Claim.sa Wireframe System
Comprehensive wireframe system for healthcare claim financing platform in Saudi Arabia. Visualize complete user journeys, integration touchpoints, and process flows.
48
Total Wireframes
10
Integration Points
4
User Journeys
36
Process Steps
User Authentication Journey
Comprehensive wireframe for user registration, authentication, and access control. Includes multi-factor authentication with OTP verification for all user types.
3 User Types
Clinic Owner, Clinic User, System Admin
MFA Security
Username + Password + OTP
Password Policy
Comprehensive security rules
User Journey Wireframes
Clinic Onboarding & Registration
Complete registration flow with CR validation, identity verification, and approval process
Key Integrations:
Claims Uploading & Validation
Claim submission, AI validation, fraud assessment, and funding request process
Key Integrations:
Fund/Loan Processing
Loan application, escrow setup, contract signing, and fund disbursement
Key Integrations:
Fund Payback & Settlement
Insurance payment monitoring, settlement tracking, and compliance management
Key Integrations:
System Features
Interactive Flow Diagrams
Visual representation of complete user journeys with decision points and process flows
Integration Mapping
Detailed visualization of external service touchpoints and API integrations
Screen Mockups
High-fidelity wireframes showing user interfaces and interaction patterns
Clinic Scoring System
Advanced analytics engine that calculates funding rates and fees based on insurance statement analysis and payout gap assessment
Funding Rate Calculation
Automatically calculates allowed funding percentage based on insurance approval rates minus 20% safety buffer
Dynamic Fee Structure
Fee calculation based on insurance payout gap analysis with base rate and incremental charges
Real-time Scoring
Live clinic scores displayed throughout the system with performance tracking and risk assessment
Insurance Concentration Risk Management
Manage insurance companies, monitor exposure distribution, calculate payout gap risk, and automate financing decisions based on market share and risk factors
Company Management
Manage 16 insurance companies with market share tracking, exposure limits, and contact information
Payout Gap Risk
Automatic risk scoring based on insurance payout gap between claim submission and payment
Exposure Distribution
Calculate concentration risk based on market share percentage and total fund allocation
Automatic Financing Decision Engine
Approval Criteria
- Payout gap score 3/4 or 4/4
- Utilization rate below 95%
- Sufficient available capacity
- Company active for financing
Blocking Conditions
- Payout gap ≥4 months (2/4 score)
- Utilization rate at or above 95%
- Claim exceeds available capacity
- Company manually blocked