Eligibility and pre-approval
Member and policy checks at registration, with insurance eAuthorization and pre-approval handling before the service is delivered.
Back to portfolioRevenue
Revenue cycle
Karemind RCM
Revenue cycle management and insurance platform — available as software or as a fully managed service.
- Insurance and eligibility
- Claim management
- Denials and resubmission
- Revenue analytics
9connected modules
Onepatient record, no hand-offs
AIpowered by KareLLM
ESBconnects any HIS or EMR
What Karemind does
Karemind RCM builds the claim from the clinical record rather than from a billing screen, scrubs it against a billing rules engine before it leaves, submits it to DHA eClaim, and works the denial and the appeal when one comes back.
It connects to any HIMS or EHR through Karemind ESB, so you do not need to replace your hospital system to fix your revenue cycle.
What changes
- Eligibility confirmed before the service is delivered
- Claims scrubbed against billing rules before submission
- Denials worked and appealed rather than absorbed
- Connects withAny HIMS or EHR through Karemind ESB
- PayerDubai eClaim (DHPO), NABIDH connectivity, payer network support
- ComplianceEDI 5010, HIPAA and GDPR-aligned
- CoverageRegistration to payment, including appeals
- SupportAlerts, document management, referral management, registry reporting
Inside Karemind RCM
9 modules, all writing to the same record.
Claim creation and scrubbing
Claims built from clinical and billing data, with preventative claim edits and a billing rules engine applied before submission.
Submission via Karemind ESB
Direct submission to Dubai eClaim (DHPO) with EDI 5010 compliance and real-time status tracking.
Adjudication and payment posting
Remittance parsed, payments posted and A/R reconciled against what was actually submitted.
Denial and rejection management
Denials worked and appealed at all levels, with repeat causes surfaced rather than re-lived every month.
Visibility and reporting
Clear A/R visibility, eBO view, custom reporting, alerts and 24×7 support.
Preventative claim edits
A billing rules engine that catches the errors which cause denials before submission rather than after.
eClinicalMessenger alerts
Automated patient and staff messaging tied to claim, approval and appointment events.
Document and referral management
Supporting documents, authorisations and referrals held against the claim, with registry reporting where required.
Transparent pricing for RCM as a service
Choose whichever model suits the practice. Both are available with a one-time fee plus AMC.
- 0.99% of practice collections
- Or a fixed monthly price based on practice size
- One-time fee and AMC options available on both
Works with the rest of the portfolio
Every Karemind product shares the same record and the same integration layer.
See Karemind RCM on your workflow
We demonstrate against a test environment matching your systems, not a generic slide deck.