Saudi Payer Database

Comprehensive denial rules, pre-authorization requirements, and coding standards for 8 major Saudi insurers.

Payer	Rules	Denial Codes	Pre-Auth Required	Updated	Status

Total Rules

NPHIES + CCHI + Payer-specific

60+

NPHIES Codes Mapped

Arabic & English bilingual

ICD-10-AM v10
ACHI v10 · AR-DRG v9.0

Coding Standards

Saudi Billing System compliant

NPHIES Code Reference

All denial codes are mapped to the official NPHIES CodeSystem (http://nphies.sa/terminology/CodeSystem/adjudication-reason). Codes include Arabic translations sourced directly from the NPHIES portal.