Healthcare ERP for UAE

Health insurance billing in the UAE involves submitting claims electronically through intermediaries to insurance companies. In Abu Dhabi, claims follow the HAAD (now DOH) claim format. In Dubai, the DHA has standardized e-claim formats. The insurance market includes mandatory basic coverage plans and supplementary coverage, with different benefit structures, co-payment arrangements, and network restrictions. Prior authorization requirements vary by insurer and plan type, creating administrative complexity in the claims process.

Pharmaceutical management follows MOHAP drug registration requirements, with controlled substance tracking under specific regulations. The UAE has implemented a track-and-trace system for pharmaceutical products. Medical device regulations follow the GCC-DR (Gulf Cooperation Council Device Regulation) framework. Patient data protection follows the Health Data Law requirements that govern the collection, storage, and sharing of patient health information.

Yukti provides healthcare organizations with multi-regulator compliance management that adapts to DOH, DHA, or MOHAP requirements based on the facility location and licensing emirate. The insurance billing module handles e-claim submission in the formats required by Abu Dhabi and Dubai regulators, manages prior authorization workflows, and tracks claim status and denials. The pharmacy module supports MOHAP drug registration verification, controlled substance tracking, and pharmaceutical track-and-trace compliance. Patient records management follows the Health Data Law requirements with access controls, consent management, and cross-border data transfer restrictions. Financial reporting handles the corporate tax obligations introduced in 2023 and the VAT treatment specific to healthcare services (zero-rated for preventive and basic healthcare). The HR module manages healthcare professional licensing renewal tracking across MOHAP, DOH, and DHA credential systems.