Everest Health and Mains Lab Strengthen UAE Healthcare by Combatting Fraud and Claims Leakage with AI Technology

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Everest Health and Mains Lab Strengthen UAE Healthcare by Combatting Fraud and Claims Leakage with AI Technology

Dubai: Everest Health Investments LLC, a healthcare investment firm based in Dubai, has announced a strategic partnership with Mains Lab W.L.L, a global provider of AI-powered claims analytics. This collaboration aims to leverage advanced artificial intelligence technology to address issues of fraud, waste, and claims leakage within the UAE healthcare system.

Introduction of Advanced Analytics in the UAE Market

Mains Lab operates across various regions, including the Middle East, Europe, Latin America, and Africa. The company has successfully delivered over USD 1 billion in verified savings to insurers and healthcare payers globally through its AI-driven claims analytics platform. This partnership marks the introduction of Mains Lab’s advanced analytics platform to the UAE market, a significant move towards enhancing claims oversight, reducing leakage, and improving financial sustainability within the health insurance sector.

Rising Healthcare Costs and the Need for Advanced Solutions

Healthcare costs are escalating at an unsustainable rate worldwide. The WTW 2026 Global Medical Trends Survey projects a 10.3% increase in medical costs by 2026. Fraud, waste, and abuse have been identified as primary cost drivers in the Middle East and Africa, placing immense pressure on healthcare systems. According to the U.S. National Institutes of Health, fraud and abuse account for approximately 3–15% of global healthcare expenditures annually. Regional consultancy BADRI Management estimates that the Middle East loses over USD 1 billion each year to health insurance fraud, underscoring the urgent need for advanced tools to proactively detect and prevent improper claims.

Technology Behind Mains Lab’s Platform

Mains Lab’s technology employs real-time artificial intelligence and machine learning to analyze extensive claims data, identify anomalies, and flag suspicious activities. This platform empowers insurers and third-party administrators (TPAs) to enhance preventive controls and investigative oversight, thereby improving integrity, operational efficiency, and governance throughout the claims lifecycle. The initiative aims to equip insurers and TPAs with advanced tools to combat fraud, waste, and claims leakage while fostering trust within the healthcare ecosystem.

Industry Perspectives on Claims Integrity

Fareed Lutfi, Secretary General of the Emirates Insurance Federation, highlighted the UAE’s status as one of the most regulated and progressive insurance markets in the region. He emphasized the importance of strengthening claims integrity and addressing fraud, waste, and abuse as healthcare systems grow in complexity. Similar initiatives are being adopted across other GCC countries, reflecting a regional commitment to enhancing efficiency and accountability in health insurance systems. The integration of advanced analytics and artificial intelligence is expected to play a crucial role in supporting stronger claims governance and the long-term sustainability of these systems.

Hatim Maskawala, Managing Director of Badri Management Consultancy, noted that healthcare fraud, waste, and abuse are significant sources of claims leakage globally. He pointed out that as the UAE market matures, the ability to analyze large datasets using advanced analytics will become increasingly vital for insurers and TPAs. These tools not only contribute to cost containment but also promote transparency and disciplined behavior among providers and members through active claims monitoring.

Collaborative Goals for a Sustainable Healthcare System

Yury Kuvshinov, CEO of Mains Lab, expressed pride in collaborating with Everest Health to expand their presence in the UAE. He stated that their AI-powered platform enables healthcare payers to detect irregularities swiftly and accurately, delivering measurable savings and improved claims governance. The partnership aims to foster the development of a more transparent and sustainable healthcare system in the UAE.

Everest Health will serve as Mains Lab’s strategic market partner in the UAE, spearheading implementation efforts and establishing a growing network of adopters among insurers, TPAs, and healthcare organizations. Further announcements regarding client partnerships and platform deployments are expected in the coming months.

About Everest Health

Everest Health is dedicated to transforming healthcare systems in emerging markets through strategic investments and partnerships with insurers, administrators, providers, and global innovators. The firm focuses on promoting efficient, transparent, and high-quality care, combining financial expertise with operational engagement to build integrated, sustainable healthcare ecosystems.

Source: www.zawya.com

About Mains Lab

Mains Lab specializes in artificial intelligence and machine learning solutions aimed at enhancing integrity and efficiency within health insurance systems. The company has enabled insurers and TPAs to achieve over USD 1 billion in total savings, assisting organizations in detecting fraud, reducing waste, and optimizing claims management through advanced real-time analytics.

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Published on 2026-04-10 14:12:00 • By the Editorial Desk

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