DOH Clinical Costing

Clinical Costing Validator

Built for Abu Dhabi healthcare providers to identify costing gaps and validate clinical costing XML files against DOH clinical costing standards, Shafafiya rules, and reconciliation controls.

Or start from a sample ledger

Part 1 - Cost Pattern Analysis

Part 2 - Detailed Validation Results

Severity	Confidence	Claim ID	Tag Node	Message / Guideline Violation	Actions

CPT Benchmark Analysis

Review-triage heuristics. These CPT checks flag statistical outliers and internal inconsistencies against estimated benchmark durations and code categories. They highlight items that warrant human review before DOH submission - they are not a certified coding or pricing authority.

Validation Settings

Adjust validation sensitivity. Changes apply to the next validation run. Defaults are tuned for DOH Shafafiya submissions.

CPT Cost-per-Minute: High multiplier

Flag encounters above this multiple of the median cost-per-minute.

3.0x

CPT Cost-per-Minute: Low multiplier

Flag encounters below this fraction of the median cost-per-minute.

0.30x

ED Low-Severity High-Cost Threshold (Dhs)

Flag low-severity ED visits (triage 3-5) above this total cost.

10,000

XML Ledger Inspector

0 total lines parsed

Why Cyscode Validator

Built for disciplined XML validation before submission.

Review structural issues, costing rule violations, cost pool anomalies, and reconciliation gaps in one environment designed for Abu Dhabi clinical costing teams.

Submission rule coverage

Check XML structure, required fields, cost bucket logic, and DOH Shafafiya submission rules before files move forward.

CPT and cost pool review

Inspect CPT benchmark signals and consolidated cost pool mapping to spot anomalies that deserve operational review.

In-browser investigation

Review findings, inspect the parsed XML, and revalidate edits directly without moving between disconnected tools.

Cleaner submission readiness

Reduce gateway blocks, reconciliation errors, and last-minute resubmission work with a controlled validation pass.

Workflow

How the validation workflow runs end to end.

Move from raw XML to a reviewed submission file with visible checks, issue triage, and revalidation in a short cycle.

Upload XML

Load your Shafafiya clinical costing XML file or start from a sample scenario for review.

Run rule checks

The validator scans structural tags, costing fields, cost buckets, and reconciliation logic against expected rules.

Triage findings

Review issues by severity, search by claim or tag, and inspect the parsed XML in the built-in code inspector.

Revalidate & export

Edit XML directly in the drawer, revalidate changes, and confirm reconciliation before submission.

Advisory Support

Turn validation into a full costing readiness workflow.

When you need more than self-service validation, Cyscode can help operationalize submission readiness, rule configuration, and downstream clinical costing workflows.

SetupConfigure validation rules around your costing model and submission requirements.

ControlReview rule coverage, exception patterns, and reconciliation logic before rollout.

DeploymentMove from validation output into broader operational clinical costing workflows.

Full Costing Suite

Explore the full Clinicost engine for end-to-end clinical costing workflows, or reach out to discuss implementation support with our team.

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