Eligibility Information
Patient ID PAT-0003
National ID 1234567893
Insurance Provider Al-Rajhi Insurance Company
Status Pending
Coverage Percentage 80%
Policy Number POL-00000003
Expiry Date 2024-12-31
Verification Date N/A
Queue Information
Queue Position #2
Estimated Time 10 minutes
Patient Name: Khalid Abdulrahman Al-Mutairi
Patient ID: PAT-0003
National ID: 1234567893
Date of Birth: 1990-01-01
Insurance Provider: Al-Rajhi Insurance Company
Policy Number: POL-00000003
Insurance Card Number: INS-0000000003
Coverage Percentage: 80%
Policy Start Date: 2024-01-01
Policy End Date: 2024-12-31
Deductible Amount: $500.00
Co-payment: $50.00
Verification Status: Pending
Verification Date: N/A
Verification Method: NPHIES API
NPHIES Status: Verified
Coverage Types: Inpatient, Outpatient, Emergency, Pharmacy, Laboratory, Radiology
Annual Limit: $50,000.00
Used Amount: $5,000.00
Remaining Amount: $45,000.00
Covered Services:
- Inpatient Care
- Outpatient Care
- Emergency Services
- Pharmacy
- Laboratory
- Radiology
Exclusions:
- Cosmetic Surgery
- Experimental Treatment
- Pre-existing Conditions
- Dental (unless emergency)
- Vision (unless medical)
- Alternative Medicine
Eligibility Verified
N/A
Status: Pending
Previous Verification
2024-01-01 09:00:00
Policy Activated
2024-01-01