NPHIES (National Platform for Health Information Exchange Services) is Saudi Arabia's mandatory national platform connecting healthcare providers and insurers. It standardises insurance eligibility, pre-authorization, claim submission and clinical data exchange using the HL7 FHIR standard.
Every provider and payer in the Kingdom must integrate with NPHIES. In practice that means your HIS, EMR or clinic system exchanges FHIR messages with NPHIES for eligibility checks, pre-authorizations and claims in real time — reducing rejections and speeding reimbursement.
SBS connects HIS, EMR, clinic and RCM systems to NPHIES end to end — FHIR mapping, implementation, testing and go-live — and adds denial-management workflows so claims are clean before they are submitted.
Frequently asked questions
What is NPHIES?
NPHIES (National Platform for Health Information Exchange Services) is Saudi Arabia's mandatory platform connecting providers and insurers for eligibility, pre-authorization, claims and clinical data exchange via HL7 FHIR.
Is NPHIES mandatory in Saudi Arabia?
Yes — NPHIES integration is mandatory for healthcare providers and insurers across Saudi Arabia.
What are the NPHIES integration requirements?
Your system must exchange HL7 FHIR messages with NPHIES for eligibility, pre-authorization and claims. SBS handles the full mapping, build, testing and go-live.
How does SBS help with NPHIES?
SBS integrates your HIS, EMR, clinic or RCM system with NPHIES end to end and adds denial-management workflows so claims pass first time.
Related guides
- What is Riayati? UAE Unified Medical Record
- What is Universal Health Insurance (Egypt)?
- What is the Unified Procurement Authority (Egypt)?
- What is ZATCA e-invoicing (FATOORA)? Phase 2 Requirements