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Originally published by Citizen Digital
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August 28, 2025
5h ago

SHA begins nationwide training for health facilities on claims review process

SHA begins nationwide training for health facilities on claims review process

The sessions run until Monday, September 1, and will cover the basis for approvals, rejections, surveillance referrals, and compliance expectations...

✨ Key Highlights

The Social Health Authority (SHA) has launched a nationwide training program for health facilities to improve compliance with its medical claims review process. This initiative follows an audit revealing significant rejections due to fraudulent practices and non-compliance.

  • Total claims submitted to date are worth Ksh.91.7 billion, with Ksh.10.6 billion rejected due to fraud or non-compliance.
  • SHA Chief Executive Officer Mercy Mwangangi stated the training is crucial for proper claims management.
  • Training sessions, dubbed “Provider Clinics,” will run virtually from Wednesday, August 27, to Monday, September 1, covering various facility levels.

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SHA begins nationwide training for health facilities on claims review process