01
Prevent Rejections
Identify claim issues before submission.
Revenue Cycle Management
Early AccessValidate your NHIS claims before they get rejected
Claims checks every claim against NHIA rules before submission, helping healthcare facilities identify missing documentation, coding errors, tariff violations, and billing issues before they result in delays or rejected claims.
20–40%
Average NHIS claim rejection rate at Ghanaian healthcare facilities
551
NHIA-approved medicines validated
90 Days
Submission window monitored automatically
Key priorities
What healthcare facilities need from modern claims validation
Claims teams need tools that identify issues before submission instead of discovering them after rejection.
02
Improve Compliance
Validate against NHIA requirements automatically.
03
Protect Revenue
Reduce delays and lost reimbursements.
Common problems
Why claims get rejected
01
Missing Documentation
Claims submitted without required supporting documents.
02
Missing ICD-10 Codes
Diagnoses that do not meet NHIA coding requirements.
03
Tariff Violations
Amounts that exceed reimbursement limits.
04
Non-Approved Medicines
Medicines not found on the Essential Medicines List.
How it works
Three Steps. One Validated Claim.
01
Enter Claim Details
02
Validate Against NHIA Rules
03
Fix Issues and Submit with Confidence
Validation engine
Every Claim. Every Rule.
Claims validates against the full set of NHIA submission requirements so nothing slips through before it reaches the insurer.
Service Coverage
Tariff Limits
ICD-10 Diagnosis Codes
Essential Medicines List Compliance
Required Documentation
Submission Window Compliance
Provider Accreditation
Patient Identity Validation
Trust
Built on Official NHIA Rules
Every validation rule is based on official NHIA publications, including tariff schedules, medicines lists, coding standards, and claims processing requirements.
NHIA Tariff ScheduleEssential Medicines ListICD-10 StandardsGhana G-DRGNHIA Claims Manual
Early access
Ready to stop losing revenue to avoidable rejections?
Claims is currently available through an early access programme for healthcare facilities in Ghana.
Request access and our team will contact your facility within 48 hours.