While the appointed Social Health Act Authority (SHAA) confirmed that the Social Health Insurance Fund (SHIF) would process pending claims submitted to NHIF, health providers are apprehensive. Previously, we highlighted key statements from the gazetted Social Health Insurance Act Regulations. Two big questions on Benefits and Tariffs remain central in determining how members can utilize the three Social Health Insurance Act funds. Health service providers would be required to submit claims to SHIF for review, approval, and payment within seven days. It is expected health service providers would be vigilant in seeking authorization or in submission of claims, to mitigate the risk of claims rejection.
