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NHIA To Stop Manual Claims Processing

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Newly appointed Chief Executive Officer (CEO) of the National Health Insurance Authority (NHIA), Dr. Bernard Okoe Boye, has announced an 18-month ultimatum to completely stamp out manual processing of claims.

This would be followed by the roll out of full-scale electronic claims processing (E-Claims) to expedite management and payment of claims to National Health Insurance Scheme (NHIS) healthcare providers across the country.

Speaking at the first-ever ‘Special Board and Executive Management Retreat’ at Peduase, Dr. Boye indicated that 80 per cent of the NHIS expenditure is spent on claims payment and management.

He however, noted that the manual process creates several challenges that set easy facilitation of claims aback.
Thus, there is an urgent need to devise prudent measures to curb this anomaly and digitization is the way to go.

Recounting some of the gains made through the electronic processing of claims, Dr. Boye reiterated that 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, reduces paper and printing costs, minimizes risk and transportation cost of delivering claims and above all ensures 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%.

Move to migrate the remaining providers forms an integral part of Dr. Boye’s digitization agenda to make the NHIA one of the most efficient, visible, and viable public institutions in Ghana.

He urged providers who are the major stakeholders of the NHIS 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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