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The primary objective of the National Health Authority (NHA) is to streamline claim processing. In alignment with this goal, Settlemed offers solutions with Code Pilot AITM and Claim Denial Prediction AITM, which ensure accurate patient admission coding. Traditionally, this task relies on certified professional coders and specialist doctors, but engaging these highly skilled professionals incurs significant upfront costs for hospitals. Additionally, it diverts medical professionals' focus from patient care to repetitive paperwork, leading to inefficiencies.
The real-time availability of specialist doctors for claim submission can be challenging. Claim Denial Prediction AITM addresses this issue by allowing hospitals to check the chances of claim denial before submission. This facilitates the initiation of the correct documentation in real time, while maintaining accuracy and transparency in the admission process, resulting in clean claims