The Challenge
A Saudi Arabia government hospital in Riyadh was running billing operations on fragmented manual processes — creating compliance risks, high claim denial rates, and a heavy administrative burden on staff. They needed a system that could automate the full insurance claims lifecycle, integrate with their existing EHR, and meet strict government compliance standards.
Our Solution
We delivered a government-grade billing and claims management platform for the Riyadh hospital using React and Django on AWS. The system integrates with their HL7 FHIR-compliant EHR, automates insurance claim submission, flags denials for staff review, and generates government compliance reports on demand. A patient portal enables online appointment booking and secure insurance data management — reducing front-desk workload significantly.
Key Results
- 60% reduction in billing errors through automated validation rules
- Full HIPAA compliance with end-to-end data encryption and audit logging
- HL7 FHIR integration enables seamless EHR data exchange
- Claim denial rate reduced significantly through pre-submission validation
- Patients can self-schedule and manage insurance data via the patient portal
- Billing cycle time cut by over 40% through workflow automation
Engineered With
Aesthetics & Function
What Was Delivered
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