NHIS Claims Preparation & Rejection Prevention
Over 30% of NHIS claims are delayed or rejected on first submission. Your admin team is manually chasing every one of them.
Nigerian private hospitals and clinics enrolled in the National Health Insurance Scheme face a consistent administrative burden that cuts directly into cash flow. Claims are assembled manually from patient records, referral letters, and treatment logs. Submission is done by hand. Rejections arrive weeks later with minimal explanation, requiring the entire process to restart. Each delayed claim means delayed revenue. Each rejected claim means unpaid work. And every hour your admin team spends on NHIS paperwork is an hour not spent on patient care.
The automation behind the outcome.
Eligibility Pre-Verification
Patient eligibility is verified before treatment begins — no surprises at submission time.
Auto-Assembly of Claims
Claim documentation is assembled automatically from existing patient records, referral letters, and treatment logs.
Submission & Follow-Up Tracking
Submissions are tracked end-to-end with automated follow-up triggers for outstanding claims.
Rejection Workflow
Rejections are categorised and routed into a re-submission workflow — no claim is forgotten.
Monthly Reconciliation
A monthly claims reconciliation report is generated automatically — submitted vs. paid vs. outstanding.
Facilities that automate this process typically recover 15–25% of previously delayed revenue within the first quarter, reduce admin time on claims by 60–70%, and cut rejection rates through pre-validation before submission.
Does this look like your facility?
We offer a free assessment to map your specific NHIS workflow. No commitment.