Claims Adjudication
A rules-driven adjudication engine that validates eligibility, coverage and pricing in real time — consistent decisions, every time, with a complete audit trail.
اعرف المزيدأبوظبي · إدارة مطالبات خارجية
نقطة الالتقاء لإدارة المطالبات بدقة واحترافية.
تربط مونو هيلث كير تكنولوجيز شركات التأمين ومقدمي الرعاية والصيدليات في دولة الإمارات — بمعالجة كل مطالبة بسرعة ودقة وقابلية تدقيق كاملة.
Built for institutional confidence
Abu Dhabi regulated
Established and operating under the regulatory framework of the Emirate of Abu Dhabi.
UAE-hosted data residency
Claims and health data are processed and stored on infrastructure hosted in the UAE.
Security-first
Encryption in transit and at rest, least-privilege access and continuous monitoring by design.
Integration-ready
Modern APIs and standard formats, designed to connect payers, providers and pharmacies.
Solutions
One platform. Every claim.
Four tightly integrated capabilities cover the full life of a pharmacy or medical claim — from first submission to final settlement.
Formulary Management
Centralised drug lists, pricing rules and therapeutic alternatives — kept current, version-controlled, and applied uniformly across your entire network.
اعرف المزيدPayer & Provider Integration
Clean, well-documented APIs and standard message formats connect insurers, TPAs, pharmacies and clinics without months of custom work.
اعرف المزيدAnalytics & Reporting
Operational dashboards, regulatory reporting and fraud-waste-abuse signals — decision-grade visibility over every dirham that moves through the system.
اعرف المزيدHow it works
Three steps. Zero friction.
A claim enters once and leaves settled — validated, adjudicated and reported along a single auditable path.
- 01
Receive & validate
Claims arrive through API or portal and are instantly checked for eligibility, completeness and formulary compliance.
- 02
Adjudicate
The rules engine prices and decides each claim in seconds — approvals, partials and rejections, each with a documented reason.
- 03
Settle & report
Clean settlement files, reconciliation and regulator-ready reporting close the loop for payers and providers alike.
Security & Compliance
Engineered for trust.
Health-claims data deserves institutional-grade protection. Mono is designed for the UAE health-data landscape: our platform is built to national health-data standards and aligned to recognised international security practice — with data residency, encryption and auditability treated as architecture, not afterthought.
Mono Healthcare Technologies is pursuing alignment with applicable UAE health-data and information-security standards.
Data residency by design
Claims data is hosted in the UAE and designed to remain there — supporting national health-data residency expectations.
Defence in depth
TLS everywhere, encryption at rest, network segmentation, least-privilege access and continuous logging across the platform.
Audit-ready operations
Every decision the engine takes is reproducible and traceable — built to support regulator and payer audits with confidence.
Performance you can plan around
10M+
claims per year — platform capacity
2s
median adjudication response, by design
99.9%
platform availability target
100%
UAE-hosted data residency
About Mono
From Abu Dhabi, for the region.
Mono Healthcare Technologies is a third-party administrator headquartered in Abu Dhabi, United Arab Emirates. We give insurers, self-funded schemes and pharmacy networks a single, dependable operational core for their claims.
Our founding conviction is simple: claims administration is infrastructure. It should be precise, transparent and quietly excellent — so payers can price with confidence, providers get paid without friction, and members never notice the machinery at all.
Abu Dhabi, United Arab Emirates
Contact
Let’s talk about your claims.
Tell us about your organisation and we’ll come back within one business day.
تفضّل البريد الإلكتروني؟ info@monoht.ae