The Social Health Authority (SHA) has mandated several hospitals to provide supporting documents within 15 days for over Ksh3 billion in flagged claims, beginning September 16. This initiative aims to enhance transparency and combat fraud within the Kenyan government healthcare system.

• Over Ksh3 billion worth of claims were flagged, primarily due to insufficient documentation such as itemized invoices and discharge summaries.
• The SHA, led by CEO Mercy Mwangangi, is implementing a new Missing Documents Resubmission Module on its provider portal to facilitate compliance.
• Hospitals have a 14-day window to resubmit missing documents, with claims not submitted within this timeframe automatically transitioning to 'rejected' status after September 30.