Healthcare platform HealthVerse KSA English · العربية Live at healthverse.medpipers.com

Arabic-first, RTL-native. Built for the Kingdom.

HealthVerse KSA is the Saudi- and Qatar-tuned sibling of HealthVerse USA. Same clinical spine, same billing engine — but the identity rails, currency, coding, payer network, and language all speak the region natively. One REGION env flag toggles KSA (SAR, NPHIES, Nafath, mada) or Qatar (QAR, MOPH eClaims, QID, NAS).

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Regions
KSA · Qatar
Languages
EN · AR (RTL-first)
Coding
ICD-10-AM · SBS · ACHI
Claims rail
NPHIES (CHI) · MOPH eClaims
Two front doors

One platform, two apps.

A staff portal for operations and clinical, and an Arabic-first patient portal on the same clinical core. Both read the same records; no export, no reconciliation.

Staff portal

  • Patients, providers, appointments, prior-auth
  • Users, roles, invites — organization-scoped
  • Full revenue cycle workbench (see below)
  • Configurable region pack — same UI, KSA or Qatar

Patient portal — Arabic-first

  • Mobile-style app with proper RTL layout, not a translation
  • Login with HV ID + DOB (stand-in for Nafath)
  • Home dashboard with care alerts & sig-based medication reminders
  • Family switching, in-app + email notifications

Medical timeline

  • Encounters, meds, labs, imaging, documents
  • Lab-trend charts with reference-range shading
  • AI explanations translated between clinical and plain language
  • Signed consents at every share point

Booking & check-in

  • Booking with pre-service patient share shown up front
  • Digital pre-visit check-in with signed consents
  • Secure care-team messaging with clinical routing
  • Waitlist, rescheduling, no-show tracking
AI layer

AI grounded on the record, not on vibes.

Deterministic by default. Upgraded to LLM phrasing when an API key is configured. The AI never hallucinates a lab value — it can only summarize what's structured in the timeline.

Lab interpreter

  • Explains any lab value against reference ranges
  • Bilingual — English or Arabic, matching UI language
  • Cites the exact lab result it references

Medical summary

  • Timeline compressed to a plain-language brief
  • Deterministic template with LLM polish (optional)
  • Never invents diagnoses or medications not in the chart

Care navigator

  • Conversational health assistant with responsible-AI guardrails
  • Points patients to real appointments, providers, and marketplaces
  • Falls back to "book a visit" when out of scope

Guardrails

  • No PHI leaves the tenant when running deterministic
  • All AI text is labeled with a source, timestamp, and consent flag
  • Escalation rules for red-flag symptoms (chest pain, anaphylaxis)
Marketplace engine

Pharmacy, labs, imaging — inline.

The portal is a marketplace, not a static PDF. Patients see prices from real providers, order, pay their share, and the fulfilled result posts back into the timeline.

Provider catalogs

  • Pharmacy, lab, and imaging price catalogs per provider
  • Side-by-side price comparison in the patient portal
  • VAT rules honored per region (KSA 15%, Qatar 0% on healthcare)

Payments

  • Region-appropriate rails — mada, STC Pay, SARIE (KSA)
  • Statements, installment payment plans, wallet receipts
  • Patient-share collection at the point of booking
  • Family-group balance across dependents
Revenue cycle

NPHIES-style RCM. PriorIQ-grade workbench.

The full revenue-cycle suite adapted to KSA and Qatar rails. Same discipline as the US EHR: charge capture, scrubber, submission, adjudication, denials, appeals, statements, ledger.

Charges & claims

  • Charge capture with service lines and ICD-10 coding
  • Claims workbench with rules-based scrubbing
  • Policy validity, annual limits, payer fee schedules
  • Configurable custom scrub rules per payer

NPHIES-style rail

  • Submission over a simulated NPHIES / MOPH eClaims rail
  • FHIR-style message log for auditability
  • Payer adjudication with denial codes
  • Appeals workflow with generated letters

Remittance & ledger

  • Remittance-advice batches with auto-matching
  • Auto-posting to patient and payer ledgers
  • Traceable payment ledger — every debit and credit
  • Patient statements with A/R aging

Work queues

  • Everything needing action, in one queue
  • Filter by payer, provider, denial code, service date
  • RCM reports on collection rate, days-in-A/R, denial rate
  • Configurable defaults per practice
Multi-region

One build. Every region speaks itself.

A single REGION environment variable selects a region pack. The pack drives currency, VAT, national rails, identity documents, payment methods, and even the demo seed's geography.

Layer KSA Saudi Arabia QA Qatar
CurrencySARQAR
VAT15% (state-borne for Saudi citizens)0% on healthcare
Claims railNPHIES · CHIMOPH eClaims · NAS
CodingICD-10-AM · SBS · ACHI · AR-DRGICD-10-AM · SBS · ACHI · AR-DRG
IdentityNafath · National ID · IqamaQID
Paymentsmada · STC Pay · SARIELocal card networks
Emergency997 / 999 / 911999
Demo seedRiyadh · JeddahDoha
Who it's for

Who lives in HealthVerse KSA.

Clinicians & front desk

Operations-first staff portal. Patients, providers, appointments, prior-auth, RCM — all in one product with role-based access.

Patients & families

Arabic-first mobile-style portal with proper RTL layout. Book, check in, see meds, pay share, message the care team — for themselves and family members.

Regional operators

One deploy, many countries. Ship KSA today, add Qatar tomorrow — same build, region pack toggled at boot.

In the box

Standards, coding, rails.

Standards & coding
FHIR R4 HL7 v2 NPHIES CHI Nafath (stand-in) ICD-10-AM SBS ACHI AR-DRG LOINC SNOMED
Stack
FastAPI · Python SQLAlchemy · MySQL React · Vite · TypeScript Tailwind Arabic i18n · RTL systemd + nginx docker-compose Region packs Audit trail

Want to run HealthVerse in your region?

Send us the region — currency, coding system, national rails, identity — and we'll spin up an instance with a seed dataset that already speaks it.

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