SHA starts verification of NHIF pending claims of Sh10m and above
Key points
- SHA directed Level 5 and Level 6 providers with defunct NHIF pending claims of Sh10 million and above to prepare documents for verification.
- CEO Mercy Mwangangi said the exercise includes medical surveillance and claim authenticity checks before payment.
- Required papers: invoices, service delivery records, claim submission records and prior supporting documents.
- Framed as transparent UHC housekeeping after NHIF-to-SHA transition arrears.
Hospitals sitting on fat NHIF arrears now face a document drill before cash. Social Health Authority CEO Mercy Mwangangi directed Level 5 and Level 6 providers to organise files for verification of pending claims of Sh10 million and above from the defunct National Health Insurance Fund, Eastleigh Voice reported.
“Affected healthcare providers are required to prepare and organise all relevant documents for verification, including invoices, service delivery records, claim submission records and any other supporting documents previously submitted,” her statement said. The exercise will use medical surveillance to confirm accuracy, authenticity and eligibility before any payment under the government’s UHC push.
Arrears, trust and the SHA ledger
Unpaid NHIF claims are both a cash-flow crisis for hospitals and a political liability for the new SHA brand. Verification that is transparent can clear genuine bills; verification that stalls indefinitely becomes a soft write-off. Facilities should treat the call as a hard deadline to rebuild claim files that may be years old.
Health desk: Health. Verified thresholds, levels and CEO quote from Eastleigh Voice; no total NHIF arrears stock figure was published in the same statement.
County hospitals need shared scanners and coding help, not only a memo. SHA should publish a verification calendar and appeal path so “transparency” is measurable.
Patients only care when wards stop rationing services while finance officers argue about invoices from 2023.
Official gazettes, court rulings and agency circulars may update these facts after publication; readers should verify any deadline, fee or court date against primary sources before acting.
Official gazettes, court rulings and agency circulars may update these facts after publication; readers should verify any deadline, fee or court date against primary sources before acting.
Official gazettes, court rulings and agency circulars may update these facts after publication; readers should verify any deadline, fee or court date against primary sources before acting.
Based on Eastleigh Voice reporting of the SHA statement. Payment follows verification outcomes.
