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NHIS reconciles N2bn unpaid claims by HMOs


By Rabiu Sani-Ali
Kano, Dec. 22, 2020 The National Health Insurance Scheme (NHIS) says it has reconciled over N2 billion unpaid claims accrued by Health Maintenance Organisations (HMOs) for Healthcare Service Providers (HSPs).
The General Manager, Enforcement Department, NHIS, Mr Muhammad Ghali, made this known while speaking with newsmen on the sidelines of a stakeholders’ forum on Tuesday in Kano.
Ghali said the amount was recovered by a special committee set up by the management of the scheme, sequel to complaints by the HSPs over backlog payment of services rendered to its enrollees.
He said that over N2 billion was recovered through reconciliation exercise conducted between June and July ....

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NHIS recovers N2bn debts from HMO's


By Bashir Bello, Kano
The National Health Insurance Scheme, NHIS on Tuesday says it has recovered the sum of N2 billion debts from Health Maintenance Organizations, HMOs and unpaid bills to Health care facilities.
NHIS General Manager, Enforcement Department, Pharmacist Mohammad Ghali disclosed this during a stakeholders sensitization workshop held in Kano to strengthen effective operations of the scheme.
Ghali said it received complaints from the health care providers over HMO’s non-payment of services rendered to enrollees and to that effect, the scheme came up with a principle of reconciliation between the HMO’s and healthcare facilities leading to the recovery of the monies, N2 billion, which was later paid to the healthcare facilities. ....

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