Fonts Size

Change Color


Healthcare facilities are required to complete the Training Programme on Abu Dhabi Healthcare Guidelines for Health Media & Advertising System as mentioned in circular number 26/2023, for more information Click Here

DOH urges all healthcare and pharmaceutical facilities & Health professional to Adhere to the circular number(63\2021) by updating the details of the mobile number & e-mail address in order to receive all circulars & letters issued by DOH, for more information Click Here


ClaimGross Simple Type Simple Type


Is the total AED amount of the charges included on the Claim. ClaimGross includes any patient financial responsibility for the Claim, such as co-pays and deductibles, as well as charges made to other insurers for the Encounter(s) covered by the Claim. The prices on which ClaimGross are based should reflect the general agreement between the payer and provider for the Claim items for insuree. Example 1 | A patient visits a clinic for a hip operation. The published list price is AED 8000. However, the insurer has negotiated with the provider a general discount of 10% on the published list price. ClaimGross is AED 7200. Example 2 | A patient visits a clinic for a routine physical exam which costs AED 2000.The patient pays a co-pay of AED 250. ClaimGross is AED 2000. Example 3 | A patient visits a clinic for a physical exam (AED 500) and an expensive diagnostic test (AED 1500) in one Encounter. The patient pays a co-pay of AED 250 and claims the diagnostic test from a supplementary insurance, because the primary insurance does not cover this diagnostic test. ClaimGross is AED 2000. Note | If the claimed amount is not in AED, then value should be converted to AED on the date of ClaimDateSubmission Restrictions: Non-negative and greater than or equal to ClaimPatientShare + ClaimNet.


restriction of float






Research And Innovation Center

Subscribe for updates

Thanks for Subscribing

Last updated: 23 Jul 2024

Mobile For an optimal experience please
rotate your device to portrait mode