Amid increasing challenges faced by healthcare systems globally, insurance fraud has emerged as a significant source of financial waste, with the Middle East incurring estimated losses exceeding one billion dollars annually due to illicit practices and misuse. As medical spending escalates and healthcare service costs rise, there is a growing focus on adopting advanced technological solutions, particularly artificial intelligence, to enhance claims management efficiency and reduce abuses, ensuring the sustainability and transparency of the healthcare sector.
Everest Medical Investments, based in Dubai, has announced a strategic partnership with Mines Lab, a global provider of AI-powered claims analysis, aimed at introducing advanced technologies to combat fraud and waste in the healthcare system of the United Arab Emirates.
Mines Lab operates in markets across the Middle East, Europe, Latin America, and Africa, successfully achieving confirmed savings that exceed one billion dollars for insurance companies and payers in the healthcare sector worldwide through its advanced AI-driven claims analysis platform.
Under this partnership, Everest Health will officially launch Mines Lab’s advanced analytics platform in the UAE market, a move designed to improve claims oversight, mitigate waste, and enhance the financial sustainability of the health insurance ecosystem.
Through this initiative, Everest Health aims to equip insurance companies and third-party administrators with sophisticated tools to combat fraud and waste, thereby bolstering confidence in the healthcare system.
Commenting on the growing emphasis on claims integrity, Fared Lotfi, Secretary General of the UAE Insurance Association, stated, “The UAE has successfully established one of the most advanced and regulated insurance markets in the region, supported by a robust regulatory framework and a continuous commitment to transparency and governance. With the expansion and increasing complexity of healthcare systems, enhancing claims integrity and addressing fraud, waste, and misuse will remain a top priority for both insurance companies and regulatory bodies.”
He added that similar initiatives are being implemented across several Gulf Cooperation Council countries, reflecting a broader regional trend towards improving efficiency and increasing accountability in healthcare insurance systems, noting that the use of advanced analytics and artificial intelligence will play an increasingly vital role in supporting stronger governance and ensuring long-term sustainability.
Hatim Maskwala, CEO of Badri Management Consultants, noted, “Fraud, waste, and misuse within the healthcare sector represent major sources of claims waste globally. As the UAE market continues to grow and mature, the ability to analyze large volumes of data with advanced analytics and artificial intelligence will become increasingly important.”
These tools are significant not only for controlling costs but also in creating a deterrent effect by enhancing transparency and fostering more disciplined behaviors among service providers and members through continuous claims monitoring.
Overall, these solutions contribute to strengthening claims governance, improving underwriting accuracy, and supporting the long-term sustainability of medical insurance portfolios.
For his part, Yuri Kovsheninov, CEO of Mines Lab, remarked, “We are proud to collaborate with Everest Health to expand our presence in the UAE. Our AI-powered platform allows healthcare payers to quickly and accurately detect violations, realizing substantial savings and enhancing claims governance. Through this partnership, we aim to support the development of a more transparent and sustainable healthcare system in the country.”
Everest Health will serve as the strategic partner for Mines Lab in the Emirati market, leading implementation efforts and building a growing network of users, including insurance companies, third-party administrators, and healthcare institutions, with more partnerships and platform launches expected in the coming months.