iCenna Insurance Solutions
Smart Insurance & Revenue Cycle Management for Healthcare Providers
Insurance is more than financial coverage — it's the bridge between patients, providers, and payers. With Saudi Arabia's shift towards Value-Based Health Care (VBHC), insurance systems must ensure comprehensive protection and efficiency.
Why Insurance Matters in Healthcare
Insurance is more than financial coverage — it's the bridge between patients, providers, and payers. With Saudi Arabia's shift towards Value-Based Health Care (VBHC), insurance systems must ensure:
Beneficiary Protection and Rights
Efficient Claim Approvals and Processing
Transparency and Accountability
Fair Reimbursement Linked to Patient Outcomes
iCenna Insurance Capabilities
Comprehensive solutions for modern healthcare insurance management and revenue optimization.
Seamless Claim Management
Automated eligibility verification and streamlined approval processes for faster patient care.
Automated eligibility and pre-authorization checks
Real-time integration with NPHIES and Saudi Billing System (SBS)
Faster approvals to reduce patient waiting times
Revenue Cycle Management (RCM)
End-to-end claim lifecycle monitoring with KPI-driven oversight and fraud detection.
End-to-end claim lifecycle monitoring
KPI-driven oversight to reduce rejection rates
Fraud, Waste, and Abuse (FWA) detection and reporting
Beneficiary-Centered Approach
Transparent patient communication and digital tools for enhanced healthcare experience.
Transparency in deductibles and co-payments
Patient & family Bill of Rights integration
Digital portals for viewing bills, insurance status, and complaints
Value-Based Insurance Models
Modern payment models that link reimbursement to patient outcomes and quality metrics.
Moving beyond Fee-for-Service (FFS) to Pay-for-Performance
Support for Bundled Payments and Capitation models
Linking payments directly to patient outcomes and experiences
Compliance with CHI Standards
iCenna ensures providers meet CHI requirements across all insurance operations.
Approvals & Pre-Authorizations
Real-time Processing
AR Standards compliance for all authorization processes
Claim Submissions
30-45 Days
Timely claim submissions within required timelines
Data Integrity & Clinical Coding
100% Accuracy
Accurate coding and data management for fair reimbursements
Provider Classification & Benchmarking
Monthly Reports
Performance transparency and provider benchmarking
Insurance KPIs We Monitor
Comprehensive performance metrics to ensure optimal insurance operations and patient satisfaction.
Key Performance Indicators
Claim Turnaround Time (Days)
Revenue Cycle Performance (%)
iCenna Advantage
Why leading healthcare providers choose iCenna for their insurance management needs.
Integrated HIS & Insurance Modules
Seamless integration for maximum accuracy and efficiency
Dashboards & Reports
Comprehensive analytics for CHI audits and compliance
Scalable Models
Ready for Saudi Vision 2030 transformation requirements
Patient-Centric Tools
Enhanced transparency and trust-building solutions
Insurance Partners & Standards
Integrated with leading insurance providers and healthcare standards across Saudi Arabia.
