Claim: CL-20421
Rakan Al Otaibi, Institutional, SAR 12,480.00. Everything NPHIES and the payer said about this claim.
US-04 NPHIES ID Traceability HIGHEST
As a support/functional user, I want the full NPHIES ID chain visible on each request, so that I can trace a request end-to-end when troubleshooting.
Internal Req ID, NPHIES Req ID, Response, Response ID all visible per request.
Queued requests show "Pending," not blank/error.
Copy-to-clipboard on each ID.
US-03 Linking ID Standardization HIGHEST
As the system, I want cross-request links to always use the NPHIES Response ID (never the internal or bundle ID), so that linked requests resolve correctly and pass NPHIES validation.
Cross-request links store the NPHIES Response ID, never internal/bundle ID.
Related-claim references tie to the original response's Response ID.
US-20 Related Requests Traceability MEDIUM
As a provider user, I want related requests shown on the Pre-Auth Result page, so that I can see linked requests without manual lookup.
Pre-Auth Result shows a Related Requests section (via US-03 linkage) with type/status/link.
None exist → "No related requests" shown, not hidden.
Click → opens the record directly.
OP-2 Case owner, assign and take over P1 OPERATIONAL REVIEW
As a desk user, I need a case to have an owner I can change, so work does not get stuck when someone is absent.
A case shows its owner, or "No owner".
A colleague of the same role and facility can Assign to someone or Take over. Each is logged.
Deactivating a user shows their open drafts and cases and asks who takes them over.
OP-3 Internal case notes P1 OPERATIONAL REVIEW
As a desk user, I need to leave a note on a case that stays inside RaneemHCP, so the next person knows what was tried.
A note shows its author and time. It is never sent to NPHIES and says so.
Notes appear on the case timeline and on the authorization, claim, advanced authorization and message pages.
A note cannot be edited or deleted after it is saved. A correction is a new note.
OP-6 CSV export and print P1 OPERATIONAL REVIEW
As a desk user, I need to export a list to CSV and print a result, so I can hand it to finance or file it with the patient.
Every list has Export with CSV. The export says how many rows it holds and is logged.
Eligibility, authorization and claim results have Print or save as PDF.
A role that cannot read a list cannot export it.
Queued Rakan Al Otaibi, Institutional. Bupa Arabia.
Waiting for the payer. NPHIES has the claim but the payer has not answered. This page updates when the response arrives. You can check the status now, or cancel the request before the payer answers.
Summary Line items (3) Errors Raw payload Live poll Communication (0) Related Poll history
Name
Rakan Al Otaibi
ID Number
1061713899
Claim ID
CL-20421 Claim type
Institutional
Payer
Bupa Arabia
Sent
05 Oct 2026, 09:12
Payer answered
Not yet
Outcome
Pending
Disposition
Queued for adjudication.
Submitted
SAR 12,480.00
Approved
SAR 0.00
Benefit
SAR 0.00
Patient Share
SAR 1,248.00
Payer Share
SAR 11,232.00
Tax
SAR 0.00
Internal request ID CL-20421 NPHIES request ID RQ-9981-0421-5473 NPHIES response
NPHIES response ID
Claim sent 05 Oct 2026, 09:12
Sent to NPHIES by Reem Al-Otaibi.
Waiting for the payer Now
No response yet.
Service
Submitted
Approved
Patient Share
Denial Reason
Outcome
97005-00 Cardiology consultation, specialist 4,597.89
-
459.79
-
Queued
11700-00 Electrocardiogram, 12 lead 1,576.42
-
157.64
-
Queued
55113-00 Echocardiography, transthoracic 6,305.69
-
630.57
-
Queued
The exact bundle NPHIES returned. Read only.
Task Status
Waiting
Task ID
7a1f0421-2c05 Extracted Responses
0
Meta Tag
N/A
No questions from Bupa Arabia on this claim.
No linked requests on this claim.
Date / Time
Type
Result
05 Oct 2026, 09:12
Status Check
Pending