Billing and insurance claims, Saudi Arabia
NPHIES claims for clinics in Saudi Arabia
wai prepares every claim for NPHIES, with the signed note, ICD-10 codes and itemised invoice ready to submit. Your billing team checks each claim against the record and sends it through NPHIES.
Updated . Every capability on this page was checked against the product that day.
What NPHIES is
The national platform between patients, providers and insurers in Saudi Arabia.
- NPHIES, the national platform, connects patients, healthcare providers and insurers, and governs the exchange of health transactions between them.1
How the claim is prepared
The claim is only as strong as the record behind it, so the work starts in the consultation and ends with your team.
- 01
The consultation
The scribe writes the note from the consultation for the clinician to read, edit and sign on the day.
- 02
The codes
Diagnosis codes are proposed from the signed note, with the lines of the record behind each one.
- 03
The check
Your billing team reviews the codes, adds the procedure codes and submits the claim through NPHIES.
- 04
The payment
Patient shares and self-pay visits are taken by card, invoiced and reconciled against the visit.
What changes for patients and the business
- 01
Billing and payments
Card payments into your own Stripe account, the cancellation policy shown at booking, invoices, statements and reconciliation, with an export for your accountant.
- For patients
- A clear price and policy before they commit, and an invoice in their app.
- For the business
- Payments reconciled against visits, with an export for your accountant.
- On the record
- What was charged, when, against which visit, and the policy the patient saw.
What your regulator asks for
All regulatorsQuestions
How does wai prepare a claim for NPHIES?
Every claim starts from the signed note. wai drafts the ICD-10 codes from it and raises the itemised invoice, so your billing team has each claim ready to check and submit through NPHIES.
What does wai do for a clinic in Saudi Arabia that bills insurers?
It runs booking, the signed clinical note, patient messaging and payments, and drafts diagnosis codes from the signed note for your team to check. The record behind each claim is complete and dated on the day of the visit, which is what a claim audit reads.
Who checks the codes before a claim is sent?
Your billing team does. Every proposed code carries the part of the record behind it, so each one is checked against the note before the claim goes to the payer.
See wai on your own clinic.
A 15 minute video call on your own diary, notes and inbox, with this page's nphies shown on real cases. Prices for clinics, groups and hospitals are on the pricing page.