildly erythematous, chest clear. Plan: CBC to rule out bacterial infection. Paracetamol, fluids, rest. Review in three days.

Processing HO-AE-1042 AI coding in progress

Transcript ingestApproved note received
Alphabetical lookupFever · cough · CBC
Tabular lookupCode descriptions checked
Guidelines appliedSymptom-code rules
Code assignment2 ICD-10 codes
CPT pipeline2 CPT codes

›Index term "fever" → R50.-

›Index term "cough" → R05

›No definitive diagnosis documented, symptom codes allowed

›Documented history, exam and plan → established-patient visit

›Laboratory order "CBC" → 85025

Queued: HO-AE-1042Encounter queued. Results appear in Review Queue.

HO-AE-1042 Ready

CASE 1042 · ENC #1042 · General practice · Dr. Demo Clinician
Clinical note Source of every suggestion

Chief complaint Fever and dry cough for three days.

History Intermittent fever up to 38.6 °C, dry cough, mild sore throat and body aches. No shortness of breath, chest pain or vomiting.

Examination Temp 38.4 °C · SpO₂ 98% · HR 92. Throat mildly erythematous. Chest clear bilaterally.

Visit History, examination and management plan documented for an established patient.

Plan CBC to rule out bacterial infection. Paracetamol, oral fluids and rest. Review in three days.

AI coding suggestions 4 codes · coder review required
R50.9ICD-10
Fever, unspecified
94%

1"Fever and dry cough for three days"

No definitive diagnosis documented, so the symptom code is appropriate.

R05ICD-10
Cough
91%

2"dry cough, mild sore throat"

Documented as a separate presenting symptom.

99213CPT
Office visit, established patient, low complexity
88%

4"History, examination and plan documented"

Problem-focused history and exam with low-risk management.

85025CPT
Complete blood count with differential
96%

3"CBC to rule out bacterial infection"

Laboratory order is present in the plan.

4 codes acceptedSent to Claim Validator
The Problem

Why Generic AI Coding Tools Fail

Most AI coding tools generate plausible-looking codes. Some will be correct. Some will be wrong. You will not know which until the claim comes back denied.

Accurate medical coding is not a prompt. It is a pipeline.
How it works

How AI Medical Coding Engine Works

01

Read

The engine reads the clinical note and extracts every diagnosis, procedure, and relevant clinical detail.

02

Look up

Each diagnosis and procedure is matched to the correct ICD-10 and CPT code, the same way a human coder does it.

03

Validate

Codes are checked against coding guidelines. Conflicts, exclusions, and bundling errors are resolved before output.

04

Apply UAE rules

Applies DHA, DOH or MOHAP rules and produces submission-ready output for eClaimLink, Shafafiya or Riayati.

UAE rules

Built for UAE Medical Coding Rules

Not a US coding engine adapted for the UAE. Built for DHA, DOH and MOHAP billing rules from the ground up.

DOH Shafafiya Modifier Validation

Only approved modifiers retained. Three-modifier limit enforced. Conflicting combinations resolved automatically.

eClaimLink and Shafafiya-Ready Output

Coded claims structured for DHA eClaimLink and DOH Shafafiya submission.

Full Audit Trail

Every coding decision is logged with the rule that triggered it. Ready for DHA inspections and TPA audits.

Teams

Who Uses the Medical Coding Engine?

RCM and Billing Teams

Fewer rejections. Less manual rework. Faster billing cycle.

Medical Coders

Review AI-assigned codes instead of coding from scratch. Focus on complex cases.

Coding Compliance Teams

Full audit trail on every case. Documented decisions for every code assigned.

CCIOs and Digital Leads

JSON, Excel, and CSV export. Integrates into existing workflows.

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 logo

Sharjah Health Authority

Review eligibility, clinical documentation and payer requirements for claims handled within Sharjah’s healthcare and insurance workflows.
Book a Demo

See AI Medical Coding on Your Own Case Mix

A 30-minute demo with the HealthOrbit UAE team. Real clinical notes, real coding output, no commitment.

  • ✓DHA, DOH and MOHAP workflows
  • ✓Real coding output
  • ✓No commitment
Request your demo