Waseel Connect-Nphies

All waseel Connect issue and FAQ

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
What is Advanced Pre-authorization Transaction?
This feature enables Health insurance company to send the Advanced Authorization (Approval) to the healthcare providers without receiving an authorization r...
Sun, 28 Apr, 2024 at 3:58 PM
CNHI Pre-authorization Transaction- ارسال التأمين الصحي الموحد
Under this feature, we are enabling provider now to send Pre-Auth request to Center for National Health Insurance (CNHI) under GlobeMed TPA via NPHIES to su...
Sun, 28 Apr, 2024 at 3:58 PM
How to edit or cancel pre-authorization with pended status-الغاء أو تعديل الموافقات التي حالتها قيد المعالجة
The healthcare provider can edit a specific service from an already submitted authorization request. Through this functionality, the authorization will be s...
Sun, 28 Apr, 2024 at 3:56 PM