NHIF Claims

An accredited claims workflow that verifies members, validates records, and tracks reimbursement status clearly.

This feature is coming soon. Request access to be among the first pharmacies to receive it when it is available.

How it works

NHIF Claims guides pharmacy teams from member verification through validation, submission, and tracking so reimbursement work stays clean and reviewable.

What it does

Member verification checks coverage before submission
Diagnosis validation keeps required coding in view
Claims scrubber catches missing fields before batch submission
Offline queueing protects work during connectivity gaps
Status tracking surfaces rejected claims with correction guidance

Acceptance criteria

- Member verification stays visible in the workflow
- Required fields are checked before submission
- Rejected claims remain easy to identify and correct
- Queue status stays visible when connectivity is unstable
- Claim audit history supports internal review and follow-up

Related modules

M01

Dashboard

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A live operating view that keeps pharmacy teams aligned on sales, compliance, and daily priorities.

M06

Dispensing

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A pharmacy-first workflow that connects product selection, safety checks, and transaction completion.

M05

Analytics

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Management reporting that reveals branch performance, claims trends, and operational risk in one place.

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