The Deputy CEO National Health Insurance Authority, of Operations, Dr. Lydia Dsane- Selby
The Deputy CEO of National Health Insurance Authority in charge of Operations, Dr. Lydia Dsane- Selby at the just ended NHIS Stakeholders’ Engagement last Thursday, January 31st, 2019, lauded Ashanti Region for toping NHIS Mobile Renewal authentication with a high record of 451,845 members.
This means more people in the region are renewing their membership through the use of Mobile phones which is a good sign and has the potential to limit the long queues in NHIS District offices.
Dr. Selby took the participants through the non- biometric authentication cycle at the provider’s sites.
The National Health Insurance Authority (NHIA) on 19th December last year launched a new platform to allow members of the National Health Insurance Scheme (NHIS) to renew their membership at their convenience by the use of mobile phones. The system works efficiently with mobile money banking platform that allows clients to make appropriate payments to renew their membership.
This initiative is the beginning of a total digitalization of the system for enrolling new members unto the NHIS. She advised healthcare providers to take advantage of the current NHIS E-claims software to speed up processing of claims.
Plans are underway for the NHIA to institute a fully electronic claims system to enable swift claims submission, processing and payments. This system will ensure efficiency in NHIA claims administration leading to a more sustainable National Health Insurance Scheme.
Claims submission
Dr. Dsane-Selby encouraged Healthcare Providers to make timely claims submissions to allow for prompt payments. She hinted that claims not submitted within three months after the provision of services were deemed as ‘Stale Claims’ which will be referred to an adjudication committee for its recommendations.
