The Social Health Authority (SHA) has officially commenced the audit and verification of high-value pending claims inherited from the defunct National Hospital Insurance Fund (NHIF).
This exercise specifically targets outstanding claims worth KSh 10 million and above per healthcare facility, paving the way for planned disbursements in the 2026/27 financial year.
To facilitate a smooth process, SHA has advised all affected healthcare providers to review the published timetable and ensure all necessary documentation is prepared for verification.
SHA confirmed it is actively seeking funding from the National Treasury to settle these verified debts, which cover 451 healthcare facilities across the country.
This current verification phase follows the government’s release of KSh 4 billion in July, which was allocated to clear verified NHIF claims of KSh 10 million and below.
That initial payout benefited 3,527 healthcare facilities nationwide. Before those funds were disbursed, SHA conducted a nationwide sign-off exercise requiring eligible facilities to execute formal agreements confirming the full settlement of their verified claims.
To support providers, SHA deployed dedicated teams to regional county offices to assist with documentation and coordinate the phased sign-off process.
As SHA prepares for the next phase of disbursements, healthcare providers with high-value claims listed on the timetable are urged to comply with the documentation requirements to ensure their claims are cleared efficiently during the ongoing verification exercise.
