Master the Medical Invoice Format for Saudi Healthcare

The medical invoice format is now a mandatory requirement for all healthcare providers in Saudi Arabia. Clinics, hospitals, and medical centers must comply with electronic invoicing standards to ensure regulatory alignment.

In this article, we guide you through the correct medical invoice format, key requirements, common challenges, and how EZ Integrated simplifies the process for full compliance.

The Digital Transformation in Healthcare and Its Impact

Saudi Arabia’s healthcare sector is expanding rapidly, reaching $68 billion in 2025 with projected annual growth of 9% until 2034.

This growth aligns with government initiatives focusing on digital health, unified medical records, and smart facility management. Consequently, the medical invoice format is an essential part of regulatory compliance.

With the cooperation of ZATCA, healthcare systems must integrate with the FATOORA platform for accurate financial data and increased transparency.

Understanding the medical invoice format is vital for any healthcare facility aiming for efficiency and compliance in Saudi Arabia.

Why the Medical Invoice Format is Mandatory

ZATCA requires all healthcare facilities, from small clinics to large hospitals, to implement electronic invoicing to promote transparency and prevent invoice manipulation.

Regardless of size, every healthcare provider must adopt the approved medical invoice format and integrate with the FATOORA platform.

Who Must Comply with the Medical Invoice Format?

The medical invoice format applies to all VAT-registered healthcare entities, including:

  • Private clinics and medical centers
  • Hospitals and large healthcare providers
  • Laboratories and diagnostic centers
  • Pharmacies issuing VAT-included invoices

All must comply with the approved medical invoice format per ZATCA standards.

Also read: e Invoice Components: What Saudi Firms Need to Know

How Does the Medical Invoice Format Work?

The correct application of the medical invoice format in healthcare involves these key steps:

1. Prepare the Invoicing System

Use a certified e-invoicing solution supporting XML or PDF/A-3 formats.

2. Register with FATOORA

All healthcare facilities must enroll on the FATOORA platform to obtain integration credentials.

3. Input Invoice Data

Include facility information, patient or payer details, services rendered, prices, taxes, and dates.

4. Generate the Electronic Invoice

The system generates invoices with QR codes and digital signatures, as required by phase two regulations.

5. Transmit to FATOORA in Real-Time

The invoice is automatically sent via API for instant validation.

6. Archive the Invoice Securely

Store invoices digitally for easy retrieval and compliance audits.

Required Details in the Medical Invoice Format

Each invoice issued under the medical invoice format must contain:

  • Healthcare facility name and tax number
  • Client details (patient or insurer)
  • Invoice number and date
  • Service or treatment descriptions
  • Applicable VAT amounts
  • QR code and valid digital signature
  • Real-time connection with FATOORA

Challenges Facing the Healthcare Sector with E-Invoicing

Despite the benefits, adopting the medical invoice format may present challenges such as:

  • Integration difficulties with Hospital Information Systems (HIS)
  • Protecting sensitive medical and financial data
  • Limited administrative staff training
  • Variability in invoice details across services (consultations, surgeries, lab tests)

Also read: Financial Data Security in E Invoicing: Key Risks & Solutions

How EZ Integrated Supports Your Healthcare Compliance

EZ Integrated ensures seamless, compliant application of the medical invoice format from start to finish:

  • Fast, secure integration with FATOORA via reliable API connections
  • Continuous technical support for all healthcare facility types
  • Practical training for administrative teams
  • Full alignment with ZATCA updates
  • Customized invoice templates tailored to clinics and hospitals

Prepare Your Healthcare System Today

Implementing the medical invoice format is not optional. It’s a regulatory obligation that enhances your financial operations and data protection. Don’t delay compliance. Contact EZ Integrated today for a free consultation and discover the most suitable e-invoicing integration for your healthcare facility in Saudi Arabia.