Clinics
The clinic gets paid for what it treated.
Doctor Billing is claims management for clinics: eligibility before the appointment, approval before the treatment, the claim built from the encounter itself, and denials corrected rather than absorbed. It runs on the same payer connections as 2,000+ HSA sites, including Shafafiya, with EzDx, or alongside the EMR you already have.
1M+
claims processed on HSA gateways
3
payer gateways live
1 day
to onboard*
* Hardware and network ready on the day. Connecting your payer mailbox is scoped separately.
Approved and connected
What it does
Everything between the appointment and the payment.
A clinic's revenue leaks in two places: treatment given without checking cover, and claims denied without anyone going back for them. Doctor Billing closes both, inside the consultation workflow rather than in a billing office down the corridor.
Eligibility before treatment
The patient's cover, plan and TPA are checked at reception, so nobody is treated on an assumption and nobody is billed for a surprise.
Prior approval
Approval requests for procedures that need them, submitted and answered before the treatment rather than argued about after it.
Claims built from the encounter
The diagnosis and procedures recorded by the doctor in EzDx become the claim, so nothing is re-keyed from a paper note. Clinics keeping their existing EMR can import claims as an Excel file instead.
Submission to every gateway you're licensed on
Online and offline claims to Shafafiya, the gateway your clinic is licensed on.
Remittance and reconciliation
Remittances downloaded and matched against submissions, so short-payment and non-payment show as two different problems.
Denial correction
Denials arrive with their reason, are corrected and resubmitted from the same screen, and are grouped so you can see whether the pattern is one payer, one procedure or one doctor's documentation.
A day in the clinic
How the claim actually goes.
STEP 01
Reception checks cover
The patient's insurer, plan and TPA are verified before they sit down. What is covered, and what the patient pays, is known at that point rather than at the desk on the way out.
STEP 02
Approval comes back
Anything needing prior authorisation is requested and answered before treatment. The doctor is told what is approved, not asked to guess.
STEP 03
The encounter becomes the claim
The doctor records the diagnosis and procedures. That record is the claim — coded once, by the person who did the work.
STEP 04
The money is matched, or chased
Remittances reconcile against submissions. Denials come back with a reason, get corrected and go out again, and the pattern report shows where the rejections keep starting.
Inside the product
Modules, in the order you'd meet them.
Three screens between the appointment and the bank. Each removes a way for a clinic to work for free.
Eligibility and approvals
Where the loss is prevented: cover verification at reception, prior authorisation requests, and the insurer, plan and TPA records behind them. A clinic that checks cover first does not write off treatment later.
Eligibility Prior approval
Claim capture
Where accuracy comes from: the claim is assembled from the doctor's own diagnosis and procedure record, not transcribed from it. Coding is done once, at the point the clinical decision was made — or imported from your existing EMR as an Excel file.
From the encounter Excel import
Reconciliation and denials
Where the money is recovered: remittance download, claim status, denial reasons, correction and resubmission, with rejection patterns grouped by payer, procedure and doctor.
Remittances Resubmission
Proof
Eligibility before the appointment, not after the treatment.
We used to find out a policy had lapsed after the patient had been treated, and we absorbed it. Reception sees it when the appointment is booked now, and the write-offs have mostly gone.
Noor Abdullah
Billing Supervisor · Emirates Family Clinic, Ajman
AED 62k
a quarter no longer written off
96%
of patients checked before they arrive
Deployment
One day alongside EzDx — we register your insurers, plans and TPAs, configure the approval rules, and run the first submissions with your team watching. Connecting to Shafafiya depends on the authority's own onboarding, which we handle but do not control the clock on.
Works with
Pairs with the rest of the suite.
Each of these does its own job. Most customers add the next one once the first has paid for itself.
Questions
The four things clinics ask first.
Is this the same thing as EzRx?
It is the same job — eligibility, approval, submission, remittance, denials — for a clinic rather than a pharmacy counter. The difference is what the claim is built from: a clinical encounter with diagnoses and procedures, rather than a dispensed prescription.
We already run another EMR. Can we still use it?
Yes. Doctor Billing takes claims in as an Excel file, so if your EMR can export in that format, it can feed the claims engine without being replaced. With EzDx the claim is assembled straight from the encounter record, which is cleaner.
Who does the coding?
The doctor, once, in the encounter — which is the point. Claims built from a clinician's own diagnosis and procedure record are rejected less often than claims transcribed by someone reading a note afterwards.
What happens to a rejected claim?
It appears with its denial reason, is corrected and resubmitted from the same screen, and is counted in the pattern report. Rejections are work items here, not write-offs at month-end.
See it on your own workflow.
Tell us which authority licenses you and what you run today. We'll configure the walkthrough for your market — thirty minutes, no slide deck.
A specialist replies within one business day
Onboarded in one day once you are ready
We review your data migration before you commit