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Alert:

20 May 2022 DoH urges all healthcare facilities operating in the emirate to be vigilant about any suspected or confirmed Monkeypox cases to find out more 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

Shafafiya

Reporting of medical tourism, self-pay and non-insurance claims

In accordance with DOH Circular CEO 52/11 Providers are required to report in electronic claims with ReceiverID=HAAD all transactions not previously submitted through shafafiya. In addition, the DoH Circular US/25/18 requires Providers to distinguish self-pay and medical tourism in their reporting claims.

From 17 October 2022, the DoH Circular number USO/235/2022 established an updated definition of Medical Tourism.

In relation to that, the following definitions and rules apply within the DoH Data Standard:

Definitions

Medical tourist: Any non-UAE resident, travelling from abroad into the UAE, receiving non-emergency medical treatment (clinical and/or wellness care) in the emirate of Abu Dhabi. Excludes patients whose care is funded by UAE government or AD-based.

Self-pay patient: Any UAE national or non-national not classified as Medical tourist paying directly for a medical service received in a healthcare facility licenced by the Abu Dhabi Department of Health.

Other non-insurance patient: Any UAE national or non-national not classified as Medical tourist neither claiming insurance nor paying directly for a medical service received in a healthcare facility licenced by the Abu Dhabi Department of Health.

Reporting

Patient demographics reported in PersonRegister and encounters in ClaimSubmission transactions in accordance with general requirements of the Data Standard and particularly:

fam-sch-home

Muashir

weqaya-program

Aamen

oral-health-program

Research And Innovation Center

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Last updated: 09 Dec 2022

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