SHA starts verification of pending NHIF claims worth Ksh10M and above
The Social Health Authority (SHA) has commenced verification of pending claims worth Ksh10 million and above submitted by Level 5 and Level 6 healthcare providers under the defunct National Health Insurance Fund (NHIF). In a notice to healthcare providers, SHA CEO Dr Mercy Mwangangi said the exercise will verify the accuracy, authenticity and eligibility of […] The post SHA starts verification of…
The Social Health Authority (SHA) has begun an audit of unprocessed claims exceeding Ksh10 million submitted by top-tier healthcare providers under the now-defunct National Health Insurance Fund (NHIF). SHA CEO Dr Mercy Mwangangi announced the initiative in a notice to affected facilities, emphasizing the need to confirm the validity, legitimacy and eligibility of the claims before any payments are made.
The affected healthcare providers have been instructed to gather pertinent paperwork, such as invoices, service records, claim submission documents and any other relevant evidence previously sent to NHIF.
Dr Mwangangi assured that the verification process would be carried out in a transparent and accountable manner, aligning with the Government's broader initiatives to bolster healthcare service delivery and promote Universal Health Coverage (UHC). She further stated that additional updates regarding the verification of claims from Level 3 and Level 4 healthcare providers will be communicated as the process progresses. The timetable for this verification exercise has been published on the SHA's official website.
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