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Background

The NPHIES platform is a unified national platform under the umbrella of the CHI (Council of Health Insurance) & MOH (Ministry of Health) for healthcare insurance transactions that connects health care providers and Insurance companies within the kingdom of Saudi Arabia. It aims to facilitate the exchange of health information for patients, share financial and administrative data, provide transparency for all users, and expedite insurance transactions and approvals. PLUS, Gain access to thorough

What is Nphies+

X4NPHIES+ is Xocialive product for Revenue Cycle Management (RCM), which is an advanced comprehensive RCM solution that connects the healthcare provider internal healthcare information system (HIS) with Nphies platform. It helps you manage your revenue cycle and Enables the Healthcare Provider (HCP) to capture the patient’s demographics, medical services and financial status until the patient journey is complete.

X4Nphies+ isn’t just an RCM solution; it’s a catalyst for healthcare transformation.

Added Value

Unified, Multitenant, Bilingual Cloud Platform: Access anytime, anywhere.
Off-load IT Burden: Free up resources for strategic initiatives.
Effortless Setup and Enrolment: Get up and running swiftly.
Flexible Integration APIs: Seamlessly integrate with existing infrastructure.
Holistic Monitoring and Governance: Maintain control.
Professional Onboarding Services: Smooth transition.
Enhanced Revenue and Speedy Claims Processing: Boost financial outcomes.
Cost and Time Efficiencies: Optimize operations.
Unwavering Regulatory Compliance: Stay ahead of the curve.

Features

Comprehensive Compliance
Aligned with national healthcare digitalization initiatives and evolving regulations, our platform ensures adherence to the highest standards.
Engineered for Acceleration
Designed with speed in mind, X4Nphies+ boasts best-of-breed architecture and pristine code. This translates to reliability, scalability, and robust security.
Streamlined Patient Registration
Active Policy Inquiry: Swiftly verify insurance coverage.
Automated Patient Registration: Effortlessly onboard patients.
Eligibility Verification: Seamlessly confirm insurance details.
Efficient Episodes of Care Management

Medical Encounter Management: Capture holistic patient visit information, including medical, financial, and diagnostic details.
Charge Capture: Accurately record billable services.
Pre-authorization: Expedite approvals.
Patient Billing: Simplify financial transactions.
Robust Claims Management:
Claims Creation and Review: Prepare, review, and submit claims seamlessly.
Denials and Rejections Management: Tackle issues proactively.
Payer Invoicing and Payments: Streamline re
Foundational Features

Terminology Management: Centralized repository for consistent and accurate medical terms, codes, and definitions.
Payers and Provider Management: Comprehensive catalog of Nphies payers and providers, essential for billing and claims.
Medical Dictionaries and Diagnosis Management: Enhance clinical accuracy.
Service Catalogue and Treatment Fees Management: Optimize pricing.
Integration & Compliance Excellence

HL7 and FHIR Compliant APIs: Seamlessly connect with other systems.
NPHIES, ZATCA e-Invoicing, and Tahseel Compliance: Navigate regulatory complexities effortlessly.
Implemented at 8+ Hospitals at the kingdom.