Healthcare facilities with pending claims inherited from the defunct National Hospital Insurance Fund (NHIF) now have until July 31, 2026, to raise any concerns before the Social Health Authority (SHA) completes payments.
The authority has asked hospitals and other healthcare providers with verified claims of KSh10 million or less to review the amounts communicated to them and seek clarification if they identify any discrepancies.
In a notice released on Friday, Dr Mercy Mwangangi, CEO of SHA, indicated that facilities that had not done sign-off should submit any clarifications before the set deadline to enable the body to review them.
“SHA wishes to inform healthcare providers that have not yet completed the sign-off process for verified defunct NHIF claims worth less than Kshs10 million that they can submit any clarifications or request for further explanations to the Authority for review,” Mwangangi stated.
The healthcare facilities are expected to submit their concerns to [directorbenefitsandclaims@sha.go.ke](mailto:directorbenefitsandclaims@sha.go.ke) by July 31.
SHA says that all submissions should contain the name of the facility, its former NHIF facility number, amount under dispute, the claim reference numbers and detailed information on the issue in question.
SHA has also asked the facilities to attach any documents that may help the review process, which includes claim statements and reconciliations.
Dr Mercy Mwangangi said that SHA would take one month after the deadline to evaluate all submissions.
“The Authority will review all submissions within three weeks after the deadline and communicate the outcome to individual facilities through the appropriate channels,” she said.
The latest notice is part of the government’s ongoing effort to clear outstanding debts inherited from the former NHIF following the transition to the Social Health Authority.
In January, the government released KSh4 billion to begin settling verified NHIF claims worth KSh10 million and below, with SHA launching a nationwide sign-off exercise to verify the payments.
The programme is expected to benefit 3,527 healthcare facilities across the country that had outstanding claims dating back to the NHIF era.
SHA says the current review window is meant to ensure hospitals have an opportunity to flag any errors before payments are processed.
Mwangangi reiterated that the authority is committed to handling the exercise fairly and transparently, adding that every claim will be assessed against verified records.
Healthcare providers that do not submit any concerns by the July 31 deadline will be deemed to have accepted the verified claim amounts as SHA moves to conclude the payment process.
