Waseel Connect-Nphies

All waseel Connect issue and FAQ

How to download JSON file for Claim
Waseel-Connect record every transaction request and response JSON, sent to and received by NPHIES. These JSON are needed if there are any technical issues h...
Mon, 29 Apr, 2024 at 4:28 PM
Download claims report-تحميل تقرير المطالبات
By BI reports (HERE)  if you didn’t have user please contact customercare@waseel.com For BI tutorial please find the link: HERE
Mon, 29 Apr, 2024 at 4:27 PM
Invalid Claims statues
The invalid claim is response from the insurance company’s system and the apparent message from their system, we suggest to download claims report and downl...
Mon, 29 Apr, 2024 at 4:23 PM
How to reply the rejected by payer and partially approved claims?
Those claims which are rejected by insurance company fall under this status. Upon selection of “Rejected by Payer”, provider will get list of all Rejected b...
Mon, 29 Apr, 2024 at 4:21 PM
Different number of claims between BI and waseel Connect-اختلاف عدد المطالبات بين BI و وصيل كونكت
If the total number of claims differs between the BI report and Waseel Connect,  Please follow the below: * Select the date range from the 1st of the curr...
Mon, 29 Apr, 2024 at 4:16 PM
What is PBM validation in Pre-authorization Transaction? ماهو PBM
 Pre-authorization transaction can be sent to PBM (Pharmacy Beneficiary Management) for clinical validation.  Only Medication Codes type of product o...
Sun, 28 Apr, 2024 at 4:06 PM
What is MRE validation in Pre-authorization Transaction? ماهو MRE
Pre-authorization transaction can be sent to MRE (Medical Rule Engine) for clinical validation. Only following types of product or services are covered for ...
Sun, 28 Apr, 2024 at 4:03 PM
What are different Pre-authorization Transaction Status?
 Status is the latest outcome from either from NPHIES (as queued and error)  or Adjudication Outcome from Payer (as pended, rejected, approved, parti...
Sun, 28 Apr, 2024 at 4:02 PM
search for Pre-authorization Response-البحث عن موافقه طبية
By using search feature healthcare provider will get quick access to all previously raised pre authorization transactions with multiple filter options. ...
Sun, 28 Apr, 2024 at 4:01 PM
What is EBP Pharmacy Pre-authorization Transaction? ماهو EBP
To perform Request EBP Pharmacy Pre-authorization Transaction, you need to follow below mentioned steps: - Step 1: Navigate to NPHEIS -> Pre Authoriz...
Sun, 28 Apr, 2024 at 4:00 PM