What is NPHIES?
Data Standardization
Standardize healthcare data exchange between hospitals, insurers, and regulators.
Automated Claims
Eliminate paperwork with automated eligibility checks, claims, and approvals.
Centralized EMR
Improve patient care with a centralized electronic medical record (EMR) system.
Vision 2030 Compliance
Ensure compliance with Saudi Vision 2030 healthcare digitization goals.
Benefits of the NPHIES-Compliant HMS from MocDoc
Real-Time Eligibility Checks with TAAMEEN Integration
Instant insurance verification: Instantly verify a patient's health insurance coverage through TAAMEEN, integrated seamlessly within MocDoc.
Reduce claim denials: Avoid costly delays and minimize rejected claims by checking eligibility in real time.
Streamline patient intake: Accelerate the admission process with automated insurance eligibility checks.
Enhance patient experience: Give your patients confidence in their coverage and avoid last-minute surprises.
Smart Pre-Authorization & Claims Workflow
In-system pre-authorization: Submit and track pre-authorization requests directly in MocDoc no need to switch to external portals.
Faster approvals: Improve turnaround time with NPHIES-compliant electronic claim submissions.
Reduced rework: Eliminate errors due to non-compliant formats or missing information.
End-to-end tracking: Monitor every stage of the claims lifecycle from pre-auth to final reimbursement.
Automated Reconciliation & Financial Accuracy
Auto reconciliation with insurers: Match payments to claims automatically-no more manual tracking.
Error-free billing: Prevent common billing and coding errors that lead to revenue leakage.
Boost revenue cycle efficiency: Shorten payment timelines and improve financial accuracy across departments.
Complete financial transparency: Get real-time insights into claim status and revenue inflows.
End-to-End Regulatory Compliance
Fully compliant with CHI and NHIC mandates: Our software is built to meet all national health standards in the Kingdom.
Secure and scalable: HIPAA-grade data encryption, user access control, and audit logs ensure patient data privacy.
Future-ready architecture: Designed to support future NPHIES updates and healthcare regulations.
Confidence in compliance: Rest easy with NPHIES-certified hospital software that meets regulatory expectations.
Why Choose MocDoc?
Trusted
Trusted by Over 1500+ Healthcare Facilities Across the Globe
AI-Powered Automation
Reduces admin time with smart workflows
Regional Compliance
Designed for KSA, UAE, Qatar, Oman, Bahrain & Kuwait
Bank-Grade Data Security
Safeguards patient and insurance data at every step
What GCC Healthcare Providers Say
Many of our 1500+ customers purchase a set of our products to achieve their goals.
We selected MocDoc after running through at least 15 different HISs. Absolutely no regrets. The most I like with MocDoc is the quick and prompt response of the MocDoc team to solve any difficulties, both regarding the usage and technical issues.
Dr. Nagaraj Tenkasi
Doctor
We started using MocDoc after having a very bad experience with another HMS. The software is very user-friendly and the support team, led by Mr. Sidique, is always there to help. We strongly recommend MocDoc.
Mr. Ahmed Maumoon
Managing Director
The software quality is consistently outstanding, exceeding our expectations every time and we would highly recommend this business. Their customer service is also second to none.
Vidya S
Admin
Secure, Scalable, and Reliable Hospital Management Software
Secure Cloud Hosting
AES-256 encryption with daily backups ensures data safety.
Scalable Design
Suitable for facilities ranging from 10 beds to 300+ beds.
Continuous Support
Comprehensive 24/7 onboarding, training, and technical assistance.
Frequently Asked Questions (FAQs)
A NPHIES-integrated HMS like MocDoc connects hospitals with insurers and regulators in Saudi Arabia through real-time eligibility checks, claims automation, and compliance with CHI/NHIC protocols under Saudi Vision 2030.
MocDoc HMS automates insurance eligibility checks, pre-authorizations, and claim submissions in compliance with regional healthcare regulations, improving speed and accuracy for providers in UAE, Oman, Qatar, Bahrain, and Kuwait.
Yes, MocDoc’s hospital software is fully compliant with CHI, NHIC, and NPHIES standards, ensuring secure, efficient data exchange and adherence to Saudi Arabia’s healthcare digital transformation goals.
Absolutely. MocDoc HMS enhances patient experience with centralized EMRs (via SEHEYA), reduced wait times through real-time eligibility verification, and faster insurance approvals across KSA, UAE, Oman, Bahrain, and Qatar.
TAAMEEN enables real-time insurance verification, while SEHEYA offers access to unified EMRs, helping hospitals streamline care delivery and ensure accurate, data-driven decisions in compliance with NPHIES regulations.
MocDoc’s NPHIES-integrated HMS is tailored for healthcare providers in Saudi Arabia, UAE, Oman, Bahrain, Qatar, and Kuwait, with localized compliance, language support, and AI-driven workflows.
MocDoc HMS enables centralized patient record access, standardized claim workflows, and real-time data exchange across multiple hospital branches in the GCC, including Saudi Arabia, UAE, Oman, Bahrain, Qatar, and Kuwait.
Yes, MocDoc’s scalable HMS is ideal for clinics, day-care centers, and specialty practices, offering NPHIES integration, insurance automation, and EMR access to improve efficiency and care quality across all facility sizes.