Analyze & Protect

Your Medical Claims

An AI-powered medical claim auto-adjudication clinical documentation/decision support system to identify claims' critical errors and pitfalls.
Saudi's first advanced medical claim analysis technology

FEATURED ON

GlanceClaim™ is built for all teams

Glance for Providers
Glance for Payers

Understand your medical claims better

  • Measure unjustified medical claims
  • Evaluate internal billing operation and compliance
  • Measure level of compliance with regulations

Support your medical & RCM team

  • Find accurate ICD10AM codes (Advanced code finder)
  • AI powered clinical documentation (CDI)
  • Order the right medical services (CDSS)
  • Automate daily claims check (Claims Checkers)

Evaluate your Nphies readiness

  • Internal service maping to CHI-BS
  • MDS technical review
  • Services, packages and bundling review

Evaluate your business potential

  • Analyze your services utilization rates
  • Identify operational & business potentials
  • Benchmark your clinical and claims performance.

Automate approval and claims adjudication

  • For medical necessity
  • Medical coding standards (ACS 6th Edition)
  • For regularly compliance
  • For contractual compliance
  • Medical policy compliance and abuse
  • CHI IDF

Communicate with your policy holders

  • Communicate the care plan with the policy holders
  • Communicate approval or rejection reasons

Understand the medical trajectory of your policy holders

  • Map your patient medical history and active conditions to the financial spending
  • Analyze your policy utilization and justification

Compliant with Saudi CHI Guidelines & supports your digital transformation

We have built it on the latest technical and medical standards directed by the Saudi CHI so you can operate without worry
CHI Billing System
ICD-10 AM
Saudi FDA
CHI Insurance Drug Formulatory
Glance Claims

To prevent claims rejections