Integration with Nafees

Nafees is a comprehensive digital platform developed by the Cooperative Health Insurance to facilitate the exchange of health information between healthcare providers and health insurance companies

Which is provided by the eCarePlus system when integrated with Nafees

  • Review the patient’s insurance details before creating a file for them through integration with the Health Insurance Council.
  • Verify the patient's eligibility upon reception, displaying all contract details and various liabilities.
  • Support all insurance companies through integration with Nafees.
  • Ability to send approvals to insurance companies and receive responses from them.
  • Ability to send referrals and specify whether it is a referral to a hospital or a prescription referral.
  • Ability to send claims to insurance companies through Nafees.
  • Capability to respond to insurance companies' inquiries, whether they are related to approvals, referrals, or claims.
  • Ensure that reports required for sending to insurance companies are in compliance after submitting claims.
  • Provide full technical support for all issues encountered with clients and work on resolving them as quickly as possible.

Requirements for integrating the eCarePlus system with Nafees

Improving the quality of healthcare services


Nafees provides patients with a unified and comprehensive health file that includes all their medical information. This enables doctors to make better treatment decisions and offers patients more effective healthcare."

Enhancing the efficiency of the healthcare sector

Nafees helps reduce costs and improve operational efficiency in the healthcare sector by streamlining procedures and minimizing errors

Improving the patient experience

 

"Nafees allows patients to easily access their health information and simplifies the process of insurance claims for them

Supporting digital transformation

Nafees is a significant step in the digital transformation of the healthcare sector in Saudi Arabia, as it contributes to enhancing the use of technology to improve the quality of healthcare services provided.

Get Service Now
Get Service Now