Revenue Cycle Management (RCM) covers the financial lifecycle of care — insurance eligibility, medical coding, claim submission, denial management and reconciliation. In Saudi Arabia, RCM runs through NPHIES for payer transactions and must follow Saudi coding rules and ZATCA e-invoicing.
SBS implements and optimises RCM for Saudi providers — NPHIES eligibility and claims automation, clean-claim and coding workflows, denial management and analytics — so you get paid faster with fewer rejections.
Frequently asked questions
How does RCM connect to NPHIES in Saudi Arabia?
RCM uses NPHIES for real-time eligibility, pre-authorization and claim submission to payers; SBS automates these flows inside your HIS/RCM so claims are submitted clean and tracked to payment.
Can SBS reduce our claim rejections?
Yes — eligibility checks, coding validation and denial-management workflows target the top rejection causes and raise your clean-claim rate.
Does RCM need to follow ZATCA e-invoicing?
Yes for the billing side — SBS ensures invoices generated from the revenue cycle are ZATCA-compliant alongside NPHIES claim submission.