- Setup sponsor coverage limits by provider network eligibility for copayment/deductibles by types of services offered.
- Emirates ID Card Integration and dynamic copay feature to update copay and deductible details per patient by insurance card enabling quick registrations.
- Setup HAAD/DHA based rate/discount factors with automated cash rate determination for exclusions.
- Auto-determination of insurance limit based billing.
- FFS/Per Diem and DRG (with high-value consumables) based billing support.
- Follow-up doctor consultation visit rules determination by the sponsor.
- Claim Form management.
- E-Claim submissions, Resubmissions, and Remittance Advice through eClaim Link and Shafafiya.
- Self Pay and Medical Tourist Submissions.
- Prescribe by generic names or brand names.
- E-Prescriptions (ERx), Dubai
- Pharmacy Business Management, Abu Dhabi
- E-Authorizations through eClaim Link and Shafafiya.
- Prior-Authorization status tracking using Pending Prescriptions Dashboard
- Medical Coding by HAAD/DHA standards and support for ICD, CPT, LOINC, CDT, E&M, DSL, Services Encounter, Drug, HCPCS, etc.
- Regulatory Reports
- Malaffi HIE Integration for Abu Dhabi
- Nabidh HIE Integration for Dubai
- Riayati HIE Integration for Northern Emirates
- Multi-center support for the usage of a single application across centers in different emirates and health authority standards.
- Bahrain Government ID Card Integration and Dynamic copay feature to update copay and deductible details per patient by insurance card enabling quick registrations.
- E-Invoicing (Fatoorah) compliant and listed on the ZATCA webpage (link).
- Simplified Tax Invoices with QR Code support
- Export features for e-invoices for local archival
- Policy Holder based search for quick registrations
- Advanced Insurance Features to define Fee for Service-based co-pay rules by insurance categories for out-patient/in-patient management.
- Setup price/discount factors with automated cash rate determination.
- Setup sponsor coverage limits by copayment/deductibles by insurance categories.
- Auto-determination of insurance limit based billing.
- FFS based billing support.
- Claim Form management
- Medical Coding and support for ICD, CPT, LOINC, CDT, Drug, etc.
- Prior-Authorization status tracking with Pending Prescriptions Dashboard
- Consultation EMR with identification of insurance item exclusions.
- E-Claim submissions to Waseel/DHS.
- Regulatory Reports
- Government ID Card Integration with Kuwait Civil ID and Dynamic copay feature to update copay and deductible details per patient by insurance card enabling quick registrations.
- Advanced Insurance Features to define Fee for Service-based co-pay rules by insurance categories for out-patient/in-patient management.
- Setup price/discount factors with automated cash rate determination.
- Setup sponsor coverage limits by copayment/deductibles by insurance categories.
- Auto-determination of insurance limit based billing.
- FFS based billing support.
- Claim Form management
- Medical Coding and support for ICD, CPT, LOINC, CDT, Drug, etc.
- Prior-Authorization status tracking with Pending Prescriptions Dashboard
- Consultation EMR with identification of insurance item exclusions.
- Regulatory Reports
- India GST Billing
- Automated GST/iGST Supplier Taxation support
- Pre-approved insurance package billing
- Sponsor Limit based billing for insurance schemes (private/government).
- Tracking for cash based payments exceeding 2 lakh rupees.
- Pinelabs EDC machine integration for connecting payments via cards, digital wallets, or UPI.
- Salucro Integration for digital payments via cards, wallets, UPI, EMI, Remote Deposit Collection etc.
- NHIF (National Health Insurance) and HMO-Nigeria (Health Maintenance Organization) sponsor based billing by setting co-pay/per diem IP rules.
- Claim Form Management
- Multi-sponsor support