Things worth asking about
Insights hidden in the data
Twenty-four operational patterns a good analyst would find given a week. Each one is a question the agent answers in under thirty seconds — with the query it used, so the number can be checked.
Regulatory#15
HIE blind spot at SHJ01
Riayati SLA attainment fell to 36% in Q2 2026 with 300+ submissions stuck. Nobody noticed for a quarter.
Claims#16
Scrubber warnings that came true
Overridden authorisation findings were later denied for exactly that reason — AED 45k of claims.
Marketing#22
Evening call abandonment
22% of inbound calls abandoned between 18:00 and 20:00, against 7% the rest of the day.
Claims#2
The slow payer
Gulf Shield Insurance averages 130 days to remit; every other payer sits at 60–75.
Operations#4
Nurse-station bottleneck
DXB01 Monday and Tuesday evenings: median nurse-to-doctor wait 25 min vs 15 elsewhere. One nurse rostered.
Cash#10
Friday cash shortages
One SHJ01 cashier: 106 Friday sessions, AED 131 short on average. Every other cashier is near zero.
Billing#12
Credit-note outlier
One DXB01 dentist raised 12 price-correction credit notes in Q1 2026; peers raised one each.
Operations#5
Ramadan afternoons
Afternoon no-shows rise to 15% during Ramadan against 10% outside it.
Front office#18
Saturday queue abandonment
DXB01 Saturday evenings: 10% of tokens abandoned vs 4–6% everywhere else — it tracks queue length, not doctor delay.
Claims#19
The eligibility gap
About 15% of insurance visits were billed with no eligibility check at all.
Claims#20
Approved but never delivered
AED 400k+ of approved prior authorisations expired without a single unit consumed — a warm recall list.
Claims#3
Unsubmitted backlog
170+ AUH01 claims not verified and older than 30 days — revenue at risk.
Revenue#7
January 2025 tariff uplift
The cash price list rose 6% on 1 January 2025; average cash invoice value stepped up with it.
Cash#8
BNPL is growing
Tabby and Tamara went from 16% of cash collections in 2024 to 23% in 2026.
Coding#17
Coder-query drag
Invoices with an unanswered coder query deny at three times the base rate.
Regulatory#21
TATMEEN reporting gap
8–9% of serialised drug events are reported to TATMEEN late or never.
Marketing#6
Campaign quality
Instagram brings the most leads at the worst conversion; Google Ads and referrals the reverse.
Dental#14
Treatment plan gap
Around AED 3M of accepted dental treatment has no appointment booked.
Stock#9
Expiry risk
Batches at or near expiry with the cost value at risk, by branch.
Finance#24
Marketing over budget
DXB01 marketing ran AED 406k against a AED 300k plan in 2026 while delivering fewer converted patients.
Lab#11
Outsourced lab delay
Vitamin D turnaround from the external lab doubled from November 2025.
Controls#23
Discount-limit breaches
Discounts approved above the approver's authorised percentage, clustered on two users.
Claims#1
Prior-auth leakage
One Dubai dentist carries three times the group's authorisation-family denials from mid-2025.
Operations#13
Summer dip and school spike
July–August volume drops ~26%; paediatrics spikes late August into September.