Review and submit

Check everything once. Nothing is sent to NPHIES until you submit.

This screen answersUS-09 US-06 US-08 US-38

Acceptance criteria

US-09 Care Team Submission Guard HIGHEST

As a claims submitter, I want the system to block progression when the Care Team step has zero members, so that I get a clear error immediately instead of a confusing empty picker later.

Professional/Institutional/Dental-Oral + 0 members + Continue → hard-block.
≥1 member → Services picker behaves as today.
Review with 0 members → Care Team card shows "Required, no data entered."
Pharmacy/Vision/Predetermination handled per their own rules (QA confirms Vision/Pharmacy).

US-06 Newborn Data Integrity HIGHEST

As a user submitting a newborn request, I want all NPHIES-required newborn and mother fields captured and validated on-screen, so that my request doesn't fail server-side after I've marked the step complete.

Dedicated DOB on Newborn step, or clear inline cross-reference to Patient Info DOB.
90-day rule shown as inline help, not only a late blocking error.
Newborn details appear in Review.
All 7 NPHIES-required Mother fields marked required (*) and validated client-side before Continue.
Post-fix, a real newborn submission reaches a determinate NPHIES outcome.

US-08 Facility Type Validation HIGHEST

As a provider user, I want to be warned if I enter a Facility Name without a Facility Type, so that my request isn't silently rejected by NPHIES.

Given a user enters a Facility Name and leaves Facility Type blank, when they attempt to continue, then the system displays an inline warning/error requiring Facility Type.
"Facility Type (optional)" label corrected to conditional-required.
Both fields shown in the Coverage Review card.
Given both fields are completed, when the request is submitted, then no NPHIES rejection occurs for this reason.

US-38 Wizard Navigability LOW

As a user filling long wizards, I want to save a draft and resume, plus jump between completed steps, so that I don't lose work on long forms.

Persistent step indicator with jump-to-completed-step.
Save-as-draft + resume across Eligibility, Pre-Auth, Claims.
No partial submission to NPHIES from a draft.

Wireframe state

DefaultCare team missingNPHIES down

Fix these before you submit. A claim needs at least 1 care team member, one of them Primary Provider. Add one before you submit.

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Claim setup

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Claim type: Professional / Prescriber
Claim Sub-Type: Outpatient
Priority: Normal
Service Date: 2026-10-01
Prior authorization reference: PA-10977

Patient identity

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Name: Noura Saad Al Harbi
Patient ID Type: National ID 1087654321
Date of Birth: 1991-04-17

Insurance and coverage

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Insurance Company: Bupa Arabia
Member Card No.: 4410 2287 6035
Policy Number: BP-77120934

Facility

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Facility Name: Al Raneem Hospital, Riyadh
Facility Type: Hospital

Clinical context

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Encounter Class: Ambulatory (AMB)
Principal Diagnosis: I10 Essential (primary) hypertension
Secondary Diagnosis: R07.4 Chest pain, unspecified

Care team

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Primary Provider: Dr. Tariq Al-Mutairi, PR-1004577

Care team

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Required, no data entered. Fill in Care Team

Services

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Service Code	Quantity	Unit Price	Net Amount	Patient Share	Payer Share
97005-00Cardiology consultation, specialist	1	350.00	350.00	35.00	315.00
11700-00Electrocardiogram, 12 lead	1	120.00	120.00	12.00	108.00
55113-00Echocardiography, transthoracic	1	480.00	480.00	48.00	432.00

Grand Total SAR 950.00 = Patient Share SAR 95.00 + Payer Share SAR 855.00

Supporting info and links

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Supporting Information: 3, with 1 attachment
Related Claims: PA-10977, CL-20233

BackDraft saved 2 minutes agoSaved in RaneemHCP only. Nothing is sent to NPHIES until you submit.Reset form Save draft Submit claim

BackAdd a care team member to submit.Reset form Save draftSubmit claim

BackDraft saved 2 minutes agoSaved in RaneemHCP only. Nothing is sent to NPHIES until you submit.Reset form Save draft Save and send later