Overview

Greenrain Submission is a solution to generate e-claim transactions from Excel files which satisfy definite structure.

Latest notices

Is Resident flag

DoH sent notification email on January 9, 2019 requesting that DoH Personal Profile Service is to be called with Emirates ID Number or Unified Number depending on a member's residence. The following changes have been implemented in Greenrain Submission:

  1. New setting Flag 'Is Resident' is mandatory added to Settings dialog > Person.Register tab.
  2. Is Resident column added to Person.Register template. Possible values are:
    1. Yes or True — the member is the UAE resident;
    2. No or False — the member is not the resident of the UAE (e.g. visitor, or applying for the residence, or diplomat, etc);
    3. no value — member's residency status is unknown.

The logic looks as below.

  1. If Flag 'Is Resident' is mandatory is checked, then Is Resident column must have a value. Otherwise, Greenrain Submission stops the Excel file processing.
  2. If Flag 'Is Resident' is mandatory is unchecked, then Is Resident column is optional. User can set just several values or delete the column at all.

Depending on the set values, Greenrain Submissin calls DoH Personal Profile service, retrieves personal information and updates Person.Register xml transaction with correct information.

See more here.

Patient Share for drugs

Shafafiya has announced a new release on February 1, 2019 with the following requirements:

From 1 February 2019 Shafafiya enables the reporting of patient share for drugs through electronic claims. Accordingly, an upgrade will be implemented on the Shafafiya Services.

This concerns Claim.Submission transaction having activities of Activity.Type = 5 (Trade Drug).

  1. An observation with Observation.Code = 'Drug patient share' must present for each trade drug.
  2. Observation.Value of the said observation must be decimal and represent the amount in AED paid out of the pocket.
  3. Only one Patient Share observation is allowed per trade drug. Other observations are ignored.
  4. Patient Share observation value must be included in Claim.PatientShare.

See more here.