MEDCLAIM – Refresh Smart Solutions

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MEDCLAIM

The electronic solution you mentioned combines Medical, Pharmaceutical, and Insurance guidelines while providing comprehensive details about diseases within the Saudi billing system. This type of solution serves as a valuable tool for healthcare professionals, insurance companies, and other stakeholders involved in the healthcare industry in Saudi Arabia.

1) More than 18K of ICD10-AM,

2) More than 800 DRG Guidelines and Packages,

3) More than 51 K autoreply on rejections,

4) More than 11.5K Drug “ Full details”,

5) Guidelines for special departments: e.g.: NICU, ICU, Gynecology and Obstetrics…)

6) LABORATORY Guidelines

7) UCAF creation module

8) Claim creation module

9) Nphies codes founder module

10) Outpatient module for all departments

11) Admission& Inpatient module for all departments

12) Surgical Operations& Procedures module

13) DRGs module

14) Laboratory module

15) Radiology module

16) Investigations results module

17) 11) Pharmacy module

18) 12) Drug interactions module

19) 13) Rejections’ reply module

20) 14) Resubmission module

21) 15) NICU module

22) 16) ICU& CCU module

23) 17) Obegynae-Obestetric module

24) 18) Maternity module

25) 19) Dental department module & DCAF creation module

26) 20) Ophthalmology department module & OCAF creation module

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