Insurance rejections can become a serious financial burden for both patients and medical institutions. A group of university students is developing an artificial intelligence-based platform capable of predicting claim denials even before they are submitted.
Said Galidari, CEO of ClaimGuard AI, told Khaleej Times that the idea originated while participating in the Founders of Tomorrow program. This initiative is implemented by Dubai SME in collaboration with INJAZ UAE and helps students turn innovative concepts into viable businesses.
The team of entrepreneurs became one of the winners of Founders of Tomorrow, a program focused on students who wish to start their own business. The program provides participants with mentorship, guidance from public and private partners, and access to funding sources for commercializing their ideas.
Galidari noted that realizing that a claim denial is not just an administrative issue but a factor affecting hospital revenue, operational efficiency, and ultimately patient care inspired him and his team to create a proactive solution to prevent such denials.
The Emirati entrepreneur explained that ClaimGuard AI analyzes insurance claims before their official submission, identifying potential errors or issues that could lead to rejection. This allows healthcare providers to correct claims in advance, thereby reducing delays and increasing reimbursement rates.
According to insurance broker eSanad, the most common reasons for claim denials are related to undisclosed pre-existing conditions, lack of prior authorization, and discrepancies between the digital e-claim code and international ICD-11 coding standards.
According to Galidari, by reducing the number of denials, improving financial stability, and providing AI-based analytics, ClaimGuard AI can help medical institutions enhance their operational efficiency while supporting the UAE's vision for digital transformation and the application of artificial intelligence in healthcare.
Abdelaziz Almaazmi, Director of the Dubai SME Business Incubation Department, stated that Founders of Tomorrow was created to bridge the gap between academic knowledge and real business challenges by connecting students with government entities and private partners.
He informed Khaleej Times that the program aims to support university students in transforming their ideas into full-fledged business concepts, and that they collaborate closely with the participants to commercialize these ideas.
In the last round of the program, over 20 students participated in nine projects. The teams developed technological solutions for tasks set by organizations such as Dubai Police, Emirates Flight Catering, Dubai Air Navigation Services, Dubai Maritime Authority, and American Hospital Dubai.
Participants receive mentorship from partner organizations for three months to refine their ideas and explore implementation opportunities. Dubai SME also provides further support after the competition concludes, including incubation services and potential funding depending on the specific case.
Almaazmi emphasized that the program does not end with the competition, and they will continue to work with the students on commercializing their developments. The initiative is open to students from universities across the UAE, provided their projects are implemented in Dubai.
