Drapto for Saudi Arabia
NPHIES claims that clear before a human reads them
NPHIES
Structural and clinical validation at submission — an ICD-10-AM code inconsistent with the stated DRG is rejected before a human reads it.
30-40% of claim value lost to rejections and delays.
We will read your last three months of rejections before you decide
The market loses 30-40% of claim value to rejections. Most clinics cannot say which codes are costing them the most.
Free rejection analysis, no commitment. You keep the report either way.
What it costs in Saudi Arabia
| Plan | Per month |
|---|---|
| Clinic | SAR 1,500 |
| Hospital | SAR 7,600 |
| Hospital Plus | SAR 17,000 |
Priced for Saudi Arabia, not converted from anywhere. Ten months billed yearly.
Questions we are actually asked
What is NPHIES?
The Saudi national platform for health insurance exchange, run under CCHI. It carries eligibility, pre-authorisation and claims, and it is mandatory for providers.
Why does NPHIES reject claims automatically?
It validates structure and clinical consistency at submission. A diagnosis code inconsistent with the stated DRG is refused outright, before an adjudicator reads it.
What standard does NPHIES use?
HL7 FHIR R4.
How much do Saudi providers lose to claim rejections?
Published estimates put 30-40% of claim value at risk through rejections and payment delays across the market.
Read the mechanism. Now check your own numbers.
Bring twenty settled claims, advices only, patient details redacted. We name the clause behind each reduction and you keep the findings.