The Social Health Authority (SHA) has announced a medical surveillance and verification exercise targeting Level 4 healthcare providers with outstanding NHIF claims of Ksh10 million and above. The initiative, set to begin on September 21, 2026, aims to review claims submitted by affected facilities.
Healthcare institutions involved are required to prepare supporting documentation for inspection. The exercise follows the defunct National Hospital Insurance Fund (NHIF), which previously managed healthcare claims. The SHA will verify the validity of these claims to ensure proper financial accountability.
The move comes as part of broader efforts to improve transparency in healthcare funding. Authorities emphasize the need for accurate records to support claim submissions. No specific details have been released regarding the number of hospitals involved or the expected outcomes of the inspections.
The verification process is expected to take several weeks, with results likely to influence future claim processing procedures. The SHA has not provided further details on how the findings will be used or what actions may follow.
