RiteRCM · RCM Intelligence

Performance intelligence for revenue-cycle control

Smart claims. Zero guesswork. A management and analytics layer that turns claim, denial, payment and follow-up data into action.

RiteRCM · Executive dashboard
Branch: AllType: E-claimYear: 2026Search
Total claims3,820
SubmittedAED 1.24M
ApprovedAED 1.05M
RejectedAED 96K
UnsettledAED 148K

Income overview

SubmittedRemittedRejected

Claim status

  • Paid
  • Pending
  • Rejected

Top denial reasons

Coding
Authorization
Eligibility
Duplicate

AR ageing

0–3031–6061–9090+
Illustrative interface · demo data

The problem

Revenue leaks when data lives in separate files

RCM teams often manage submissions, remittances, denials, ageing and resubmissions in separate files, which makes it hard to see leakage and act early.

  • What was submitted, and what was actually paid
  • What remains unsettled, and for how long
  • Why claims were rejected, and by which payer
  • Where follow-up effort should go next

Replace retrospective spreadsheet reporting with a repeatable operating rhythm.

  1. Identify the exception
  2. Assign the follow-up
  3. Measure the result
  4. Report the financial impact

Analytical modules

One platform, every view of revenue-cycle health

AR & collections

Ageing buckets, payer trends, high-value pending claims and collection performance.

Denial intelligence

Denial categories, payer and specialty patterns, and resubmission follow-up.

Utilization & productivity

Service volume, payer coverage, provider performance and revenue per encounter.

Compliance & audit

Submission timeliness, claim activity and user-level audit trails.

Payments & reconciliation

Receiver, payer and bank-account views connecting submitted claims with funds received.

Financial KPI dashboards

Net collection ratio, gross collection rate, AR days and cash-flow projections for leadership.

Report library

From board-level view to individual claim

Drill-down access is preserved at every level, so leadership and operators work from the same numbers.

Executive dashboard

Total claims, submitted, approved, rejected and unsettled value alongside income and revenue trends. Current and prior-year views highlight trend shifts.

Monthly overview

Claim volume and financial status by month, filterable by branch, claim type and year — submitted, remitted, unsettled, rejected and resubmitted in one grid.

Payment & insurance overview

Compare monthly remittance across insurers and TPAs. Zero or unusually low payments are isolated for follow-up.

Denial overview

Each denial code with its description, frequency and rejected value — separating medical, technical, coverage and authorisation problems.

Ageing report

Submission and resubmission exposure in ageing bands, by receiver, payer, year and month, so delayed cash gets disciplined follow-up.

Payment reports

Bank inflows reconciled against submitted claims by receiver, payer, and receiver-and-payer combinations.

Detailed reports & claim history

Claim-wise and transaction-wise reports, activity logs and full claim history — end-to-end traceability from submission to settlement.

Resubmission workspace

Rejected claims, remittance dates, resubmission types and outcomes with denial code and reason kept in context, plus a recovery audit trail.

Client use cases

Analytics that turn into recovery

RiteRCM is built around the daily management questions: where is cash delayed, why are claims denied, and what should happen next.

CFO & owner performance view

Consolidate submitted, approved, rejected, unsettled and collected values across facilities — without rebuilding monthly spreadsheets.

Daily AR prioritisation

Surface high-value and ageing claims, filing-deadline risk and payer concentrations for a focused recovery huddle.

Underpayment review

Compare submitted values with remittances and bank inflows to find timing gaps, shortfalls and unusual patterns.

Denial leakage management

Rank denial causes by frequency and financial impact, then connect recurring categories to training or preventive rules.

Resubmission recovery

Track rejected claims, prior outcomes, follow-up status and recovery results in one transparent work queue.

Multi-facility benchmarking

Compare branches, departments, providers and payers on one consistent financial and operational data model.

Key differentiators

Built for UAE healthcare

Dual-layer validation

Technical and medical validation together, catching problems before submission.

Customisable rule engines

Rules tailored to specific UAE payer requirements for local compliance and efficiency.

Seamless integration

Ready for integration with eClaimLink, Shafafiya and Riayati for smooth data flow.

Regulatory alignment

Designed around DHA, DOH and MoH regulations for continuous audit readiness.

Scales with you

From individual clinics to large multi-hospital networks.

Beyond analytics: controlled data capture

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.

See RiteRCM on your own data.

Product demonstrations are provided through a controlled access process. Tell us about your facilities and payers and we will set one up.