Demo simulation with fictional data. No live connection to NPHIES, EHR, insurers, SFDA or government systems. Final review stays with the authorization team; the coverage decision stays with the insurer.
InsuranclyInsurancly
NA
DashboardNew AuthorizationAuthorization Pre-CheckInsurer IntelligenceAuthorization History

Riyadh Medical Center (Demo) · Authorization Office

Good afternoon, Nora

New Authorization

Requests pre-checked (30d)

1,142

Avg. Authorization Readiness at first check

78%

Additional-info requests (90d, observed)

74 / 318

Requests requiring team confirmation

61%

Pre-check queue

Requests awaiting human review before NPHIES

AUTH-24817
Sara Alharbi
Lumbar Spine MRI · Insurer X (Demo)
Awaiting pre-check—Open
AUTH-24811
Faisal Alqahtani
Knee arthroscopy · Insurer Y (Demo)
Ready for NPHIES100%
AUTH-24806
Huda Alzahrani
Cardiac echo · Insurer X (Demo)
In review82%
AUTH-24799
Omar Alshehri
Biologic therapy (SFDA-registered) · Insurer Z (Demo)
Clinician input required64%

Intelligence layers

Powering the Next-Best-Action Engine

  1. 1
    Technical Compliance
    NPHIES requirements, coding, mandatory fields, documentation structure.
  2. 2
    Hospital Knowledge
    Available hospital protocols and request-level information; report contents are not accessible.
  3. 3
    Saudi Knowledge
    Applicable Saudi clinical/regulatory guidance, national standards and SFDA information.
  4. 4
    International Knowledge
    International classifications and guidelines — only when local guidance is insufficient.
  5. 5
    Hospital-Specific Insurer Intelligence
    Rolling analysis of this hospital's own authorization interactions.

Where Insurancly sits

Hospital EHRInsurancly Pre-CheckHuman ReviewNPHIESInsurer

Insurancly improves request quality before submission. It does not replace NPHIES and does not make coverage decisions.