Healthcare facilities with verified asserts inherited from the defunct National Hospital Insurance Fund (NHIF) worth Ksh10 million or less have until July 31, 2026, to raise any concerns. SHA Chief Executive Officer Mercy Mwangangi stated in a notice issued on Friday, July 24, that healthcare providers yet to sign off on their verified asserts can seek clarification before payments are finalised." SHA informs healthcare providers that have not yet completed the sign-off process for verified defunct NHIF claims valued at Ksh10 million and below that they may submit any concerns or requests for clarification to the Authority for review,"She stated.
Healthcare facilities seeking clarification were directed to submit their requests to directorbenefitsandclaims@sha. go. ke by Friday, July 31, 2026.
According to Mwangangi, submissions must include the health facility's name, the former NHIF facility code, the pending claims amount, and the relevant claim reference numbers. The hospitals were also directed to provide a clear explanation of the grounds for concern and supporting documents such as claim statements and reconciliation records. The SHA CEO said all submissions received by the deadline will be reviewed within three weeks, after which individual facilities will be informed of the outcome.
"The Authority will review all submissions within three weeks after the deadline and communicate the outcome to individual facilities via the appropriate channels," Mwangangi said. The latest directive follows the government's release of Ksh4 billion in January this year to begin clearing verified outstanding asserts owed to healthcare providers by the defunct NHIF. At the time, SHA rolled out a nationwide sign-off exercise, stating that the funds would be used to settle verified asserts of Ksh10 million or less owed to eligible healthcare facilities.
The Authority stated the payment programme would benefit 3,527 healthcare facilities across the country that had pending NHIF asserts. Meanwhile, Mercy Mwangangi stated the current review window is intended to ensure any discrepancies are addressed before payments are completed." SHA remains committed to ensuring that the review process is fair, transparent, and based on verified claim records,"Mwangangi stated.
Healthcare providers that fail to submit any concerns by the July 31 deadline are expected to proceed with the communicated claim amounts as SHA concludes the verification and payment process.