On 1 January 2027, ADOC becomes how Abu Dhabi pays for outpatient care.
RCMaI.Net helps hospital leadership protect outpatient revenue through the transition, with ADOC workforce training, claim validation before submission, and classification decisions you can audit line by line.
A fixed regulatory timeline, and six months of shadow billing to get it right
DoH names ADOC as the payment method for outpatient care in Abu Dhabi.
Shadow claims are submitted through Shafafiya. DoH has said this phase must not affect how claims are settled, paid or approved.
ADOC becomes the primary reimbursement mechanism for outpatient services across the Emirate.
Who it covers
All outpatient healthcare providers, insurance companies and third-party administrators licensed by DoH. Dental providers and pharmacies are the only exceptions.
What the shadow phase is for
DoH states three aims: test every stakeholder's systems and processes, standardise claim submission and classification accuracy, and resolve issues before the official launch.
What it means for a hospital
Reimbursement moves from line-item billing to classification of each outpatient service event. That changes coding, documentation and claim-build work across every specialty clinic.
One ADOC readiness programme, built for how a multispecialty hospital works
Each part works on its own, and together they cover people, process and technology.
ADOC Training Programme
Available nowInteractive workbooks for coders, clinicians, billing and finance teams, with separate tiers for specialty centres, polyclinics, hospitals and diagnostic centres. Teams practise on real classification scenarios, and every answer shows the rule behind it, so knowledge carries over to live claims.
Offline-first · readiness assessment with a pass threshold · post-training support during shadow billing
Claim Pre-Flight Validator
Available nowChecks ADOC claim files against DoH's published validation rules before they reach Shafafiya, so errors are fixed in-house instead of coming back as rejections. It runs inside your own environment.
Built from DoH's published ADOC validation rules · updated as DoH issues new releases
Glass-Box ADOC Grouper
In developmentAssigns an ADOC class to each encounter and records every step in the decision, so any classification can be traced back to the DoH rule that produced it. Built for revenue-integrity review and payer queries.
Deterministic and reproducible · full audit trail on every classification
ADOC Knowledge Connector
In developmentGives your hospital's AI tools and internal systems a sourced ADOC reference layer through an enterprise connector. It can be deployed on-premise or air-gapped.
For enterprise integration teams · on-premise or air-gapped deployment
Built to hold up under audit, not just to demo well
Sourced, not assumed
Every rule we apply traces to a DoH publication and version. When DoH has not yet published a detail, we show it as pending instead of guessing.
Glass-box by design
Decisions come with their reasoning attached, so your coding, finance and audit teams can check them instead of taking them on trust.
Your data stays with you
Tools are offline-first and deploy inside your environment, so patient data never has to leave your hospital.
Current with every release
ADOC has gone through several DoH releases, and v1.4 guidance was published during shadow billing. We track each release and update our content and rules to match.
Sanjay Kumar
Sanjay founded RCMaI.Net in March 2024 after 25 years in healthcare revenue cycle management across US and UAE healthcare. He held multiple senior roles at organisations including Mediclinic Middle East, Al Noor Hospitals Group and Genpact.
He then applied that depth to AI, as ML Analyst – Team Lead at AAICO and as a Healthcare AI Business Fellow at Perplexity. He now leads RCMaI.Net's ADOC programme as its founding domain expert and has final sign-off on every classification and payer-rule decision the platform makes.
An executive briefing on your ADOC readiness
We will cover where the transition typically puts outpatient revenue at risk, what your teams should be doing during shadow billing, and which parts of the programme fit your hospital. Commercial terms are shared at the briefing.
No patient, facility or payer data is needed for this conversation.