All Hospitals
Consolidated view across all 5 hospitals
Total Denials
5
1 open · 1 resolved
2025 Total (AED)
185,600.00 AED
Across all hospitals
2026 Total (AED)
130,350.00 AED
-29.8% vs 2025
True Revenue at Risk
114,250.00 AED
2026 recoverable denials
Internal vs External
3 / 2
40% external
Showing 5 of 5 denial records
| Hospital | Claim # | Category | Root Cause | Type | Revenue | Patient | Accountability | Fin. Impact | 2025 (AED) | 2026 (AED) | Status | Actions |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Tawam Hospital | CLM-2026-0042 | Authorization / Pre-cert | Internal | True Revenue | Inpatient | Utilization Management Dept. | High — recurring pattern across surgical cases | 48,500.00 AED | 31,200.00 AED | In Progress | ||
| Sheikh Tahnoon Bin Mohammed Medical City | CLM-2026-0089 | Coding Error | Internal | True Revenue | Outpatient | HIM / Coding Department | Medium — affects multiple outpatient claims monthly | 22,100.00 AED | 18,750.00 AED | Open | ||
| Al Ain Hospital | CLM-2026-0055 | Medical Necessity | External | True Revenue | Inpatient | Clinical Documentation Integrity | High — payer aggressively reviewing inpatient admissions | 91,000.00 AED | 64,300.00 AED | Appealed | ||
| AL Wagan Hospital | CLM-2026-0101 | Timely Filing | Internal | False Revenue | Emergency | Patient Financial Services | Low — isolated incidents but preventable | 8,400.00 AED | 3,200.00 AED | Written Off | ||
| AAMC-Rehabilitation Hospital | CLM-2026-0033 | Eligibility / Coverage | External | False Revenue | Outpatient | Front-End Registration | Medium — impacts self-pay conversion rate | 15,600.00 AED | 12,900.00 AED | Resolved | ||
| TOTALS (5 records) | 185,600.00 AED | 130,350.00 AED | ||||||||||