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UAE introduces eClaims office service to healthcare service providers

HSE

The UAE Ministry of Health and Prevention (MoHAP), held a series of seminars to introduce insurance companies and health care providers to the eClaims Office service which is part of the “Riayati” platform

The new service will be operational as of January 2022.

The eClaims service provides better management and tracking of central information in order to improve the level of treatment services and reduce healthcare costs in the UAE. It also aims to achieve a smart and integrated health system that serves those eligible for health services in the country and enhances oversight of the insurance system to limit misuse of financial resources.

The seminars, held in partnership with "Pure CS", are considered as a hands-on for insurance companies and health care facilities to register in the "Post Office" initiative (eClaims service) and learn about its features and integrated technologies before using the service which will become mandatory by the beginning of the next year.

The "Riayati" platform aims to provide the highest levels of health care for the UAE community to cover government and private health facilities in the country in 2021, while the eClaims service will serve as a central platform to exchange transactions between healthcare facilities and insurance companies.

The eClaims service covers the filing of claims, referral notices, insurance eligibility verifications, and electronic prescriptions. These data be available on the eClaims office service system for authorised users in healthcare facilities.

Dr. Abdulaziz Al-Zarouni, acting assistant undersecretary for the Support Services Sector, stated that eClaims Office service is one of the main components of the National Unified Medical Record “Riayati”, one of the digital transformation initiatives in the healthcare sector launched by the Ministry in partnership with "Pure CS", as part of the "Riayati" programme with the aim to improve the patient experience.

The "Riayati" platform provides a centralised healthcare data system for insurance companies and healthcare providers alike, which will significantly help improve the patient's healthcare experience in the UAE. Likewise, the "Post Office" initiative represents an important component of the "Riayati" programme, which will serve as a central linking system between health care providers and insurance companies.

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