Almadallah Healthcare Management

What Almadallah Healthcare Management does

Almadallah Healthcare Management is a Dubai-based Third-Party Administrator (TPA) founded in 2008 that manages health insurance programs on behalf of insurance companies, self-funding employers, and government and charity entities across the United Arab Emirates. Its core offering comprises six integrated services: Claim Management (digitized submission, tracking, and reimbursement), Network Provider Service (curated healthcare-provider partnerships), 24/7 Medical Authorization (round-the-clock eligibility and treatment authorization), International Patient Assistance, Policy and Member Enrollment, and the Almadallah Mobile App. The platform layer includes a member mobile app with UAE PASS onboarding, dedicated web portals for payers, providers, and corporate clients, automated web-services for repetitive workflows, and advanced security infrastructure certified under ADHICS and DESC. A 160+ professional team supports operations, including a 24/7 toll-free call center for members.

Name

Almadallah Healthcare Management

Legal name

Almadallah Healthcare Management

Website

https://almadallah.ae

Company type

Private

Founded year

2008

Operating status

Operating

Headcount range

51–100 employees

Short description

Almadallah Healthcare Management is a Dubai-based Third-Party Administrator (TPA) providing health insurance claim management, provider network services, 24/7 medical authorization, and member engagement solutions for insurance companies, self-funding employers, and government entities across the UAE.

Ownership category

akta.pro rank

Product category

Health Insurance Third-Party Administration

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

SIC

Insurance Agents, Brokers & Service (6411)

akta.pro primary industry

Self-Funded Employer Plan TPA (ASO Administration) (HLAEALAA)

akta.pro secondary industry

Care Management & Population Health Program Administration (HLAEALAG)

Keywords

• Health insurance administration
• Third-party administration
• Claims management services
• Medical authorization services
• Healthcare network management

Headquarters

HQ city

Dubai

HQ country

United Arab Emirates

HQ region

Middle East

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales

Revenue model

1. Third-Party Administrator (TPA) Services: Manages health insurance programs for payers (insurance companies, self-funding employers) including claim processing, network management, policy enrollment, and medical authorization. Revenue generated through service fees charged to insurance companies and corporate clients.

Go-to-market motion2 records

Distribution channels6 records

Marketing channels5 records

Core offering

Almadallah Healthcare Management is a Third-Party Administrator (TPA) that manages health insurance programs on behalf of insurance companies, self-funding employers, and government entities in the UAE. Its core services include claim management, 24/7 medical authorization, network provider management, policy and member enrollment, and international patient assistance, supported by a digital TPA platform accessible via mobile app and dedicated web portals.

Product overview

Almadallah Healthcare Management is a Third-Party Administrator (TPA) providing health insurance management services. The core offering consists of integrated modules: Claim Management (handling processing, tracking, and reimbursement), Network Provider Service (managing healthcare provider partnerships), 24/7 Medical Authorization (around-the-clock eligibility and authorization), International Patient Assistance, Policy and Member Enrollment, and the Almadallah Mobile App. Additional value-added services include 24/7 Support, Compliance Claim Management, Wellness Program, Mymadallah Rewards Program, and Automated Web-Services. The company serves employers, healthcare providers, payers (insurance companies), and individual members across the UAE.

Differentiator

Problem solved

Functional benefit

Brands

• Mymadallah Rewards Program: Loyalty program offering exclusive rewards and offers through the Almadallah app
• Enaya Program
• Almadallah App

Products and services

• Claim Management End-to-end processing and adjudication of health insurance claims for payers and self-funded employer programs, delivered through a digital claims platform accessible via payer, provider, and client portals.

Quantifiable outcome

• Swift determination of member eligibility and timely issuance of treatment authorizations through 24/7 staffed medical authorization system
• +2 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature6 records

Partnerships

Four partnerships are on record, tiered minor and core.

• GDRFA Dubai (General Directorate of Residency and Foreigner Affairs)minorOthers · 25 October 2022Almadallah participated in the GDRFA Health and Quality of Life Forum held on October 25-26, 2022 at GDRFA headquarters in Jafiliya, Dubai. Almadallah delivered health talk sessions promoting awareness about cancer and displaying the latest therapeutics. The forum emphasized the importance of early screening for treatment outcomes. GDRFA organized the forum to improve health services for its employees.
• Dubai National Insurance (DNI)coreStrategic or Co-development Partner · 9 September 2022Dubai National Insurance Company (DNI), one of the largest insurance companies in the UAE, signed a collaboration agreement with Almadallah Healthcare Management. As TPA, Almadallah is responsible for operating and managing the health insurance programs of DNI. The cooperation aims to expand the range of services provided to customers and to provide innovative solutions with the highest quality in line with local and global health insurance market needs.
• SALAMA (Islamic Arab Insurance Company)coreStrategic or Co-development Partner · 8 September 2022SALAMA (Islamic Arab Insurance Company), one of the largest Takaful solutions providers in the UAE, partnered with Almadallah Healthcare Management as a TPA provider. Through this partnership, SALAMA's health takaful plan members gain access to Almadallah's effective, technologically advanced services to improve overall client service experience. The agreement was signed by Mr. Fahim AlShehhi (CEO, SALAMA) and Dr. Asma Al Sheriff (Deputy CEO, Almadallah).
• Dubai CharitycoreStrategic or Co-development Partner · 10 March 2022Almadallah Healthcare Management signed a cooperation agreement with Dubai Charity on March 9, 2022. Almadallah is responsible for the maintenance and management of Dubai Charity members' healthcare schemes, bringing quality healthcare to thousands of beneficiaries. Special plans for various sectors include an Essential Benefits Plan for domestic helpers. The partnership aims to promote medical management, preventive medicine, and the idea of healthcare being every individual's right.

Scale indicators4 records

Recent moves6 records

Broad incumbents

• ADNIC (Abu Dhabi National Insurance Company): Major UAE composite insurer with a significant health insurance book, often working with or competing against TPAs like Almadallah. Comparable as a UAE payer that either insources or outsources TPA services, and as a potential customer/competitor to Almadallah in the same regulated market.
• DAMAN (National Health Insurance Company): UAE's largest health insurer, which also operates TPA-style administration for its own members and provides managed care services. Comparable to Almadallah as a major UAE health payer/administrator with overlapping claims, network and member-service capabilities, but at much larger scale and as an insurer first.

Regional players

• Bupa Arabia: Largest specialized health insurance company in Saudi Arabia, offering health insurance, claims management and TPA-like services to corporates and individuals. Comparable to Almadallah on managed health insurance administration and member/provider digital services, though Saudi-focused and vertically integrated as an insurer.
• SAICO Health: Health insurance TPA and managed-care provider operating primarily in Saudi Arabia with similar claim administration, authorization and provider network services. Comparable as a regional TPA peer with overlapping services, though geographically focused on KSA rather than UAE.

Direct peers

• NextCare: UAE- and Middle East-headquartered health insurance TPA offering managed care, claims administration and provider network management to insurers and self-funded employers. Highly comparable to Almadallah on core TPA services and target payer/customer base.
• MedNet: One of the largest Third-Party Administrators for health insurance in the Middle East, with operations across UAE, KSA, Egypt and other GCC/MENA markets. Directly comparable to Almadallah as a multi-payer health TPA serving insurers, corporates and members in the same regional regulatory environment.
• GlobeMed: Leading MENA health insurance TPA managing claims, provider networks and member services for insurers and corporates across the region. Directly comparable to Almadallah on business model, payer relationships and digital claims platform approach.

Others

• Oman Insurance Company (OIC): One of the leading composite insurers in the UAE with a sizable health insurance portfolio, often engaging TPAs for administration. Comparable as a UAE payer-side counterpart to Almadallah's TPA services.
• Al Etihad Takaful: UAE takaful and insurance provider offering health plans to individuals and corporates. Comparable to Almadallah's payer-side partnerships (similar to DNI and SALAMA) as a potential client or adjacent participant in UAE health insurance distribution and administration.
• Takaful Emarat: UAE takaful insurer offering family and health takaful products, often relying on TPAs for claims and network administration. Comparable to Almadallah's payer relationships (e.g., SALAMA) as a UAE takaful customer or competitor in the same health insurance value chain.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Instagraminstagram.com/my_madallah

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Almadallah Healthcare Management