Tawnia Claims Reconciliation
From claim submission to reconciled payment — fully auditable, NPHIES-ready.
Tawnia streamlines the end-to-end claims reconciliation workflow for Saudi healthcare providers. It pulls payer responses, reconciles against submitted claims, flags discrepancies, and exports structured audit bundles — all in compliance with NPHIES and Vision 2030 revenue standards.
Product highlights
Automated Reconciliation
Matches payer remittances against submitted claims with configurable tolerance rules.
Mismatch Detection
AI-powered flagging of underpayments, denials, and coding mismatches.
NPHIES Compliance
Built on FHIR R4 schemas and aligned to NPHIES payer response formats.
Audit Export
One-click export of reconciliation bundles for payer disputes and internal review.
Screens and pricing
Starter
Free
Up to 500 claims/month
Basic mismatch report
CSV export
Professional
SAR 499 / month
Unlimited claims
AI mismatch scoring
NPHIES API integration
Priority support
Enterprise
Contact us
Multi-facility support
Custom workflows
Dedicated onboarding
SLA guarantee
Launch and integrate
Activate this app through the incubator automation stack and, when relevant, request a governed data-sharing path for shared assets and partner collaboration.
Metrics and compliance
Claims reconciled
1,240+
Avg. mismatch catch rate
94%
Time saved per cycle
8 hrs
NPHIES-integrated
HIPAA-aligned
PDPL-compliant audit trail