NPHIES is the National Platform for Health and Insurance Exchange Services launched by the Cooperative Health Insurance Council (CCHI) and the National Center for Health Information (NHIC) and led by the Sehati Company in the Kingdom of Saudi Arabia, aiming to Transforming the health care sector in the Kingdom of Saudi Arabia, by using the latest technologies to enhance the level and quality of health services to all the Kingdom by 2030
Unified digital health services (unified health record) for patients in the Kingdom of Saudi Arabia aims to improve the efficiency and quality of health care services provided, and also reduces the cost and time of providing health care services, which is a basis for improving healthcare decision-making.
NPHIES aims to reach and gather the players in the healthcare sector: clinical services, financial services, healthcare providers governmental and private sectors and Health Insurance Companies. We have prepared an special article about the benefits of NPHIES and the requirements needed to become NPHIES-compliant.
Cirrus has developed multiple NPHIES-oriented features
Cirrus is a always-updated SaaS that, besides improving the organizational operations, develops Nphies enhancements at no extra costs. These are some of them:
Cirrus double-checks all the information before sending it to NPHIES
If any encounter has issues before sending the info to Nphies, users can view the list of every error on the Issues Log. Also, every encounter of these will be highlighted in red.
Cirrus validates the following prior to every send:
- Diagnostic
- Attachment
- Nphies pre-authorization
- Doctor Professional Card
- Patient National ID
- Insurance info
- Prescribed Meds
- Insurance Nphies License.
Send validity days to Nphies
To better communicate details about medications prescribed, Cirrus sends to Nphies the validity days of every drug prescribed attached to the claim documents.
Users can find attached encounters easily by their status
Cirrus displays a dynamic filter to the claim document, allowing users to view the status of the attached encounters. The status are the following:
- Pending. The document is pending Nphies' response or has yet to be sent.
- Queued. The encounter was successfully sent to Nphies.
- No document. The user will see the No document error message if any pending encounter has no Summary PDF file attached.
- Error. This status will be displayed when Nphies gives an error message response.
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