SHIB (Saudi Health Insurance Bus) is a national project, which will standardize the recording and reporting of health care services to insurance companies and enable stakeholders to electronically exchange health insurance transactions in a secure and reliable manner that will positively impact the patient and the health insurance market.
How does it work?
SHIB is a Centralized network and processing system, which will connect all stakeholders to efficiently and effectively manage and monitor the standards-based information exchanges between Providers (HCP) and Health Insurance Companies (HIC) for the benefit of all stakeholders including the beneficiary.
SHIB Goals
- . Promote quality in the provision of services to patients and the parties in a timely manner by monitoring health insurance transactions and their compliance with the regulations
- . To regulate the health insurance sector in the Kingdom through the application of standards and policies
- . Reduce claims management costs for provider and insurance companies
- . Reduce fraud and misuse
SHIB Features
Connectivity: SHIB will electronically connect all payers and providers by creating digital health insurance community/network.
Interoperability: SHIB will implement and enforce nation al coding and transaction standards.
Capability: SHIB will have the capacity to handle large number of transaction swiftly leveraging new technology and global best practices.
Security: SHIB will be secure at all layers (Physical, infrastructure, application, and data) ensuring patient confidentiality and business integrity.
Accountability: SHIB will provide real time data for analysis and reporting specifically on both regulatory and fraud management.
