Shafafiya Messenger
A controlled communication layer for Shafafiya Post Office workflows, helping healthcare organizations submit claims, receive remittance, process payer responses, manage resubmissions, and maintain traceable claim-message operations.
A reliable message bridge for Shafafiya claim operations.
Shafafiya Messenger gives healthcare organizations a controlled channel to communicate with Shafafiya Post Office for claim submission, remittance receiving, payer response handling, and resubmission workflows.
It helps billing and RCM teams reduce manual message handling, maintain traceability, organize received files, and keep claim-message operations visible and auditable.
From claim file submission to remittance and resubmission.
Prepare claim messages
Organize claim files and supporting message packages for structured submission through the Shafafiya communication workflow.
Submit through Shafafiya Post Office
Send claim messages through a controlled exchange process with clear status visibility and submission traceability.
Receive responses and remittance
Receive payer responses, acknowledgements, remittance files, and claim communication outputs for reconciliation and follow-up.
Manage corrections and resubmissions
Track rejected or corrected claims, prepare resubmission packages, and maintain logs for every message cycle.
Know what was sent, received, pending, and resubmitted.
Submitted
Track claim files and message batches submitted through the Shafafiya workflow.
Received
Organize remittance, acknowledgements, payer responses, and post-office outputs.
Resubmitted
Maintain visibility over corrected claims, resubmission batches, and follow-up cycles.
Built for controlled Shafafiya communication.
Claim Submission
Prepare, submit, and track claim-message batches through a structured Shafafiya communication process.
Remittance Receiving
Receive, organize, and route remittance files and payer response outputs for reconciliation and follow-up.
Response Management
Monitor acknowledgements, payer responses, rejected messages, pending responses, and communication statuses.
Resubmission Workflow
Manage corrected claims and resubmission cycles with clear traceability across message versions.
Operational Logs
Maintain logs for submitted files, received files, responses, failures, corrections, and resubmissions.
Billing Team Worklists
Give RCM teams a clearer queue for messages requiring correction, reconciliation, follow-up, or resubmission.
Built for ADOC: Abu Dhabi Outpatient Classification submissions through Shafafiya.
From 1 July 2026, all in-scope outpatient providers in Abu Dhabi must submit ADOC class codes alongside legacy billing through Shafafiya. From 1 January 2027, ADOC becomes the sole reimbursement mechanism for outpatient care. Shafafiya Messenger supports this transition end-to-end.
ActivityType 11 XML Output
Shafafiya Messenger handles ADOC-classified claim submissions with the correct ActivityType = 11 flag in Shafafiya XML, ensuring claims are recognised as ADOC events rather than legacy FFS submissions.
Shadow Billing Support
During the mandatory shadow billing phase (July–December 2026), submit ADOC class codes in parallel with legacy FFS claims. Track both streams side by side with full message traceability.
Four-Series Classification
Supports all four ADOC series: P-Series (Interventional Procedures), C-Series (Specialist Consultations), S-Series (Support Services), and D-Series (Diagnostics, linked at zero value).
Counting Rule Compliance
Handles the five ADOC counting rules including same-day series limits, multi-clinician indicators, follow-up window tracking, and D-Series linking — reducing claim denials from incorrect event aggregation.
Go-Live Readiness
Validate your ADOC XML output during shadow billing so structural errors are caught before January 2027 go-live, when incorrectly coded claims will be rejected or systematically underpaid.
Implementation Timeline Tracking
Built around the DoH three-phase rollout: orientation (May–June 2026), mandatory shadow billing (1 July 2026), and full go-live (1 January 2027). Track readiness across each phase.
ADOC and Clinical Costing Together
ADOC governs how you are paid. Clinical costing governs how you understand your costs. Shafafiya Messenger handles the claim submission side, while our Clinicost Engine handles DoH-compliant clinical costing, giving you a clear picture of what each ADOC class costs to deliver.
Less manual handling, stronger message traceability.
- Centralize Shafafiya claim submission and post-office communication workflows.
- Receive remittance and payer response files through a controlled operational process.
- Track submitted, received, failed, pending, and resubmitted message cycles.
- Reduce fragmented manual handling of claim files and response outputs.
- Support billing teams with message logs, resubmission visibility, and follow-up queues.
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Connect your claim operations to Shafafiya workflows.
Talk to Cyscode about implementing Shafafiya Messenger for claim submission, remittance receiving, response tracking, and resubmission management.
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