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RCM & Dhamani

Revenue Cycle Management, pre-integrated with Dhamani

Pre-Integrated with Dhamani

From patient registration to paid claim — on one platform

ISH comes pre-integrated with Dhamani, Oman's national health insurance e-claims platform. Claims flow electronically from your HIS to payers with no re-keying, no file exports, and no separate claims portal — and every response comes back into the same system your billing team already uses.

FHIR-Based e-ClaimsEligibility VerificationPrior AuthorizationClaim Status TrackingResubmission WorkflowsRemittance & Reconciliation
The Revenue Cycle

Every step of the claim lifecycle, connected

1RegisterPatient & insurance details captured once
2VerifyEligibility & coverage checked electronically
3AuthorizePrior approvals requested & tracked
4SubmitClean claims sent to Dhamani in FHIR format
5TrackPayer responses & statuses flow back automatically
6ReconcilePayments matched, denials resubmitted

Clean Claims, First Time

Built-in validation checks codes, formats, and required fields before submission — reducing rejections and rework for your billing team.

Real-Time Claim Visibility

Follow every claim from submission to settlement with live statuses, payer response dates, and aging views — no logging into separate portals.

Denial & Resubmission Management

Denied or partially paid claims are flagged, categorized, and routed into resubmission workflows — with limits and timelines enforced so revenue isn't lost to missed deadlines.

Reconciliation & Reporting

Match remittances to claims, tie out billing summaries, and monitor collection rates, denial reasons, and payer performance from executive dashboards.

All Omani Payers

Manage contracts, price lists, and claim rules across every insurance company you work with — private payers and national schemes alike.

Regulator-Ready Compliance

Encounter formats, coding standards, and submission rules stay aligned with Oman's evolving e-claims requirements — maintained by ISH so you stay compliant without chasing circulars.

Introducing ISH Insight

Turn Dhamani claims data into revenue decisions

ISH Insight is a purpose-built analytics layer for your Dhamani RCM workflow — surfacing the claim trends, denial patterns, and payer performance metrics that raw transaction logs can't show on their own.

Claims Performance Dashboard

Track submission volume, approval rates, and average payer turnaround time in one live view — by facility, department, or physician.

Denial Root-Cause Analysis

Identify the specific codes, payers, and encounter types driving denials, so your billing team can fix the pattern — not just the claim.

Payer Performance Scorecards

Compare approval rates, average settlement time, and net collection ratio across every insurance company you work with.

Revenue Forecasting

Project expected reimbursements based on submitted, pending, and historically resolved claims — giving finance teams a forward-looking cash view.

Aging & AR Analytics

Spot claims approaching payer deadlines before they expire, with automated aging buckets and resubmission alerts.

Compliance Audit Trail

Every claim, adjustment, and resubmission is logged and searchable — ready for FSA audits and internal reviews.

See ISH Insight in Action
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