AR & collections
Ageing buckets, payer trends, high-value pending claims and collection performance.
RiteRCM · RCM Intelligence
Smart claims. Zero guesswork. A management and analytics layer that turns claim, denial, payment and follow-up data into action.
The problem
RCM teams often manage submissions, remittances, denials, ageing and resubmissions in separate files, which makes it hard to see leakage and act early.
Replace retrospective spreadsheet reporting with a repeatable operating rhythm.
Analytical modules
Ageing buckets, payer trends, high-value pending claims and collection performance.
Denial categories, payer and specialty patterns, and resubmission follow-up.
Service volume, payer coverage, provider performance and revenue per encounter.
Submission timeliness, claim activity and user-level audit trails.
Receiver, payer and bank-account views connecting submitted claims with funds received.
Net collection ratio, gross collection rate, AR days and cash-flow projections for leadership.
Report library
Drill-down access is preserved at every level, so leadership and operators work from the same numbers.
Total claims, submitted, approved, rejected and unsettled value alongside income and revenue trends. Current and prior-year views highlight trend shifts.
Claim volume and financial status by month, filterable by branch, claim type and year — submitted, remitted, unsettled, rejected and resubmitted in one grid.
Compare monthly remittance across insurers and TPAs. Zero or unusually low payments are isolated for follow-up.
Each denial code with its description, frequency and rejected value — separating medical, technical, coverage and authorisation problems.
Submission and resubmission exposure in ageing bands, by receiver, payer, year and month, so delayed cash gets disciplined follow-up.
Bank inflows reconciled against submitted claims by receiver, payer, and receiver-and-payer combinations.
Claim-wise and transaction-wise reports, activity logs and full claim history — end-to-end traceability from submission to settlement.
Rejected claims, remittance dates, resubmission types and outcomes with denial code and reason kept in context, plus a recovery audit trail.
Client use cases
RiteRCM is built around the daily management questions: where is cash delayed, why are claims denied, and what should happen next.
Consolidate submitted, approved, rejected, unsettled and collected values across facilities — without rebuilding monthly spreadsheets.
Surface high-value and ageing claims, filing-deadline risk and payer concentrations for a focused recovery huddle.
Compare submitted values with remittances and bank inflows to find timing gaps, shortfalls and unusual patterns.
Rank denial causes by frequency and financial impact, then connect recurring categories to training or preventive rules.
Track rejected claims, prior outcomes, follow-up status and recovery results in one transparent work queue.
Compare branches, departments, providers and payers on one consistent financial and operational data model.
Key differentiators
Technical and medical validation together, catching problems before submission.
Rules tailored to specific UAE payer requirements for local compliance and efficiency.
Ready for integration with eClaimLink, Shafafiya and Riayati for smooth data flow.
Designed around DHA, DOH and MoH regulations for continuous audit readiness.
From individual clinics to large multi-hospital networks.
A submission register with manual, XML, JSON and Excel entry options, a person register supporting Abu Dhabi provider workflows for eligible self-pay activity, and exportable reporting for reconciliation, audit and management.
Product demonstrations are provided through a controlled access process. Tell us about your facilities and payers and we will set one up.