Reconciliation history

Reconciliation records received from payers through NPHIES (read only).

Check for updates

This screen answersUS-35 OP-6 OP-9

Acceptance criteria

US-35 Read-Only Module Banners LOW

As a user, I want a clear receive-only banner on read-only modules, so that I understand why there's no Create action.

Advanced Auth + Payment Reconciliation show a receive-only banner explaining no Create path.

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.

OP-9 Facility scope for multi-facility users P1 OPERATIONAL REVIEW

As a central desk user, I need to see work from several facilities and switch between them, so one desk can serve a group.

Lists show a Facility column and a Facility filter for a user with more than one facility.
The top bar has a facility switcher. A record of a facility outside the scope is refused with a clear reason (US-52b).
A user with one facility sees none of this.

Wireframe state

DefaultEmptyMulti facilityExported

CSV downloaded. reconciliations-2026-10-05.csv is ready: 5 rows, with the filters you set. The export is logged in the audit log.

Short-paid, unmatched or unpaid claims?

The exceptions queue lists each one with its age and owner.Open exceptions

Period start

Period end

Apply Clear

Identifier	NPHIES request ID	Period	Total amount (SAR)	Outcome	NPHIES result	Submitted
RC-3302Bupa Arabia	92e1c3d6-48a7...	01 Sep to 30 Sep 2026	184,250.00	Complete	Success	02 Oct 2026, 09:14
RC-3301Tawuniya	b6f58a02-d3c4...	01 Sep to 30 Sep 2026	96,480.50	Partial	Success	30 Sep 2026, 14:02
RC-3300MedGulf	38d7f1a9-e620...	01 Sep to 30 Sep 2026	41,015.00	Queued	Success	28 Sep 2026, 11:47
RC-3299Bupa Arabia	1b4e8c25-90ad...	01 Aug to 31 Aug 2026	212,730.75	Complete	Success	25 Sep 2026, 10:20
RC-3298Al Rajhi Takaful	f60c7a52-7e13...	01 Aug to 31 Aug 2026	27,900.00	Partial	Success	23 Sep 2026, 16:31

A/R central desk. You see the reconciliations of every facility you can open. Facility A is selected in the top bar. Use the switcher for Facility B or C.

Period start

Period end

Apply Clear

Identifier	Facility	NPHIES request ID	Period	Total amount (SAR)	Outcome	NPHIES result	Submitted
RC-3302Bupa Arabia	Facility A	92e1c3d6-48a7...	01 Sep to 30 Sep 2026	184,250.00	Complete	Success	02 Oct 2026, 09:14
RC-3301Tawuniya	Facility B	b6f58a02-d3c4...	01 Sep to 30 Sep 2026	96,480.50	Partial	Success	30 Sep 2026, 14:02
RC-3300MedGulf	Facility A	38d7f1a9-e620...	01 Sep to 30 Sep 2026	41,015.00	Queued	Success	28 Sep 2026, 11:47
RC-3299Bupa Arabia	Facility C	1b4e8c25-90ad...	01 Aug to 31 Aug 2026	212,730.75	Complete	Success	25 Sep 2026, 10:20
RC-3298Al Rajhi Takaful	Facility B	f60c7a52-7e13...	01 Aug to 31 Aug 2026	27,900.00	Partial	Success	23 Sep 2026, 16:31

No payment reconciliations found

No reconciliation records have been received from payers yet. Records arrive automatically from NPHIES.

Check for updates