DHS PROFILE

Digital Healthcare ‫ﴍﻛﺔ دﻳﺠﻴﺘﺎل ﻫﻴﻠﺜﻜﲑ‬
Solutions Arabia LLC ‫ﺳﻮﻟﻴﻮﺷﲋ اﻟﻌﺮﺑﻴﺔ‬

King Saud Hospital The Preferred Technology Partner
for Healthcare Insurance Services

January 2022, DHS Arabi

Meeting Agenda

About DHS Arabia
Market Overview
Motalabatech
Medical Record Archiving Solution
DHS Arabia Products Roadmap
Questions

OUR
COMPANY

DHS Arabia is making the healthcare facilities more efficient
in terms of operations cost versus quality of service; whereby
our e-Transformation tools and revenue cycle management
modules help healthcare providers focus on the quality of
care for its patient and allow technology to do the
paperwork electronically. We are PROUD contributors to The
e-Transformation of the SAUDI Healthcare Sector.

OUR MISSION

DHS Arabia’s mission is “Digitizing the healthcare sector
by providing trusted services and products”.

OUR VISION

Vision of DHS Arabia is “To be the go to provider of
digital healthcare eTransformation”.

WHY
DHS ARABIA?

When it comes to medical claims conveyance; we are
the "Go2" Switch off the industry with the first success
story of a real Electronic Data Interchange (EDI)
project in Saudi Arabia between an insurance system
and a healthcare provider system.

starting from the year 2007, We continue upholding
the Trust that our clients put in us, our services, and
products where they start taking more time to Focus
on their real business.

WHAT
DO WE DO?

We use Information Technology to enable
healthcare service providers in e-transformation
of their transactions and Data Interchange with
medical payers.

We help healthcare facilities digitalize the
workflow for more efficiency, Reduce errors, and
best operations costs.

DHS Teams Development

DHS Capabilities Integration

Technology Implementation
Services Technical Support

Training
Customer Care Support

DHS REGIONAL Northern Sector
Presence
Tabuk - Jowf - Hail
Northern Border Eastern sector

TABUK Eastern region

Western Sector Central Sector EASTERN REGION

Central Sector: Southern Sector: Mecca – Medina Riyadh – Qassim
Riyadh - Qassim Najran - Jazan - Aseer - Albaha
MECCA RIYADH

Northern Sector: Eastern sector:
Tabuk - Jowf Eastern region
Hail - Northern Border

Western Sector: Southern Sector
Mecca - Medina
Najran - Jazan
Aseer – Albaha

NAJRAN

MARKET OVERVIEW

The Spaghetti Junction

MARKET OVERVIEW Insurer
Third Party
Provider Adminstrator
Provider Insurer
Provider
Provider Insurer
Provider
Insurer

The Insurer Insurer Insurer
Solution
DHSA Arabia Switch
DHS Arabia Switch functionality - single point of data entry
Provider enters data once and DHS Arabia transmits to numerous Robust, Secured Network
insurers / TPAs in the format needed.

a. Blockchain.
b. HL7 Compliant.
c. End-to-end encryption (E2EE).
d. Data Transformation ( ETL ).
e. Data Analytic.
f. Security and Privacy

Provider

DHS Arabia
Motalabatech

DHS MTS is a digitized transactions management platform
that enables Healthcare Payers and Medical Providers to
capture, Transmit and manage data over the internet
without the use of papers and Makes the Process faster,
easier, Better - resulting in boost efficiencies, eliminating
errors, and a greatly to unlock the business growth.

DHS Arabia Variety of software systems, capabilities and
Motalabatech requirements

DHSA Arabia Salient Features Insurance Company Direct Payer TPA
• Transaction validation and checking
• Format translation
• Change management services
• Business continuity

DHSA Arabia Salient

Hospital Laboratories Optics Shops Pharmacy Medical / Clinic Radiology Dental Clinics Hearing Aids One Days Physiotherapy Dialysis
Centers Centers Operations Centers Centers

Centers

Variety of software systems and capabilities at
providers

DHS Arabia Technical: Administrative:
Motalabatech
Elimination of complexities of Clear data for future
DHS MTS Benefits disparate systems planning

Best practice of eClaims/eApprovals/ Reduction of administrative
eEligibility standards & procedures worload

Service code / MAPPING & VALIDATION Increase staff usability

Correcting in complete medical and personal Improvement of cash flows for
data / fixing clem's with technical error providers and destination

ICD 10 AM - V10 / MAPPING Fraud prevention tools
& VALIDATION

Medical Record Archiving Solution

Muramez

Archiving Solution

Muramez is a document archiving system that
enables healthcare facilities to transform paper works
into paperless records with the option to quickly
access, search and view documents.

Scanning
Indexing
Optical Character Recognition (OCR)
Document Archiving
Image Processing
Form Recognition
Data Entry
Standard Data Exchange Protocol
Dynamic Data Mapping
Automatic Update
Custom Permissions
User Management
File Compression
Reporting
Data Analytics

16

Success Story

Medical coding of all inpatient

and one-day operations
for MOH hospital in 2019

20 48 Submission Accessing
of coded Patient Charts
Region Hospital Charts

266 860,000 Quality Pre-Coding
medical file Audit ICD-10
Medical Encoder Coding

Around DHS develop
Muramez ECM
150M to archive all
Paper medical files

13

DHS Arabia Products Roadmap

Pharmacy Benefits
Management (PBM)

Pharmacy Benefits Management (PBM) is an insurance companies Contract with PBM drug manufacturese
effective management tool which is facilitates to administer bene ts
the processing of drug prescriptions, and this Pay rebates
supports government, insurance companies, Buy insurance to Pharmracy for keeping
and medical providers in controlling & reducing cover some of the beni t their drugs
their pharmacy claims costs. cost of prescriptions on formulary
managers
About 40% of total claims are medications Pay pharmacies
which is currently unmanaged and that lead to for drugs
an inflation of the insurance cost for all the
cycle. Pay PBMs
clawback.' the di erence when"
copay is higher than
reimbursement cost of the drug

Pay PBM-determined copay or
out-of-pocket prescription costs

consumers pharmacies

Pro-Surance Revenue
Cycle Management

Claims Submission

• Charge Entry
• Medical Coding
• Timely Claim Submission

Revenue cycle management (RCM) is the financial process, Start of a Claim Revenue Cycle Claims
that begins when the patient makes the appointment Management Management
and ends with successful payment collection. • Patient Registration
• Insurance Eligibility • Payment Posting
DHS company is focusing on technology enhancements • Patient Appointment • Medical Coding Services
and performance improvement through change • Denial Managemet
management to support the revenue cycle management • Appeals
in the medical providers.
Analytics A/R Management
Under the umbrella of this project, we will provide them
with a bundle of services like ( Appointment application, • Payment Posting • A/R Follow up
PBM & Claim assessment tools ) which will add value to the • Medical Coding Services • Patient Colloctions
RCM services. • Denial Managemet • Patient Statements
• Appeals

Claim Assessment
Solution

An AI component to do the medical assessment
of claims, before submission. A tool that can be
used with all products of DHS Arabia for
predictive analysis and fraud detection and
fraud prevention.

Purpose of Claims Assessment Tool: there is an
empty space in the market for fraud detection
and fraud prevention tool based on Artificial
Intelligence (AI).

Thank You

Questions

www.dhsarabia.com
[email protected]

92 0000 958