NAS Third Party Administrator (TPA)
NAS is a medical Third Party Administrator that may support the
administration of eligible Al Buhaira medical-insurance policies. Its role
can include healthcare-provider network access, medical approvals, claims
administration and member assistance.
Al Buhaira Insurance remains the insurance provider, while NAS performs
specified administrative services for policies assigned to its network.
Members should check their medical card, policy schedule or member portal
to confirm whether NAS is their appointed TPA.
What Does a Medical TPA Do?
Depending on the insurance arrangement, a TPA may assist with:
-
Medical Network Administration:
Providing access to participating hospitals, clinics, pharmacies,
diagnostic centres and other healthcare providers.
-
Medical Authorisation:
Reviewing requests for treatments, tests, medicines or hospital
admissions that require prior approval.
-
Direct-Billing Claims:
Administratively reviewing eligible claims submitted by network
healthcare providers.
-
Reimbursement Claims:
Reviewing reimbursement requests where the member paid an eligible
medical expense directly.
-
Member Support:
Assisting insured members with network, approval, claim and medical-card
enquiries.
How to Confirm Your Assigned TPA:
Before requesting treatment, check:
-
Your Medical Insurance Card:
The card may display the name or logo of the appointed TPA and the
assigned medical network.
-
Your Policy Schedule:
Review the policy documents for the network name, TPA and applicable
healthcare benefits.
-
The Member Portal or Application:
Eligible NAS members may use the available NAS digital channels to
review network and membership information.
-
Al Buhaira Medical Support:
Contact the medical-insurance team when the TPA or network information
is unclear.
How to Use the NAS Medical Network:
Follow these steps before receiving non-emergency treatment:
-
Check the Provider:
Confirm that the hospital, clinic, pharmacy or specialist is included
in your assigned NAS network.
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Present Your Documents:
Provide your valid Emirates ID and medical insurance card when visiting
the healthcare provider.
-
Confirm the Benefit:
Ask whether the requested treatment is covered and whether a co-payment,
deductible or benefit limit applies.
-
Obtain Approval When Required:
The healthcare provider may submit a pre-authorisation request to NAS
for eligible services.
-
Keep Your Records:
Retain prescriptions, reports, approval references, invoices and
receipts related to the treatment.
Direct Billing and Reimbursement:
The claim process depends on how treatment is received:
-
Direct Billing:
An eligible network provider may submit the covered portion of the
medical bill directly for claim administration. The member remains
responsible for applicable co-payments and non-covered expenses.
-
Reimbursement:
When permitted by the policy, a member who paid directly may submit a
claim form, itemised invoices, proof of payment, prescriptions, reports
and other required documents.
Approval or submission of a claim does not automatically guarantee payment.
Claims remain subject to medical necessity, eligibility, policy benefits,
limits, exclusions and required documentation.
Information You May Need:
Keep the following information available when requesting assistance:
- Emirates ID
- Medical insurance card or member number
- Policy or certificate number
- Patient name and date of birth
- Healthcare-provider and treatment details
- Approval, claim or reimbursement reference number
- Medical reports, prescriptions or invoices, where applicable
Important Points for Members:
Review these details before receiving treatment:
-
Assigned Network:
Not every healthcare provider is included in every NAS network.
-
Pre-authorisation:
Some services require approval before treatment is provided.
-
Co-payments:
The member may need to pay part of the cost according to the policy.
-
Exclusions and Limits:
Services may be excluded or subject to annual and benefit-specific limits.
-
Emergency Treatment:
Follow the emergency-treatment and notification requirements stated in
the policy.
Frequently Asked Questions:
Ans: NAS is a medical Third Party Administrator that may manage healthcare networks, medical approvals and claims administration for eligible insurance policies.
Ans: No. Al Buhaira Insurance is the insurer. NAS may provide specified medical-policy administration services for eligible policies assigned to its network.
Ans: No. Al Buhaira works with in-house and appointed TPA networks. Check your medical card or policy schedule to confirm your assigned administrator.
Ans: You should use providers included in the specific network shown on your medical card. A provider appearing in another NAS network may not be covered under your plan.
Ans: Some treatments, investigations, medicines and hospital admissions require prior authorisation. The healthcare provider can confirm and submit the request when required.
Ans: No. The payable amount depends on policy benefits, medical necessity, limits, co-payments, exclusions and the documents submitted.
