Every NPHIES step, from one screen.
Cover checked before the visit, prior authorisations tracked, claims checked before they’re sent, and payments matched to every line.
Certified on NPHIES
ZATCA Phase 2 compliantBuilt from the visit, checked before it leaves, sent by your team.
From the front desk
to the payment.
Each step runs from the record you already have, so nothing is typed twice.
Check cover before the visit
Verify cover when the patient books or arrives. The insurer’s answer, the class and the patient’s share stay on the visit.
- Found by national ID or Iqama
- The patient’s share before they sit down
- Every answer kept with its time
Track every prior authorisation
Prior authorisations go out from the visit with what the insurer needs, and each one shows its status and deadline.
- Requested from the visit, not retyped
- Status and deadline in one list
- Extensions requested before they lapse
Send claims right the first time
Each claim is built from the doctor’s signed visit note, then checked against the insurer’s rules, the contract price and the authorisation.
- The fix spelled out before sending
- Every response kept
Match every payment to its lines
Payments are matched line by line, so a short payment shows the day it lands, with its appeal date.
- Matched to each claim’s lines
- Short payments flagged with their appeal date
- Unpaid claims, by age
Watch one claim go from check-in to payment.
A 30-minute demo, in Arabic or English.
What NPHIES says,
and what it means for you.
| NPHIES says | What it means | What Nabdah does |
|---|---|---|
| Eligible | The patient’s cover is active for this visit | Keeps the answer and shows the patient’s share |
| Approved / Partially approved | The insurer agreed to all, or part, of the service | Keeps the approval number on the visit; flags what wasn’t approved |
| Pended | The insurer needs more time or more information | Puts it in today’s list with its deadline |
| Rejected | The claim, or a line of it, won’t be paid as sent | Shows the reason in plain words, what to fix and the appeal date |
| Paid / Partially paid | Money is on its way, in full or short | Matches it to the claim’s lines and flags any short payment |
Who pressed send,
and what came back.
When an insurer says it never received a claim, you can show it the message.
- MAMaha Al-OtaibiFront deskPressed Verify coverAnswer kept: active, patient pays 20%
- HAHuda Al-HarbiBillingPressed send: prior authorisationMessage kept as sent
- NPNPHIESAuthorisation approvedMessage kept as received
- HAHuda Al-HarbiBillingPressed send: the claimChecked before sending
- NPNPHIESClaim accepted by BupaMessage kept as received
A person presses send
Nabdah prepares and checks; nothing reaches an insurer until someone on your team presses send.
Checked before it leaves
Cover, approval, contract price and required fields, on every claim.
Sent and received, kept
Every message is stored as it was, so a dispute has its evidence.
The right people only
Only the roles you choose can verify cover, request approvals or send claims.
Questions clinics
ask us.
Ask us anything, in Arabic or English. A person who knows NPHIES answers on WhatsApp, within 15 minutes in clinic hours.
Chat on WhatsAppYes. [Exact wording, issuer and date as approved by CHI.]
Yes. NPHIES connects every licensed health insurer in the Kingdom, and Nabdah reaches all of them through it.
Yes. Your clinic is registered on NPHIES under its own licence, and we run the onboarding and the tests with you.
Your clinic keeps working. Cover checks and claims wait in Nabdah, and you send them when NPHIES is back.
It lands in one list with the insurer’s reason, what to fix and the appeal deadline. Our rejection library explains the most common reasons, with their fixes.
No. NPHIES carries the claim; the insurer decides it. Nabdah shows each insurer’s answer, and its reason, on the claim.