Hospital and Clinic Management Made Easy

  • Middle East
  • Africa
  • SEA
  • India
  • United Arab Emirates (UAE)
  • Saudi Arabia (KSA)
  • Emirates ID Card Integration and Dynamic copay feature to update copay and deductible details per patient by insurance card enabling quick registrations.
  • Rate Definition Management by HAAD factor pricing/DHA and Network.
  • Automated exclusion billing at cash rates
  • Advanced Insurance Features with full revenue cycle claim submission and remittance reconciliation integration with Shafafiya (Abu Dhabi) and DHPO (Dubai)
  • Advanced GCC-VAT Taxation Rules Support
  • Multi-Sponsor support
  • Member ID validation by sponsor
  • Fee For Service, Per Diem and DRG support for Abu Dhabi out-patient, day-care and in-patient billing.
  • E-Prescriptions (ERx), Dubai
  • Pharmacy Business Management, Abu Dhabi
  • E-Authorization integration with Shafafiya (Abu Dhabi) and DHPO (Dubai)
  • Prior-Authorization status tracking using Pending Prescriptions Dashboard
  • Self Pay claim submissions for cash cases and medical tourism regulatory compliance for claim submissions
  • Medical Coding support ICD, CPT, E&M, Observation, LOINC, SNOMED, HCPCS
  • Codification screen for medical coders for accurate claim submission and reduce claim rejections
  • Resubmission Flow by Resubmission Type
  • Claim History
  • Insta to Accumed Integration for coding and claim submissions.
  • Malaffi HIE Integration, Abu Dhabi
  • NHIF Sponsor based billing by setting co-pay rules.
  • HMO based Rate Determination and Claim Form Management
  • Multi-sponsor support
  • Philippines (PH)
  • Indonesia (ID)
  • Philhealth Case Rate support for billing
  • ICD / RVS Code support
  • Generate CF-1,CF-2, CF-3 and CF-4 forms
  • Medi Link Integration for Phil Health Claim Submissions and Approvals
  • HMO Billing
  • Rate Determination configuration
  • Automated and accredited Philippines DoH Online Health Facility Statistical Reporting
  • Philhealth Monthly Mandatory Hospital Reports
  • Rate Determination support for Cash/Hospital Tariffs, CGHS, State Government, ESI, BPL, ex-Servicemen, Insurance, Corporates etc.
  • GST Compliant Billing with out-of-the-box GST-1, GST-2 and GST-3 Reports
  • Surgical Package Billing
  • User-wise Discount controls
  • Pinelabs EDC Machine Integration