Before the visit
Link the patient and episode to coverage, payer networks, benefit rules, eligibility preparation and authorization requirements.
Platform notes · 8 October 2026
Making Saudi revenue decisions traceable.
Effective dates, explicit unknown values and controlled activation help teams understand why a financial decision was made.
Care and revenue, aligned at every step.
As care is delivered
Resolve effective-dated tariffs, capture charges, evaluate cost sharing and reserve benefit limits against the existing encounter.
From claim to collection
Prepare claim packages, validate exchanges, track remittance exceptions and reconcile financial evidence with the ledger.
Control and traceability
Keep versioned policies, append-only financial records, explicit unknown values and decision gates that block unsupported activation.
Open interfaces. Explicit boundaries.
Clinical interoperability
The clinical core uses FHIR-aligned resources and APIs. National exchanges use their own governed profiles.
Saudi revenue exchange
NPHIES adapters prepare and validate exchange payloads. Production access depends on credentials, testing and regulator approval.
Terminology ownership
Terminology releases, file hashes and licence references are recorded. Licensed coding data is supplied through authorized sources.
Modular deployment
Clinical, web, remote care, revenue and intelligence components retain clear runtime and release boundaries.