NHIA to phase out manual claims processing In 18 Months – CEO

NHIA to phase out manual claims processing In 18 Months – CEO
NHIA to phase out manual claims processing In 18 Months – CEO

Africa-Press – Ghana. The National Health Insurance Authority had given an 18-month ultimatum to Healthcare providers to stamp out the manual processing of claims.

Dr Bernard Okoe Boye, newly appointed Chief Executive Officer of the National Health Insurance Authority at the first-ever ‘Special Board and Executive Management Retreat’ at Peduase, said that the authority would roll out a full-scale electronic claims processing (E-Claims) to expedite management and payment of claims (monies) to its clients.

He said that even though 80% of the NHIS expenditure was spent on claims payment and management, the manual process sets back the facilitation of the claims.

“There is an urgent need to devise prudent measures to curb this anomaly and digitization is the way to go”, he reiterated.

Dr Okoe Boye said since its introduction in April 2013, the electronic system has raked in immeasurable benefits to both the NHIA and healthcare providers as it facilitates the processing of millions of claims in no time.

He added that the introduction of the electronic system has reduced paper and printing costs, minimized risk and transportation cost of delivering claims and above all, ensured easy detection of fraud and duplicated claims.

“Currently, 2,188 out of the over 4,500 providers submit their claims to the NHIA electronically representing about 48.6%.

The move to migrate the remaining providers to go digital will make the NHIA one of the most efficient, visible, and viable public institutions in Ghana”, he said.

He urged healthcare providers to comply with this migration directive, and come aboard the digitization turf to drive the NHIA’s vision of sustaining the scheme beyond its 20-year landmark.

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