NPHIES — the National Platform for Health Information Exchange Services — is Saudi Arabia's unified platform connecting healthcare providers and insurers. It standardises insurance eligibility checks, pre-authorizations, claim submission and clinical information exchange so every transaction between a provider and a payer runs through one compliant channel.
SBS connects your HIS, EMR or clinic system to NPHIES end to end — mapping to the NPHIES FHIR-based messages, implementing eligibility and pre-authorization flows, automating claim submission and reconciliation, and setting up denial management — so you get paid faster with fewer rejections.
Frequently asked questions
What is NPHIES in Saudi Arabia?
NPHIES (National Platform for Health Information Exchange Services) is the mandatory Saudi platform that connects healthcare providers and insurers for eligibility, pre-authorization, claims and clinical data exchange.
How do I integrate my HIS with NPHIES?
Your system must exchange FHIR-based messages with NPHIES for eligibility, pre-auth and claims. SBS handles the full integration — mapping, implementation, testing and go-live — for most HIS, EMR and clinic platforms.
How does NPHIES reduce claim rejections?
By validating eligibility and pre-authorization in real time before service and submitting standardised, complete claims, NPHIES removes the most common rejection causes. SBS adds denial-management workflows to catch the rest.