NHIF Biometric Registration And Electronic Claims Management System For UHC

NHIF Biometric Registration And Electronic Claims Management System For UHC

The National Hospital Insurance Fund (NHIF) under the guidance of the Ministry of Health has made strides in digitizing its processes to hasten the implementation of the UHC scale up. In collaboration with the National and County Governments, NHIF has registered 1,005,204 needy families from all 47 Counties. NHIF has also embarked on mass biometric registration of its members including the 1 million needy families. So far mass biometric registration has been carried out in Laikipia, Nakuru, Homabay, Kisumu, Tharaka Nithi, Taita Taveta, and Nyeri Counties. Alongside the mass biometric registration exercise, NHIF has embarked on deploying Electronic Claims Management System (E-Claim) to all NHIF contracted hospitals and has so far covered hospitals in Western, Nyanza, Central, Coast, parts of Nairobi, Eastern and, Rift Valley regions. The remaining regions will be covered in the next one month. As NHIF undergoes digital transformation within the UHC framework, adequate measures have been put in place to ensure that members receive efficient services. 

Previously, members used the National Identity card and NHIF card as a mode of identification which will be replaced by a biometric mode of identification and verification. NHIF members are advised that the switch from manual to electronic claims processing will be done immediately after deployment of the E-Claim system. The last switch-off is planned for 11th of July 2021. Subsequently, all NHIF contracted hospitals will submit claims through the E-claim platform to improve efficiency, reduce fraud, wastage, and abuse. 

The procedure for Biometric Registration is as follow:

  1. NHIF member to visit the nearest NHIF service point or contracted health care provider and produce identification documents i.e., a copy of National ID/ NHIF card for verification in the database. 
  2. Once verified, members fingerprint details will be captured.
  3. New members will also be registered biometrically to the NHIF database and issued with a registration number. 
  4. When a member visits an accredited facility of choice, they will be identified using their fingerprint or One time password (OTP)

NHIF wishes to urge all members and their dependents to visit the nearest NHIF service points or contracted hospitals countrywide to be biometrically enrolled. For more information, contact us on toll-free number 0800 720601.

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