Saudi Ministry of Education to showcase innovations at 2025 Geneva International Exhibition    7,523 violators of residency, labor, and border security laws deported in a week    Video contradicts Israeli army account of deadly March 23 strike on Gaza paramedics    Saudi Arabia spends over $241 million to implement de-mining projects in 3 countries    Italy's Meloni government approves controversial security decree expanding police protections and penalties    Egypt submits new Gaza ceasefire and prisoner exchange proposal: Report    'Everything is possible' — Ronaldo focused on titles, not 1,000-goal milestone after Riyadh Derby win    Saudi, US military leaders discuss enhanced defense cooperation in Riyadh    King Salman Global Academy for Arabic Language launches program with Indiana University    Ronaldo brace powers Al Nassr past Al Hilal in Riyadh derby thriller    Ed Sheeran weaves Persian music into new song, Azizam    Al-Jadaan: Crown Prince's directives confirm government's ability to bring back balance to real estate market    Veteran Bollywood actor Manoj Kumar dies at 87    Foreign investors are allowed to engage in real estate business outside Makkah and Madinah Commercial speculation should not be the purpose of real estate transaction    Aubameyang fires Al Qadsiah into King's Cup final with stoppage-time winner over Al Raed    Musk's X is suing India, as Tesla and Starlink plan entry    Tesla sales plunge after backlash against Elon Musk    Danilo Pereira fires Al Ittihad into King's Cup final with dramatic stoppage-time double    Screen time in bed linked to insomnia, study finds    Mexico bans junk food in schools to fight childhood obesity epidemic    Sweet sales surge ahead of Eid as Saudi chocolate imports top 123 million kg in 2024    Bollywood actress vindicated over boyfriend's death after media hounding    Grand Mufti rules against posting prayers and preaching in mosques on social media    King Salman prays for peace and stability for Palestinians in Ramadan message King reaffirms Saudi Arabia's commitment to serving the Two Holy Mosques and pilgrims    Exotic Taif Roses Simulation Performed at Taif Rose Festival    Asian shares mixed Tuesday    Weather Forecast for Tuesday    Saudi Tourism Authority Participates in Arabian Travel Market Exhibition in Dubai    Minister of Industry Announces 50 Investment Opportunities Worth over SAR 96 Billion in Machinery, Equipment Sector    HRH Crown Prince Offers Condolences to Crown Prince of Kuwait on Death of Sheikh Fawaz Salman Abdullah Al-Ali Al-Malek Al-Sabah    HRH Crown Prince Congratulates Santiago Peña on Winning Presidential Election in Paraguay    SDAIA Launches 1st Phase of 'Elevate Program' to Train 1,000 Women on Data, AI    41 Saudi Citizens and 171 Others from Brotherly and Friendly Countries Arrive in Saudi Arabia from Sudan    Saudi Arabia Hosts 1st Meeting of Arab Authorities Controlling Medicines    General Directorate of Narcotics Control Foils Attempt to Smuggle over 5 Million Amphetamine Pills    NAVI Javelins Crowned as Champions of Women's Counter-Strike: Global Offensive (CS:GO) Competitions    Saudi Karate Team Wins Four Medals in World Youth League Championship    Third Edition of FIFA Forward Program Kicks off in Riyadh    Evacuated from Sudan, 187 Nationals from Several Countries Arrive in Jeddah    SPA Documents Thajjud Prayer at Prophet's Mosque in Madinah    SFDA Recommends to Test Blood Sugar at Home Two or Three Hours after Meals    SFDA Offers Various Recommendations for Safe Food Frying    SFDA Provides Five Tips for Using Home Blood Pressure Monitor    SFDA: Instant Soup Contains Large Amounts of Salt    Mawani: New shipping service to connect Jubail Commercial Port to 11 global ports    Custodian of the Two Holy Mosques Delivers Speech to Pilgrims, Citizens, Residents and Muslims around the World    Sheikh Al-Issa in Arafah's Sermon: Allaah Blessed You by Making It Easy for You to Carry out This Obligation. Thus, Ensure Following the Guidance of Your Prophet    Custodian of the Two Holy Mosques addresses citizens and all Muslims on the occasion of the Holy month of Ramadan    







Thank you for reporting!
This image will be automatically disabled when it gets reported by several people.



MoHAP launches ‘Post Office' initiative to improve health insurance claims process
Published in The Saudi Gazette on 10 - 10 - 2020

The Ministry of Health and Prevention (MoHAP) has launched the "Post Office" initiative as part of the National Unified Medical Records "Riayati", a linkage system between hospitals and clinics and health care providers.
From improving treatment services and reducing healthcare costs in the UAE, to achieving a smart and integrated health system that serves the beneficiaries of health services and strengthening the control over the insurance system to reduce the misuse of financial resources, the new service helps provide better management of the central information related to the electronic insurance claims and their tracking
The post office service is covering the workflow of all claims between healthcare facilities and insurance companies, such as the verification of eligibility and insurance coverage and e-payments, including claims submission and tracking refusals. All the mentioned services are available for use by the authorized users in the healthcare facilities without having to rely on the insurance companies.
Launched at Arab Health 2018 by Sheikh Mohammed Bin Rashid Al Maktoum, vice-president and prime minister of the UAE and ruler of Dubai, Riayati seeks to deliver the best levels of healthcare for the UAE society. The system, which falls under the management of the Ministry of Health in cooperation with Pure CS "healthcare technology company", is expected to cover public and private health facilities in 2021.
Awad Saghir Al Ketbi, assistant undersecretary of the support services sector, said: "Riayati is a digital health platform that provides an integrated health care system. It showcases updated data of patient records and provides innovative solutions in the automation and management of health data, using the latest technology technologies."
Further, Riayati, which is based on medical information exchange services, makes use of and disseminates other health initiatives, in line with MoHAP's strategy aimed at developing health information systems and implementing world-class standards in managing infrastructure in health facilities and developing appropriate technology for the management of population health system.
Al Ketbi underlined the newly launched service will help patients get healthcare services through balanced insurance financial resources.
Digital transformation initiatives
Mubaraka Ibrahim, IT director, MoHAP, explained that the post office initiative is one of the digital transformation initiatives in the healthcare sector in cooperation with Pure CS, adding the service will help improve the patient experience by avoiding the delay due to incorrect insurance claims and by improving claims processing efficiency.
She said: "In comparison to the previous system in which the patient had to wait for longer times to get the insurance, the new system will promptly verify the eligibility and insurance coverage electronically via safe networks. In the meantime, hospitals and clinics will have an opportunity to save additional costs, by developing mechanisms for obtaining prior authorization and submitting electronic claims."
For his part, Rajesh Dugar, project manager of Riayati Program, Pure CS, said: "The eClaims engine will collect financial and medical information from all healthcare providers in the Northern Emirates in accordance with the international standards. Then, it will work as a third-party between service providers (hospital, clinic, dentist) and insurance companies. The verification of all transactions will be conducted electronically to avoid errors and to ensure that the claim is submitted to the insurance company properly. " — SG


Clic here to read the story from its source.