Claims

Track submitted claims and their results. Open a claim to see its NPHIES IDs and linked requests.

This screen answersUS-04 US-38 OP-6 OP-9

Acceptance criteria

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.

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.

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.

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

DefaultEmptyLoadingMulti facilityExported

CSV downloaded. claims-2026-10-05.csv is ready: 214 rows, with the filters you set. The export is logged in the audit log.

All your facilities. You are looking at Facility A, Facility B and Facility C. Use the Facility filter to narrow the list to one facility.

Claims found

214

6 drafts

Queued

Waiting for NPHIES or the payer

Total approved

412,380

SAR, this month

Total denied

38,215

SAR, needs a fix and resubmit

RequestsDrafts (6)

Claim	Patient	Amount (SAR)	Status	Age since service	Owner	Submitted
CL-20418Professional, request a41c7f0e...	Noura Al HarbiBupa Arabia	950.00	Denied	4 days	RAReem Al-Otaibi	01 Oct 2026, 10:42
CL-20417Institutional, request b72d90a1...	Faisal Al QahtaniBupa Arabia	12,480.00	Queued	4 days	RAReem Al-Otaibi	01 Oct 2026, 10:15
CL-20409Dental/Oral, request c05e1d3f...	Maha Al ShammariBupa Arabia	640.00	Approved	5 days	RAReem Al-Otaibi	30 Sep 2026, 16:08
CL-20402Professional, request d19a4c68...	Abdullah Al GhamdiBupa Arabia	1,120.50	Partial	5 days	No owner	30 Sep 2026, 11:30
CL-20395Pharmacy, request e83b2f07...	Sara Al MutairiBupa Arabia	385.75	Approved	6 days	RAReem Al-Otaibi	29 Sep 2026, 14:55
CL-20388Institutional, request f60c7a52...	Yousef Al DossaryBupa Arabia	8,920.00	Approved	7 days	SASara Al-Mutairi	28 Sep 2026, 09:20
CL-20371Vision, request 0a7d3e91...	Hessa Al AnaziAl Rajhi Takaful	520.00	Denied	8 days	FAFaisal Al-Dosari	27 Sep 2026, 13:12
CL-20366Professional, request 1b4e8c25...	Turki Al SubaieBupa Arabia	275.00	Rejected	9 days	No owner	26 Sep 2026, 15:40

Claim	Patient	Facility	Amount (SAR)	Status	Age since service	Owner	Submitted
CL-20418Professional, request a41c7f0e...	Noura Al HarbiBupa Arabia	Facility A	950.00	Denied	4 days	RAReem Al-Otaibi	01 Oct 2026, 10:42
CL-20417Institutional, request b72d90a1...	Faisal Al QahtaniBupa Arabia	Facility A	12,480.00	Queued	4 days	RAReem Al-Otaibi	01 Oct 2026, 10:15
CL-20409Dental/Oral, request c05e1d3f...	Maha Al ShammariBupa Arabia	Facility B	640.00	Approved	5 days	RAReem Al-Otaibi	30 Sep 2026, 16:08
CL-20402Professional, request d19a4c68...	Abdullah Al GhamdiBupa Arabia	Facility A	1,120.50	Partial	5 days	No owner	30 Sep 2026, 11:30
CL-20395Pharmacy, request e83b2f07...	Sara Al MutairiBupa Arabia	Facility C	385.75	Approved	6 days	RAReem Al-Otaibi	29 Sep 2026, 14:55
CL-20388Institutional, request f60c7a52...	Yousef Al DossaryBupa Arabia	Facility B	8,920.00	Approved	7 days	SASara Al-Mutairi	28 Sep 2026, 09:20
CL-20371Vision, request 0a7d3e91...	Hessa Al AnaziAl Rajhi Takaful	Facility C	520.00	Denied	8 days	FAFaisal Al-Dosari	27 Sep 2026, 13:12
CL-20366Professional, request 1b4e8c25...	Turki Al SubaieBupa Arabia	Facility A	275.00	Rejected	9 days	No owner	26 Sep 2026, 15:40

Drafts are saved in RaneemHCP only. Nothing is sent to NPHIES until you submit.

Start with a new claim. If you filtered the list, clear the filters to see every claim.

New claim