Our Work Process
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Our Work Process
Our Work Process
From Submission to Collection
From Submission to Collection
At Paramesh RCM, every claim goes through a structured, data-driven journey — from the moment it’s submitted through Dubai’s e-Claim portal to the final reconciliation and closure.
Our approach integrates UAE’s healthcare claim process with our in-house FP&A analytical model, ensuring that each follow-up and collection action is guided by data, NOT GUESSWORK.
Claim Intake & Validation
Claim Intake & Validation
We begin by reviewing claim batches submitted through the e-Claim portal.
Every claim is validated against payer acknowledgments to confirm successful transmission.
This step ensures that no claim remains “off-system” or lost during adjudication.
Accuracy at submission, builds confidence in collection.
Analytical Tracking through Paramesh Analytics
Analytical Tracking through Paramesh Analytics
Using our proprietary Power BI - based data models (developed by Paramesh Analytics), we merge Claim Submission Reports and Remittance Reports into one interactive dashboard powered by PowerPivot and slicers.
This system highlights trends, aging, and anomalies — instantly identifying issues such as nil payments, 100% denials, or high-value unpaid claims that demand immediate attention.
With these analytical alerts, we can act faster, direct our focus, and guide our clients toward timely action.
Paramesh Analytics turns claim data into actionable intelligence.
Payer Coordination & Follow-up
Payer Coordination & Follow-up
Based on analytical insight, we initiate focused follow-up with payer and TPA offices.
Every communication is purposeful — addressing a specific claim batch, reconciliation issue, or aging pattern identified by the analytics.
Our decades of UAE healthcare experience and professional relationships ensure smooth coordination and credible dialogue with payer teams.
Smart communication - built on data, backed by relationships.
Payment & Remittance Reconciliation
Payment & Remittance Reconciliation
Once payers process and transfer payments via direct bank transfer, we perform detailed reconciliation using our Payments & Remittances Tracker.
This FP&A-designed model compares each received payment with uploaded remittances, ensuring that every dirham is correctly mapped and accounted for.
Discrepancies or missing remittances are flagged immediately and resolved through targeted communication with the payer.
From payment to proof – every transaction reconciled.
Insight-Based Collections
Insight-Based Collections
Our collection effort isn’t random — it’s guided by insight.
We focus on payers and claim periods highlighted by Paramesh Analytics as high-impact areas.
Reports like RCM-R1 and RCM-R3 help us track not-remitted claims, overdue IP stays, and payer-wise efficiency, allowing us to plan follow-ups that are friendly yet firm.
Each collection round ends with reconciliation and sign-off, ensuring both financial closure and relationship continuity.
Targeted, transparent, and relationship-driven collections.
Reporting, Feedback & Continuous Improvement
Reporting, Feedback & Continuous Improvement
Every month, analytical dashboards and collection summaries are prepared twice using FP&A visualization tools.
These reports display submission-to-collection flow, payer performance, and receivables aging, enabling providers to monitor progress like financial analysts — not just billing clerks.
Where financial planning meets claim management.
OUR WORKFLOW COMBINES
At Paramesh RCM, we don’t just follow up — we analyze, act, and achieve measurable financial clarity.
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