Payers · Policies · Eligibility · Prior Auth · Claims · Denials — multi-country (NPHIES, NHS, CMS-1500, HAAD, MOH-KW)
SAR 40.4K
Total Billed
SAR 7.4K
Collected
SAR 14.3K
Outstanding (AR)
SAR 17.5K
Denied Amount
18%
Collection Rate
28.6%
Denial Rate
CO-50 — Non-covered service: prior auth missing
12 claims · SAR 32,400
CO-197 — Precertification absent
8 claims · SAR 18,200
CO-29 — Time limit for filing has expired
5 claims · SAR 9,800
CO-16 — Claim lacks information for processing
4 claims · SAR 7,200
CO-109 — Service not covered by this payer
3 claims · SAR 5,600
| Payer | Country | Standard | Avg Days to Pay | Denial Rate | Status |
|---|---|---|---|---|---|
| Bupa Arabia | SA | NPHIES | 18 days | 8.2% | |
| Tawuniya | SA | NPHIES | 24 days | 11.5% | |
| MedGulf | SA | NPHIES | 32 days | 14.2% | |
| Daman Insurance | AE | HAAD | 21 days | 9.8% | |
| NHS England | GB | NHS-ECS | 14 days | 3.2% | |
| Aetna | US | CMS-1500 | 28 days | 12.4% | |
| Cigna | US | CMS-1500 | 30 days | 10.8% | |
| MOH Kuwait | KW | MOH-KW | 42 days | 6.5% |