Claim submission workflow
Bill created in the HIS, then normalised, code-mapped and format-converted, AI-filtered for missing data, duplicates and compliance gaps, and submitted to DHA eClaim with the acceptance or rejection reason written back.
AI-driven interoperability platform connecting any HIS to DHA eClaim, ERX and the wider payer network.
Karemind ESB is the engine every other system talks through. It takes whatever your HIS, laboratory, PACS or pharmacy produces, normalises and validates it, and delivers it in the format the receiving system expects — including DHA eClaim and ERX. It removes the manual steps between a clinical event and a compliant submission, and it does it for systems we did not build.
It connects to any HIS or EMR — ours or a third party’s — and is engineered to handle a million connections at a time.
7 modules, all writing to the same record.
Bill created in the HIS, then normalised, code-mapped and format-converted, AI-filtered for missing data, duplicates and compliance gaps, and submitted to DHA eClaim with the acceptance or rejection reason written back.
Doctor’s prescription converted to the standard format, validated against drug rules, completeness checks and DHA compliance, submitted to the DHA ERX system, and the ERX number returned to the HIS and pharmacy.
Vendor-neutral connectors so hospitals keep the systems they already run instead of replacing them to get compliance.
Missing data detection, duplicate checks and compliance validation before anything leaves the building.
Full audit logs with automatic retransmission, so a failed submission is retried and evidenced rather than lost.
Real-time integration with encryption in transit and role-based access to every channel.
Built to handle a million connections at a time, so claim and prescription traffic does not queue behind bulk transfers.
Every Karemind product shares the same record and the same integration layer.
We demonstrate against a test environment matching your systems, not a generic slide deck.