The visit is the unit, not the line
One outpatient service event maps to one class. Only one event per series, per patient, per clinician, per day is priced — the highest-priced class wins and the rest go at zero.
Abu Dhabi Outpatient Classification · v1.5
Group, price and contract every outpatient visit for ADOC — live beside your billing in under 24 hours.
Portal access, integration and your first shadow run — within 24 hours of receiving access to your claims files and systems.
NANO ADOC assigns each visit its ADOC class, prices it with every v1.5 adjuster and your series multipliers, and replays your own claims so you know which multipliers to sign before 1 January 2027. DoctorSense and NANO AI CDI 360 help the documentation support the class you bill.
- ADOC grouper — the ADOC v1.5 classes, the counting rules and the M-Series
- Tariff and series-multiplier analysis
- E&M calculator and audit — for primary care, emergency and the transition, outside ADOC
- Payer ADOC claim audit — NANO ADOC & E&M Audit 360
ADOC becomes Abu Dhabi’s primary outpatient payment method on 1 January 2027.
C26 Cardiology — new patient
- Base price
- AED 492.67
- New patient adjuster
- ×1.40
Per service event, before your series multiplier.AED 689.74
Diagnostics ordered at this visit are reported at zero and paid inside it.
Draft v1.5 prices for shadow billing only — not for calculating payments.
Source: Department of Health – Abu Dhabi, ADOC v1.5 Price List · DoH draft v1.5
ADOC — the Abu Dhabi Outpatient Classification — is the Department of Health – Abu Dhabi’s casemix classification that pays each outpatient service event by its class. It becomes the primary outpatient payment method on 1 January 2027. NANO ADOC groups and prices your visits under ADOC v1.5 and shows the series multipliers your own claims support.
ADOC at a glance
- 5
- series — P, C, S, D and the new M
- 113
- classes in ADOC v1.5
- 7
- price adjusters per visit
- 4
- series multipliers to contract with each payer
- 1 January 2027
- ADOC go-live in Abu Dhabi
What changes for your outpatient revenue
Diagnostics are paid inside the visit
Imaging and pathology are reported at zero against the visit that ordered them. Only the first repeat in a recorded monitoring pathway, and every PET scan, is priced (the M-Series).
Documentation decides the price
A follow-up with new clinical content, a separately identifiable assessment, a pathway recorded at ordering — each changes what the visit pays, and each has to be in the note.
Business value for clinics and hospitals
What NANO ADOC is worth to your hospital
Under ADOC, revenue is won or lost visit by visit, on rules most billing systems do not yet apply. These are the places it moves.
Protect revenue at the switch
Four series multipliers have to be agreed with each payer before 1 January 2027, and every step in a series multiplier changes the price of every event in that series. Sign the number your own claims support.
Break-even multiplier per payer and series
Bill every event the rules pay for
A follow-up within 7 days that documents new clinical content is a full event — C29 Gastroenterology AED 274.38 instead of zero.
Zero-value events by cause
Turn procedure visits into consultations
A significant, separately identifiable assessment documented at a procedure visit makes it a full consultation — C38 Dermatology AED 151.12 instead of zero.
Procedure visits with and without a documented assessment
Capture every adjuster
The new-patient adjuster — up to ×1.40 — applies when the patient has had no visit in the same class at your facility for three years: C26 Cardiology AED 492.67 becomes AED 689.74 (AED +197.07).
Adjuster capture rate
Claim the Centre of Excellence adjuster
At a DoH Centre of Excellence, inside its domain and with an eligible diagnosis, the quaternary adjuster ×1.2 applies: C19 Neurology AED 296.31 becomes AED 355.57 (AED +59.26).
Eligible Centre of Excellence events billed without the adjuster
Keep exempt patients at full price
Patients under 18 or over 60, People of Determination and pregnancy keep day 8–14 follow-ups at full price instead of ×0.75: C38 AED 151.12, not AED 113.34.
Exempt patients billed at the reduced rate
Get monitoring repeats paid
The first repeat in a pathway recorded at ordering is priced — OBGYN ultrasound AED 261.31, cancer pathology AED 187.04, transplant and kidney pathology AED 219.44, and every PET scan AED 4,554.58.
Repeats without a recorded pathway
Clean claims, first time
One priced class per series, per clinician, per day; the right encounter type; codes on the master list; every diagnostic linked to its visit — checked before Shafafiya submission, not after a denial.
Lines at denial or rejection risk
Clinician time back
DoctorSense drafts the note during the visit — up to 70% less documentation time — so the documentation ADOC pays on is already there.
Documentation gaps by specialty
Audit-ready
Every class and price traces to a DoH rule and a document page, so each line can be explained to a payer or an auditor.
Findings with rule citations
What your shadow-run report measures
- Break-even multiplier per payer and series
- Revenue at risk by rule
- Zero-value events by cause
- Adjuster capture
- Denial-risk lines
- Documentation gaps by specialty
Each amount is one service event priced from the DoH draft v1.5 Price List, before your series multiplier. It shows how the rules work, not what your facility will earn.
Draft v1.5 prices for shadow billing only — not for calculating payments.
Per service event, before your series multiplier. Source: Department of Health – Abu Dhabi, ADOC v1.5 Price List · DoH draft v1.5
ADOC pricing calculator · DoH draft v1.5
ADOC calculator: price a visit with the ADOC price list v1.5
Every adjuster in the v1.5 Price List, applied in order, with the exemptions from the Counting Rules. No patient data leaves your browser.
Billable amount
AED 241.03
C03 · General medicine · Specialist Consultations
| Factor | Value |
|---|---|
| Base price | AED 241.03 |
| Series multiplier | ×1.00 |
- DoH does not specify rounding. This calculator multiplies exactly and rounds once, at the end, to the nearest fils.
Draft v1.5 prices for shadow billing only — not for calculating payments.
Source: Department of Health – Abu Dhabi, ADOC v1.5 Price List · DoH draft v1.5
Run this on your own claimsTariff analysis and management
Know the ADOC series multiplier to sign before you sign it
DoH asks every provider and payer to contract one multiplier per series — P, C, S and M — before 1 January 2027, and the shadow-billing proxies are not a substitute. NANO ADOC replays a year of your fee-for-service claims through ADOC and shows, payer by payer and series by series, the multiplier at which your revenue holds.
- Break-even multiplier per series, per payer, per product
- Where revenue moves: bundled diagnostics, follow-up windows, telemedicine, new-patient and age mix
| Series | Paid under fee-for-service | ADOC at proxy | Break-even multiplier |
|---|---|---|---|
| P — procedures | [AED] | [AED] | [×] |
| C — consultations | [AED] | [AED] | [×] |
| S — support services | [AED] | [AED] | [×] |
| M — monitoring diagnostics | [AED] | [AED] | [×] |
Illustration of the report layout. Figures come from your own claims in the shadow run.
Powered by AI · DoctorSense · NANO AI CDI 360
ADOC pays on what the note says. We help the note say it.
DoctorSense drafts the clinical note during the visit, in Arabic and English, and the clinician signs it — up to 70% less documentation time. NANO AI CDI 360 checks the note while the visit is still open. The grouper then applies the rules deterministically and shows which rule set each class and price.
A dated entry with clinical content
Without it there is no service event to bill.
A separately identifiable assessment
Turns a zero-value procedure visit into a full consultation.
New clinical content in a follow-up
Keeps a visit inside the 7-day window from paying zero.
A pathway recorded when ordered
The only way a repeat cancer, transplant or pregnancy test is priced.
E&M calculator and audit
E&M still counts — where ADOC does not reach
From 1 January 2027 specialist outpatient visits in Abu Dhabi bill a C-Series class instead of an E&M level. E&M continues outside ADOC — in primary care, the emergency department and every fee-for-service claim until 31 December 2026 — and ADOC itself asks whether a significant, separately identifiable E&M service was delivered.
Primary care
GP and family medicine visits stay outside ADOC, on fee-for-service.
Emergency
Emergency care is outside the ADOC scope.
The transition
Every outpatient claim is still paid as fee-for-service until 31 December 2026.
JAWDA data certification
E&M levels chosen by medical decision making or time, supported by the note.
Live beside your billing in under 24 hours
Portal access, integration and your first shadow run — within 24 hours of receiving access to your claims files and systems.
Hour zero
Access granted, portal open
You grant access to your claims files and systems; your team signs in to NANO ADOC.
Then
Integrated, grouped and priced
Connected to your claims files, Shafafiya XML and your HIS/EMR with Shafafiya. Every visit is assembled into service events, classified and priced on your proxy multipliers.
Within 24 hours
Your shadow report
Your current fee-for-service payments set against ADOC prices, series by series, with the zero-value and denial risks listed.
Claims data is processed and stored in the UAE.
Nothing in your current billing changes during the shadow run.
Questions clinics and hospitals ask about ADOC
What is ADOC, the Abu Dhabi Outpatient Classification?
- ADOC is the Department of Health – Abu Dhabi’s casemix classification for outpatient care. It pays each outpatient service event by its class — one of 113 classes in 5 series — instead of paying each procedure line. Shadow billing began on 1 July 2026, and ADOC becomes the primary outpatient payment method on 1 January 2027.
How does ADOC change our outpatient revenue?
- Revenue now follows what is captured and documented at each visit. A new-patient Cardiology visit (C26) rises from AED 492.67 to AED 689.74, and a follow-up with documented new clinical content (C29) pays AED 274.38 instead of zero — per service event, before your series multiplier, on DoH draft v1.5 prices.
Do we still need E&M codes after 1 January 2027?
- Not for in-scope specialist outpatient visits — the C-Series class replaces the E&M level there. E&M continues outside ADOC in primary care, the emergency department and fee-for-service claims, and the separately identifiable E&M test inside ADOC still decides whether a second consultation is billable.
Are diagnostics still paid under ADOC?
- Yes, inside the visit that ordered them: imaging and pathology are reported at zero against that visit. Only the first repeat in a monitoring pathway recorded at ordering, and every PET scan, are priced separately as the M-Series.
Which multiplier do we use during ADOC shadow billing?
- DoH recommends your Consultation (E&M) multiplier for the C-Series and your Procedure (CPT) multiplier for the P- and S-Series until series multipliers are contracted. DoH gives no proxy for the M-Series, so enter the multiplier you expect to contract.
Is there an ADOC price calculator?
- Yes. The calculator on this page prices any of the 113 ADOC v1.5 classes with every adjuster in the DoH draft Price List — age, new patient, telemedicine, the day 8–14 follow-up, region and Centre of Excellence — then your series multiplier. No patient data leaves your browser.
Which ADOC series multiplier should we sign?
- The one your own claims support. NANO ADOC replays a year of your fee-for-service claims through ADOC and shows, for each payer and series, the multiplier at which your revenue holds — before the multipliers are contracted ahead of 1 January 2027.
What happens in the first 24 hours?
- Once you grant access to your claims files and systems, we open the portal, connect your claims files, Shafafiya XML and HIS/EMR, and produce your first shadow run beside your current billing. You receive a shadow report; nothing in how you bill today changes.
Does NANO ADOC change how we bill today?
- No. During shadow billing NANO ADOC runs beside your current billing: it groups and prices your visits under ADOC so you can see the effect, while your claims are still paid as fee-for-service until 31 December 2026.
Where is our claims data processed?
- In the UAE. Claims data is processed and stored in the UAE. The calculator on this page sends nothing anywhere: it runs entirely in your browser and needs no patient details at all.
Draft v1.5 prices for shadow billing only — not for calculating payments.
Per service event, before your series multiplier. Source: Department of Health – Abu Dhabi, ADOC v1.5 Price List · DoH draft v1.5
Book your ADOC shadow run
Tell us about your facility and what you would like to see. The NANO ADOC team will contact you to arrange it.
Portal access, integration and your first shadow run — within 24 hours of receiving access to your claims files and systems.
ADOC is the Department of Health – Abu Dhabi’s classification. NANO is not affiliated with, or endorsed by, the Department of Health. Prices shown are DoH draft v1.5 prices, published for shadow billing. DoH Shafafiya prices page (the ADOC v1.5 documents)
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