Reporting of Corporate Social Responsibility, Medical Tourism, Self-Pay and Non-Insurance Claims
Requirements and definitions for reporting CSR, medical tourism, self-pay and non-insurance transactions through Shafafiya
Overview
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.
Regulatory Circulars & Updates
The following DoH circulars establish the requirements and definitions for reporting:
DoH Circular USO/96/2024
Updated reporting requirements and definitions for Medical Tourism
View CircularDoH Circular USO/33/2026
Updated reporting requirements and definitions for Corporate Social Responsibility (CSR)
View CircularDefinitions
Corporate Social Responsibility (CSR)
Structured, non-profit initiatives that supports patients who are unable to afford essential healthcare services due to financial constraints or lack of insurance coverage. This support is made through charitable contributions from healthcare providers, insurance companies, charity organizations, sponsorships, and others to ensure access to either planned or unplanned medical treatment services in the emirate of Abu Dhabi by any UAE resident.
CSR cases include:
- Patients who are partially or fully funded by charitable organizations, sponsorships, direct donations
- Any patient support provided or affiliated with CSR programs with the DoH approval
- Any Patients funded through Patient Support Programs (PSP)
- Any other either cash or in-kind CSR contributions not mentioned above
Medical Tourism Services
The access to either planned or unplanned medical treatment services and non-emergency healthcare services in the Emirate of Abu Dhabi by any tourist traveling from abroad to the UAE for that purpose, excluding patients whose medical care is funded by the Abu Dhabi or federal government or who are insured by health insurance policies issued by the UAE licensed health insurance companies.
Reporting
Classification of Cases
The following diagram illustrates how to classify and report different types of cases:
Classification flowchart for CSR, Medical Tourism, Self-Pay, and Non-Insurance cases
Patient demographics reported in PersonRegister and encounters in ClaimSubmission transactions in accordance with general requirements of the Data Standard.
Technical Requirements
Person Register
Header
Person
ClaimSubmission
Header
Claim
Encounter
Diagnosis
Activity
Person Register
-
Header
- ReceiverID=HAAD
- Other elements as per the Data Standard
-
Person
- UnifiedNumber – required if EmiratesIDNumber contains one of the default values as per the definition
- BirthDate
- Gender
- Nationality
- PassportNumber
- EmiratesIDNumber
- MemberID=EncounterFacilityID#EncounterPatientID - as per the definition
- CountryOfResidence=a value from the ‘Country’ column of the list of nationalities
- EmirateOfresidence=a value from the ‘Code’ column of the list of Emirates – only reported if CountryOfResidence=’United Arab Emirates’
Other relevant elements as per the Data Standard
ClaimSubmission
-
Header
- ReceiverID=HAAD
- Other elements as per the Data Standard
-
Claim
- PayerID=MedicalTourismSelfPay or MedicalTourismOther or SelfPay or ProFormaPayer - depending on the patient status as per the definition of ClaimPayerID Note: for newborns, until the newborn’s official immigration documents are issued, the PayerID is reported in accordance with the status of the mother.
- MemberID=EncounterFacilityID#EncounterPatientID - as per the definition
- Gross – as per the definition
- PatientShare=Amount Patient owes to the provider
- Net=0
-
Encounter
- PatientID=Medical record number, as per the definition
- Other relevant elements as per the Data Standard
-
Diagnosis
- all relevant diagnoses as per the Data Standard
-
Activity
- all relevant activities as per the Data Standard
- Other relevant elements as per the Data Standard
Last updated: 24 Mar 2026
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