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Automated ICD-10 Coding, Instant Denial Prevention, and Production-Ready XML Exports for Healthcare Providers.

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The Reality Check

See how Falcon Coding solves the "Implicit Diagnosis" problem that traditional systems miss

Traditional Systems

Claim Rejected (Missing Linkage)

Chief Complaint: Acute abdominal pain

Procedure: Laparoscopic appendectomy performed

Diagnosis: [MISSING]

Error: No explicit diagnosis code for appendicitis. Claim denied by payer.

Falcon Coding AI

Claim Accepted (AI Inference)

Chief Complaint: Acute abdominal pain

Procedure: Laparoscopic appendectomy performed

Diagnosis: K35.80 (Inferred)

AI Inference: Procedure-to-diagnosis linkage automatically established. Claim approved.

Advanced Claim Editor

Built specifically for DOH, DHA, and Shafafiya compliance

Auto-validated 784-XXXX-XXXXXXX-X format
Formatted for Abu Dhabi & Dubai Payer Portals
Automated VAT & Net calculations in AED
XML formatted for Shafafiya submission
Malaffi Compatible
Nabidh Compliant
e-ClaimLink Ready

Stop Wrestling with XML Files

Production-ready XML exports with zero manual formatting

Claim_ABC123456789.xml 
<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://shafafiya.ae/schema">
  <Patient>
    <EmiratesID>784-1234-5678901-2</EmiratesID>
    <MemberID>ABC123456789</MemberID>
    <BirthDate>15/01/1985</BirthDate>
  </Patient>
  <Provider>
    <SenderID>DHA-L-001234</SenderID>
    <ClinicianID>DR-L-567890</ClinicianID>
  </Provider>
  <Financial>
    <Net>250</Net>
    <Currency>AED</Currency>
  </Financial>
  <Diagnoses>
    <Diagnosis>
      <Code>K35.80</Code>
      <Type>Primary</Type>
    </Diagnosis>
  </Diagnoses>
</Claim>

Instant XML Download

One-click export ready for DOH/Shafafiya portals. No manual formatting needed.

Automatic Modifiers

Intelligent injection of CPT Modifiers 25, 50, 51 based on procedure combinations.

100% Compliance

Fully compliant with Malaffi/Nabidh standards and e-ClaimLink specifications.

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Claim Acceptance Rate
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